Is Advanced Imaging a Must in the Assessment of Progressive Collapsing Foot Deformity?

Abstract

Advanced imaging modalities have, in very recent years, enabled a considerable leap in understanding progressive collapsing foot deformity, evolving from a simple confirmation of clinical diagnostic using basic measurements to minute understanding of soft tissue and bone involvements. MRI and weight-bearing cone-beam computed tomography are enabling the development of new 3-dimensional measurement modalities. The identification of key articular and joint markers of advanced collapse will allow surgeons to better indicate treatments and assess chances of success with conservative therapies and less invasive surgical procedures, with the hope of improving patient outcomes.

Keywords: 3D biometrics; Adult acquired flatfoot deformity; Interosseous talocalcaneal ligament; Magnetic resonance imaging; Progressive foot collapse; Spring ligament; Weight-bearing cone-beam CT.