Weightbearing Computed Tomography of the Foot and Ankle: Emerging Technology Topical Review

In the last decade, cone-beam computed tomography technology with improved designs allowing flexible gantry movements has allowed both supine and standing weight-bearing imaging of the lower extremity. There is an increasing amount of literature describing the use of weightbearing computed tomography in patients with foot and ankle disorders. To date, there is no review article summarizing this imaging modality in the foot and ankle. Therefore, we performed a systematic literature review of relevant clinical studies targeting the use of weightbearing computed tomography in diagnosis of patients with foot and ankle disorders. Furthermore, this review aims to offer insight to those with interest in considering possible future research opportunities with use of this technology. Level of Evidence: Level V, expert opinion.

[1]  Dishan Singh,et al.  3D Biometrics for Hindfoot Alignment Using Weightbearing CT , 2017, Foot & ankle international.

[2]  N. Suzuki,et al.  Evaluation of First-Ray Mobility in Patients with Hallux Valgus Using Weight-Bearing CT and a 3-D Analysis System: A Comparison with Normal Feet , 2017, The Journal of bone and joint surgery. American volume.

[3]  G. Vandeputte,et al.  Measuring hindfoot alignment in weight bearing CT: A novel clinical relevant measurement method. , 2016, Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons.

[4]  Yasuhito Tanaka,et al.  Relationship Between Displacement and Degenerative Changes of the Sesamoids in Hallux Valgus , 2016, Foot & ankle international.

[5]  J. Deland,et al.  Correlation of Talar Anatomy and Subtalar Joint Alignment on Weightbearing Computed Tomography With Radiographic Flatfoot Parameters , 2016, Foot & ankle international.

[6]  J. Niinimäki,et al.  Rotational Dynamics of the Talus in a Normal Tibiotalar Joint as Shown by Weight-Bearing Computed Tomography. , 2016, The Journal of bone and joint surgery. American volume.

[7]  T. Kubo,et al.  Weight-bearing three-dimensional computed tomography analysis of the forefoot in patients with flatfoot deformity. , 2016, Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association.

[8]  J. Niinimäki,et al.  Rotational Dynamics of the Normal Distal Tibiofibular Joint With Weight-Bearing Computed Tomography , 2016, Foot & ankle international.

[9]  X. Geng,et al.  Mobility of the first metatarsal-cuneiform joint in patients with and without hallux valgus: in vivo three-dimensional analysis using computerized tomography scan , 2015, Journal of Orthopaedic Surgery and Research.

[10]  M. Richter,et al.  PedCAT for Radiographic 3D-Imaging in standing position , 2015 .

[11]  K. Young,et al.  A New Measure of Tibial Sesamoid Position in Hallux Valgus in Relation to the Coronal Rotation of the First Metatarsal in CT Scans , 2015, Foot & ankle international.

[12]  Martinus Richter,et al.  PedCAT for 3D-imaging in standing position allows for more accurate bone position (angle) measurement than radiographs or CT. , 2014, Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons.

[13]  B. Sangeorzan,et al.  Subtalar Joint Axis in Patients With Symptomatic Peritalar Subluxation Compared to Normal Controls , 2014, Foot & ankle international.

[14]  B. Hintermann,et al.  Subtalar Joint Configuration on Weightbearing CT Scan , 2014, Foot & ankle international.

[15]  J. Siewerdsen,et al.  Dedicated cone-beam CT system for extremity imaging. , 2014, Radiology.

[16]  C. Pfirrmann,et al.  Upright Cone CT of the hindfoot: Comparison of the non-weight-bearing with the upright weight-bearing position , 2014, European Radiology.

[17]  C. Wang,et al.  An in vivo study of hindfoot 3D kinetics in stage II posterior tibial tendon dysfunction (PTTD) flatfoot based on weight-bearing CT scan , 2013, Bone & joint research.

[18]  K. Mattila,et al.  The biomechanics of the first metatarsal bone in hallux valgus: a preliminary study utilizing a weight bearing extremity CT. , 2013, Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons.

[19]  T. Kubo,et al.  Load response of the medial longitudinal arch in patients with flatfoot deformity: in vivo 3D study. , 2013, Clinical biomechanics.

[20]  S. Koskinen,et al.  Weight-bearing CT imaging of the lower extremity. , 2013, AJR. American journal of roentgenology.

[21]  Charles L. Saltzman,et al.  Mann's surgery of the foot and ankle , 2013 .

[22]  T. Kubo,et al.  Load Response of the Tarsal Bones in Patients with Flatfoot Deformity: In Vivo 3D Study , 2011, Foot & ankle international.

[23]  Vasilios Baltzopoulos,et al.  The proprioceptive and agonist roles of gastrocnemius, soleus and tibialis anterior muscles in maintaining human upright posture , 2009, The Journal of physiology.

[24]  W. Huda,et al.  Effective doses in radiology and diagnostic nuclear medicine: a catalog. , 2008, Radiology.

[25]  D. Pearce,et al.  Weightbearing CT Scan of Severe Flexible Pes Planus Deformities , 2008, Foot & ankle international.

[26]  William R Ledoux,et al.  Effect of foot shape on the three‐dimensional position of foot bones , 2006, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[27]  B. Sangeorzan,et al.  Deformity and Degeneration in the Hindfoot and Midfoot Joints of the Adult Acquired Flatfoot , 2003, Foot & ankle international.

[28]  B. Sangeorzan,et al.  Talocalcaneal and Subfibular Impingement in Symptomatic Flatfoot in Adults , 2002, The Journal of bone and joint surgery. American volume.

[29]  Anthony Van Bergeyk,et al.  CT Analysis of Hindfoot Alignment in Chronic Lateral Ankle Instability , 2002, Foot & ankle international.

[30]  B. Sangeorzan,et al.  Subluxation of the talocalcaneal joint in adults who have symptomatic flatfoot. , 1999, The Journal of bone and joint surgery. American volume.

[31]  H. Pavlov Imaging of the foot and ankle. , 1990, Radiologic clinics of North America.

[32]  M. J. Stewart,et al.  Hallux Valgus Assessment: Report of Research Committee of American Orthopaedic Foot and Ankle Society , 1984, Foot & ankle.