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2017, Number 3

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Anales de Radiología México 2017; 16 (3)

Use of tomography in the study of muscle groups in osteoarticular alterations of ankle and foot

González-Ballesteros A, Salazar-Palomeque JR, González-Vergara C
Full text How to cite this article

Language: Spanish
References: 6
Page: 206-217
PDF size: 471.70 Kb.


Key words:

computerized tomography, muscle volume, fatty muscle atrophy, intrinsic and extrinsic muscles of the foot, functional impairment.

ABSTRACT

Introduction: magnetic resonance and ultrasound are the most specialized conventional image study methods used to explore musculoskeletal alterations; however, the role of tomography in this field is fundamental in evaluating osteoarticular alterations.
Material and Method: we conducted an analysis of 75 ankle and foot tomographies, taken in the Computerized Tomography and Ultrasound service in the period March to December 2015.
Results: of the studies analyzed, 75% were men and 25% women, with a mean age of 32 years (in a range of 5 to 86 years), with a 2-month period of evolution. Significant alterations in muscle volume were found due to fatty muscle atrophy in posterior and anterolateral regions and intrinsic and extrinsic muscles of the foot with v arious causes.
Conclusions: the radiologist must be familiar with analysis and description to include in the tomography report changes detected in muscle volume which, while they do not reflect tissue characteristics, do show changes in volume resulting from functional impairment, whether complete or partial, which affect the walking cycle and can be useful to the multidisciplinary team, which includes not only the orthopedic surgeon, but also specialists in rehabilitation and other related non-surgical fields, for the purpose of interventions which can help the patient gain muscle strength and volume and eventually resume everyday activities.


REFERENCES

  1. AI Kapandji. “Fisiología Articular”. Tomo 2. 6ª Edición. Editorial Médica Panamericana. MALOINE. Madrid, 2015. pp: 210-217, 272 y 273.

  2. Michael Swash, Martin M. Brown, Chandra Thakkar. CT Muscle Imaging and the Clinical Assessment of Neuromuscular Disease. Muscle & Nerve. 1995;18:708-714.

  3. Klaus-Peter Valerius, Astrid Frank, Bernard C. Kolster, Christine Hamilton, Enrique Alejandro Lafont, Roland Kreutzer. ”El Libro de los Músculos. Anatomía, Función, Exploración”. 5ª. Edición, Ed. Med. Panamericana. Alemania, 2013. pp. 3-8.

  4. Alessandro Castriota-Scanderberg, Bruno Dallapiccola. Abnormal Skeletal Phenotypes: From Single Signs to Complex Diagnoses. Chapter 7, “Feet”. Springer. Germany, 2005. pp. 455-458.

  5. Roger A, Mann, Andrew Haskell. Michael J. Coughlin, Charles L. Saltzman. “Pie y Tobillo”. Capítulo 1, “Biomecánica del pie y el tobillo”. Marbán. Madrid, 2011. pp. 2-7.

  6. Ana Cotta, Elmano Carvalho, Antonio Lopes da-Cunha- Júnior, Júlia Filardi Paim, Monica M. Navarro, Jaquelin Valicek, Miriam Melo Menezes, Simone Vilela Nunes, Rafael Xavier Neto, Reinaldo Issao Takata, Antonio Pedro Vargas. “Common Recessive Limb Girdle Muscular Dystrophies Differential Diagnosis: Why and How?”. Arq Neuropsiquiatr 2014;72(9):721-734.




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Anales de Radiología México. 2017;16