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First MTP joint injuries: MR imaging findings in surgically managed patients.
Edwards, C R; Ahmad, Z Y; Vosseller, J T; Moy, M P; Wong, T T.
Afiliación
  • Edwards CR; New York Presbyterian- Columbia University, New York, NY, USA. cre4001@nyp.org.
  • Ahmad ZY; New York Presbyterian- Columbia University, New York, NY, USA.
  • Vosseller JT; Jacksonville Orthopaedic Institute, Jacksonville, FL, USA.
  • Moy MP; New York Presbyterian- Columbia University, New York, NY, USA.
  • Wong TT; New York Presbyterian- Columbia University, New York, NY, USA.
Skeletal Radiol ; 52(9): 1729-1738, 2023 Sep.
Article en En | MEDLINE | ID: mdl-37043019
OBJECTIVES: Determine whether MR imaging findings or demographics predict surgical management in patients with first MTP joint injuries. MATERIALS AND METHODS: Retrospective study of 161 forefoot MRs for traumatic first MTP injury (M:F 92:69, mean age 33 ± 13 yrs.). Two radiologists reviewed imaging for ligamentous, osseous, and tendinous injuries. Ligaments and tendons were graded as 0:normal, 1:sprain or strain, 2:partial tear, 3:complete tear. Osseous injuries were classified as edema, fracture, or cartilage injury. Clinical data obtained included sex, age, injury acuity, sport participation, level of sport, and treatment. Imaging findings and demographic data were assessed to determine predictive factors for surgical management. Statistics included kappa, chi-squared, Fisher's exact, and logistic regression. RESULTS: Logistic regression (odds ratio [95% CI], p-value) showed that grade 2 or 3 injuries of the plantar ligamentous complex (2.87, [1.10, 7.48], p = 0.031), grade 2 or 3 injuries of the medial collateral ligament (3.24, [1.16, 9.08], p = 0.025), and participation in collegiate or professional sports (4.34 [1.64, 11.52], p = 0.003) were associated with an increased rate of surgical intervention. k = ligamentous injury (0.71-0.83), osseous trauma (0.88-0.95), and tendon injury (0.78). All other imaging findings and demographic factors were not significant predictors of surgery (p > 0.05). CONCLUSION: Participation in collegiate or professional sports and tears of the plantar ligamentous complex or medial collateral ligament predicted surgical management in patients with first MTP trauma.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Deportes / Esguinces y Distensiones / Traumatismos de los Tendones / Placa Plantar Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Middle aged Idioma: En Revista: Skeletal Radiol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Deportes / Esguinces y Distensiones / Traumatismos de los Tendones / Placa Plantar Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Humans / Middle aged Idioma: En Revista: Skeletal Radiol Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania