Imaging in Lisfranc injury: a systematic literature review.
Objectives: To systematically review current diagnostic imaging options for assessment of the Lisfranc joint.Materials and Methods: PubMed and ScienceDirect were systematically searched. Thirty articles were subdivided by imaging modality: conventional radiography (17 articles), ultrasonography (six...
| Publicado en: | Skeletal Radiology Vol. 49; no. 1; pp. 31 - 54 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139705895&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139705895 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03642348 O14 jtl: Skeletal Radiology issn: 03642348 maglogo: N pubinfo: dt: Jan2020 vid: 49 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139705895 139705895 NLM31368007 139705895 10.1007/s00256-019-03282-1 NLM31368007 139705895 ppf: 31 ppct: 23 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Imaging in Lisfranc injury: a systematic literature review. aug: au: Sripanich, Yantarat Weinberg, Maxwell W. Krähenbühl, Nicola Rungprai, Chamnanni Mills, Megan K. Saltzman, Charles L. Barg, Alexej affil: Department of Orthopedics, University of Utah, 590 Wakara Way, 84108, Salt Lake City, UT, USA sug: subj: Foot Ligaments, Articular Ligaments, Articular Injuries Foot Injuries Ultrasonography Magnetic Resonance Imaging Tomography, X-Ray Computed Human Weight-Bearing Radiography Ferrans and Powers Quality of Life Index ab: Objectives: To systematically review current diagnostic imaging options for assessment of the Lisfranc joint.Materials and Methods: PubMed and ScienceDirect were systematically searched. Thirty articles were subdivided by imaging modality: conventional radiography (17 articles), ultrasonography (six articles), computed tomography (CT) (four articles), and magnetic resonance imaging (MRI) (11 articles). Some articles discussed multiple modalities. The following data were extracted: imaging modality, measurement methods, participant number, sensitivity, specificity, and measurement technique accuracy. Methodological quality was assessed by the QUADAS-2 tool.Results: Conventional radiography commonly assesses Lisfranc injuries by evaluating the distance between either the first and second metatarsal base (M1-M2) or the medial cuneiform and second metatarsal base (C1-M2) and the congruence between each metatarsal base and its connecting tarsal bone. For ultrasonography, C1-M2 distance and dorsal Lisfranc ligament (DLL) length and thickness are evaluated. CT clarifies tarsometatarsal (TMT) joint alignment and occult fractures obscured on radiographs. Most MRI studies assessed Lisfranc ligament integrity. Overall, included studies show low bias for all domains except patient selection and are applicable to daily practice.Conclusions: While conventional radiography can demonstrate frank diastasis at the TMT joints; applying weightbearing can improve the viewer's capacity to detect subtle Lisfranc injury by radiography. Although ultrasonography can evaluate the DLL, its accuracy for diagnosing Lisfranc instability remains unproven. CT is more beneficial than radiography for detecting non-displaced fractures and minimal osseous subluxation. MRI is clearly the best for detecting ligament abnormalities; however, its utility for detecting subtle Lisfranc instability needs further investigation. Overall, the available studies' methodological quality was satisfactory. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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