Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity

Cesar de Cesar Netto, Mark S. Myerson, Jonathan Day, Scott J. Ellis, Beat Hintermann, Jeffrey E. Johnson, Bruce J. Sangeorzan, Lew C. Schon, David B. Thordarson, Jonathan T. Deland

Research output: Contribution to journalReview articlepeer-review

Abstract

Recommendation: There is evidence that the use of WEIGHTBEARING imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following WEIGHTBEARING conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If available, a hindfoot alignment view is strongly recommended. If available, WEIGHTBEARING computed tomography (CT) is strongly recommended for surgical planning. When WEIGHTBEARING CT is obtained, important findings to be assessed are sinus tarsi impingement, subfibular impingement, increased valgus inclination of the posterior facet of the subtalar joint, and subluxation of the subtalar joint at the posterior and/or middle facet. Level of Evidence: Level V, consensus, expert opinion.

Original languageEnglish
Pages (from-to)1277-1282
Number of pages6
JournalFoot and Ankle International
Volume41
Issue number10
DOIs
StatePublished - Oct 1 2020

Keywords

  • AAFD
  • PCFD
  • PTS
  • adult-acquired flatfoot deformity
  • flatfoot
  • peritalar subluxation
  • progressive collapsing foot deformity
  • reconstruction
  • weightbearing CT

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