This article presents the ultrasound (US) technique of examination of the forefoot followed by a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders.
A basic history and local physical examination must be obtained in all patients to focalise the US examination; this approach significantly shortens the examination time.
Localised tenderness while increasing the pressure through the transducer helps in focusing the US examination and permits more in depth assessment of the affected structures.
For routine US examination, the author used a two-position standard examination.
Position 1 involved examining the patient supine with the knee flexed at 90 degrees and the plant of the foot resting on the bed.
This position allows adequate stabilisation of the foot and ankle flexion resulting in extensor tendons stretching.
The author assessed the dorsal aspect of the forefoot starting the examination at the level of the metatarsals and moving them distally over the metatarsophalangeal (MTP) and interphalangeal joints.
The author identified different extensor tendons starting the examination at the anterior aspect of the ankle and then following them till the distal insertion trough transverse images.
Position 2 involved the patient being examined with the knee extended and the leg resting on the examination bed.
Transverse and sagittal images were obtained over the distal half of the plantar aspect of the foot.
The skin, subcutaneous tissues and plantar fascia were examined followed by the flexor tendons and forefoot joints.
The author also provided a brief description of the normal US anatomy and of US appearance of the most frequent forefoot disorders namely, rheumatoid arthritis, osteoarthritis, overuse arthropathy, Morton’s neuroma, bursitis, mucoid cysts, foreign bodies and bone disorders.
Copyright 2017 MASS4D® All rights reserved.
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.