Abstract
BACKGROUND: Magnetic resonance imaging (MRI) is becoming more and more widespread in our country, being one of the leading methods in diagnosing injuries and diseases of the ankle joint and foot. From year to year the number of tomographs and studies is steadily increasing, and the absence of ionising radiation, the possibility of visualising both soft tissue and bone structures makes this procedure more attractive for patients. Reproducibility of the study, the possibility of obtaining a second opinion distinguish MRI as a leading tool in the diagnosis of neuromas. Despite its relatively frequent use, the significance of MRI diagnosis in patients with suspected intertarsal neuroma using paramagnetic imaging, 3 tesla and 1.5 tesla MRI has not been fully reported.
СLINICAL CASES DESCRIPTION: The article presents a series of illustrative studies of patients with intermetatarsal neuroma: using paramagnetic imaging tools, without the use of paramagnetic imaging tools, with large slice thickness, with high-field tomography.
CONCLUSION: Despite the obvious advantages of using high-field imaging in the diagnosis of peripheral nervous system diseases, in our opinion, the informative value of this study in the routine diagnosis of Morton's neuroma does not exceed that of the currently most common 1.5 tesla MRI.
Reference21 articles.
1. Munir U, Tafti D, Morgan S. Morton Neuroma. Treasure Island (FL): StatPearls Publishing; 2022.
2. The interphalangeal angle as a novel radiological measurement tool for Morton’s neuroma – a matched case-control study
3. Saltykova VG, Ramonova DR, Makinyan LG, Zeynalov VT, Shtok AV, Mitkov VV. Ultrasound in foot lesion diagnosis (Morton’s neuroma, lipofibroma). Ultrasound & Functional Diagnostics. 2021;(1):65–88. (In Russ).
4. Increased frequency of intermetatarsal and submetatarsal bursitis in early rheumatoid arthritis: a large case-controlled MRI study