足と足首の臨床研究

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Foot and Ankle Diagnostics: Current Trends and Advancements in Assessment and Imaging Modalities10.4202/2329-910X.1000424

Rubiya M

Foot and ankle diagnostics are essential for the evaluation and management of a wide range of orthopedic and podiatric conditions. Accurate assessment and imaging modalities are crucial in determining the underlying pathologies and guiding appropriate treatment strategies. This abstract provides an overview of the current trends and advancements in foot and ankle diagnostics, with a focus on assessment techniques and imaging modalities. The assessment of foot and ankle conditions involves a comprehensive evaluation of patient history, physical examination, and functional assessment. Clinical examination techniques, including inspection, palpation, range of motion assessment, and specialized tests, aid in identifying specific pathologies and assessing joint stability. Functional assessment tools, such as gait analysis and foot pressure measurement systems, provide valuable information on biomechanical abnormalities and their impact on foot and ankle function. Imaging modalities play a critical role in diagnosing and characterizing foot and ankle conditions. Conventional radiography remains the initial imaging modality of choice due to its cost-effectiveness and ability to assess bony structures. However, advanced imaging techniques have gained prominence in recent years. Magnetic resonance imaging (MRI) offers detailed visualization of soft tissues, making it particularly useful for assessing ligamentous injuries, tendon abnormalities, and cartilage pathology. Ultrasonography provides real-time imaging, allowing for dynamic evaluation of tendons, ligaments, and soft tissue structures. It is also valuable in guiding injections and aspirations. Computed tomography (CT) provides high-resolution imaging of bony structures and is particularly useful for assessing complex fractures and preoperative planning. Nuclear medicine imaging, such as bone scintigraphy and positron emission tomography (PET), can aid in the evaluation of bone and joint infections and identify areas of increased metabolic activity. Emerging technologies have further enhanced foot and ankle diagnostics. Three-dimensional (3D) imaging techniques, including 3D CT and cone-beam CT, provide detailed anatomical information, aiding in surgical planning and implant placement. Infrared thermography has shown promise in assessing vascular perfusion and identifying areas of inflammation. Optical coherence tomography (OCT) enables high-resolution imaging of tissue microstructures and has potential applications in diagnosing and monitoring various foot and ankle conditions. Advanced motion analysis systems utilize marker-based or markerless tracking techniques to assess joint kinematics and aid in the evaluation of foot and ankle function.