Don't Miss Me: Midfoot Sprains, A Point-of-Care Review

Semin Musculoskelet Radiol 2023; 27: 245-255 DOI: 10.1055/s-0043-1767766Athletes practicing high-contact sports are exposed to an increased risk of midfoot injuries, namely midtarsal sprains. The complexity of reaching an accurate diagnosis is clearly depicted in the reported incidence of midtarsal sprains, ranging from 5% to 33% of ankle inversion injuries. Because the focus of the treating physician and physical therapist is on lateral stabilizing structures, midtarsal sprains are missed at initial evaluation in up to 41% of patients, with delayed treatment as a result.Detecting acute midtarsal sprains requires a high degree of clinical awareness. Radiologists must become familiar with the characteristic imaging findings of normal and pathologic midfoot anatomy to avoid adverse outcomes such as pain and instability. In this article we describe Chopart joint anatomy, mechanisms of midtarsal sprains, clinical importance, and key imaging findings with a focus on magnetic resonance imaging. A team effort is essential to provide optimal care for the injured athlete. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Seminars in Musculoskeletal Radiology - May 25, 2023 Category: Radiology Authors: Koetser, Inge C.J. Espinosa Hern ández, Enrique A. Kerkhoffs, Prof. dr. Gino M.M.J. Goedegebuure, Simon Smithuis, Frank F. Maas, Prof. dr. Mario Tags: Review Article Source Type: research