足第2~5跖板的影像测量研究

doi:10.13418/j.issn.1001-165x.2014.05.016

Abstract

Abstract:

Objective　To study and measure morphological feature of less plantar plates by MRI and ultrasound, and improve the understanding of its value on clinical diagnosis. Methods Nineteen fresh-frozen human cadaveric foot specimens (seventy-six less plantar plates) were scaned by MRI and ultrasound. The imaging morphology of less plantar plates was observed；the length, width, central thickness and lateral thickness of less plantar plate were measured.　Results　The planter plate was showed distinctly with Proton density and was smooth and curvilinear in MRI images. In addition, the planter plate was scanned dynamically and flexibly in ultrasound, showing slightly echoic band. The length of the less plantar plates in MRI was (18.36±1.30) mm，(17.88±0.89) mm, (16.67±1.22) mm，and (14.26±1.11) mm; The width in MRI was (10.98±0.71) mm，(10.10±2.21) mm，(10.07±0.52) mm，and (9.07±0.65) mm; The lateral thickness in MRI was (2.07±0.13) mm，(2.05±0.12) mm，(1.87±0.22) mm，and (1.79±0.24) mm; The central thickness in MRI was (1.34±0.16) mm，(1.32±0.14) mm，(1.13±0.14) mm, and (1.05±0.13) mm. The less plantar plates of length in ultrasound was (17.05±1.31) mm, (16.98±1.12) mm, (15.77±1.80) mm，and (12.18±1.38) mm; The width in ultrasound was (12.19±0.74) mm，(11.63±0.79) mm, (11.08±0.77) mm，and (10.44±0.86) mm; The lateral thickness in MRI was (1.83±0.17) mm, (1.76±0.21) mm, (1.61±0.27) mm, and (1.48±0.21) mm; The central thickness in MRI was (1.14±0.14) mm，(1.06±0.15) mm, (1.04±0.15) mm, and (0.94±0.12) mm. The measuring results of less plantar plates in MRI and ultrasound were different and the parameter differences were statistically significant (P<0.05).　Conclusions　Both MRI and ultrasound can show the planter plates distinctly and they play an important role for examination of plantar plates.

Key words: Plantar plate, Lesser metatarsophalangeal joint, Imaging anatomy, MRI, Ultrasound

CLC Number:

R322.121

YU Yao-Beng, CHEN Da-Wei, SHU Guang-Rong, LI Bing, YANG Yun-Feng, ZHANG Feng, DAI Gong-Hua, SONG Ye. An image study on the plantar plates of the lesser metatarsophalangeal joints[J]. Chinese Journal of Clinical Anatomy, 2014, 32(5): 576-579.

References

[1] Sanhudo JA, Ellera GJL. Pull-out technique for plantar plate repair of the metatarsophalangeal joint
[J]. Foot Ankle Clin, 2012,17(3):417-424.

[2] Sung W, Weil L Jr, Sr WLS, et al. Diagnosis of plantar plate injury by magnetic resonance imaging with reference to intraoperative findings
[J]. J Foot Ankle Surg, 2012,51(5):570-574.

[3] 郁耀平, 陈大伟, 张鹏, 等. 成人足第2～5跖板的解剖测量研究
[J]. 中国临床解剖学杂志, 2013,31(6):646-649.

[4] Kier R, Abrahamian H, Caminear D, et al. MR arthrography of the second and third metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule
[J]. AJR Am J Roentgenol, 2010,194(4):1079-1081.

[5] McCormick JJ, Anderson RB. Rehabilitation following turf toe injury and plantar plate repair
[J]. Clin Sports Med, 2010,29(2):313-323.

[6] Sonnery-Cottet B, Archbold P, Thaunat M, et al. Fifth toe plantar plate repair in a professional soccer player: case report
[J]. Foot Ankle Int, 2012,33(7):598-601.

[7] Lui TH, Chan LK, Chan KB. Modified plantar plate tenodesis for correction of claw toe deformity
[J]. Foot Ankle Int, 2010,31(7):584-591.

[8] Nery C, Coughlin MJ, Baumfeld D, et al. Lesser metatarsophalangeal joint instability: prospective evaluation and repair of plantar plate and capsular insufficiency
[J]. Foot Ankle Int, 2012,33(4):301-311.

[9] Yao L, Do HM, Cracchiolo A, et al. Plantar plate of the foot: findings on conventional arthrography and MR imaging
[J]. AJR Am J Roentgenol, 1994,163(3):641-644.

[10]Gregg J, Silberstein M, Schneider T, et al. Sonographic and MRI evaluation of the plantar plate: A prospective study
[J]. Eur Radiol, 2006,16(12):2661-2669.

[11]Gregg JM, Silberstein M, Schneider T, et al. Sonography of plantar plates in cadavers: correlation with MRI and histology
[J]. AJR Am J Roentgenol, 2006,186(4):948-955.

[12]Mazzuca JW, Yonke B, Downes JM, et al. Flouroscopic arthrography versus MR arthrography of the lesser metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule: a prospective comparative study
[J]. Foot Ankle Int, 2013,34(2):200-209.

[13]Klein EE, Weil L Jr, Sr WLS, et al. Magnetic resonance imaging versus musculoskeletal ultrasound for identification and localization of plantar plate tears
[J]. Foot Ankle Spec, 2012,5(6):359-365.

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An image study on the plantar plates of the lesser metatarsophalangeal joints

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