Imaging Considerations in Differentiating Plantar Plate Pathology and Webspace Neuroma.

Autor: Aguiar ROC; Department of Radiology, Hospital das Clínicas, Universidade Federal do Paraná and Clínica DAPI, 122 Brigadeiro Franco, Curitiba - Paraná, 80430-210, Brazil. Electronic address: aguiar.rodrigo@gmail.com., Umans H; Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA; Lenox Hill Radiology & Imaging Associates, 61 E 77th Street, NYC 10075, USA.
Jazyk: angličtina
Zdroj: Foot and ankle clinics [Foot Ankle Clin] 2024 Dec; Vol. 29 (4), pp. 571-590. Date of Electronic Publication: 2024 Mar 21.
DOI: 10.1016/j.fcl.2024.02.003
Abstrakt: Myriad pathologies affect the lesser toes. In this article, the focus is on the challenging radiological differential diagnosis of plantar plate (PP) degeneration and tear versus webspace neuroma. It is now understood that PP tear and even degeneration without tear is most accompanied by reactive pericapsular soft tissue thickening (pseudoneuroma), which contributes to neuritic symptoms that are often indistinguishable from webspace neuroma. In this article, the authors will review the differing clinical presentations and radiographic, sonographic, and MRI findings of these entities and the different acquired toe deformities that occur in PP dysfunction with pseudoneuroma, versus webspace neuroma.
Competing Interests: Disclosure Authors have nothing to disclose.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE