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Ankle , foot ultrasound (musculoskeletal imaging in primary care)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Ankle, foot ultrasound

  • in the foot and around the ankle, ultrasound can detect a ganglion cyst, Morton's neuroma, plantar fasciitis, Achilles and tibialis posterior tendinopathy and the hypervascular synovitis and early erosions of rheumatoid disease or subarticular marginal erosions and tophi of gout

Notes:

Ultrasound applications

  • Articular pain, swelling or mechanical symptoms without definitive diagnosis
  • Shoulder pain or mechanical symptoms
  • Symptoms near a joint
  • Regional neuropathic pain to diagnose neural entrapment
  • Guiding articular/periarticular aspiration or injection
  • Diagnosis and treatment assessment of synovitis

Ultrasound advantages

  • Cheaper, more accessible and better tolerated than MRI
  • Preferred modality for tendinopathy and muscle trauma
  • As accurate as MRI in diagnosis of rotator cuff tears
  • Dynamic examination and intervention possible

Reference:

  • 1) Arthritis Research UK (Summer 2013). Hands on - Musculoskeletal imaging for GPs.

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