By F. Bonnel, M. Bonnin, F. Canovas, M. Chamoun (auth.), Dr Maurice Bouysset (eds.)
This encyclopedia at the pathology of the foot is to a point a reaction to the desires expressed in 1978 via the organizers of the "Premieres Journees Europeennes de Podologie" in Paris; in influence, they encouraged a detailed collaboration among the varied specialities of medication and orthopedics within the box of the research and remedy of affections of the foot that allows you to an ever nearer collaboration for the health and wellbeing of the sufferers. more and more sufferers search assistance from the rheumatologist or orthopedist for issues of the ft, the clinician is then faced both with a diagnostic challenge while the foot is the organ basically affected, or a healing challenge whilst a patient from a good outlined rheumatic illness is resulted in seek advice him for continual discomfort. whether the pathology of the ft has usually been ignored through the scientific occupation, while the arms have obtained each consciousness, many eu rheumatologists and orthopedic surgeons have for lengthy addressed this challenge. The names of a few of the pioneers during this topic throughout the Nineteen Fifties and 60S may be regularly occurring: EGL Bywaters and A St Dixon in nice Britain, WS Vainio in Finland, okay Tillmann in Germany, AS Denis and S Braun in France. extra, one usually are not forget about the enormous contribution to our wisdom of podology supplied by means of the Monographies de podologie released via Masson below the supervision of Lucien Simon and his group at Montpellier: a few ten volumes in all.
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Extra info for Bone and Joint Disorders of the Foot and Ankle: A Rheumatological Approach
As for the iodized contrast agent used in CT scan, gadolinium enables us to increase the signal of vessels and highly vascularized tissues. It is also used for tumoral or inflammatory pathology, and for all traumatic muscular, tendinous or ligamentous pathology. Some authors, especially American , perform MR arthrography after diluted intra-articular gadolinium injection, although the marketing of gadolinium as an intraarticular contrast material is not yet authorized. Normal (T and MR images of the foot and ankle [6, 17, 19, 22] CT All slices presented here have been made with a Siemens Somatom Plus Scanner, with a 2 mm slice thickness.
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More recently, MRI has been of great help in foot scanning, in bone pathology and particularly in soft tissue pathology, thanks to the fact that MRI provides greater soft tissue contrast than any other imaging modality [12, 13], as well as its potential for multiplanar imaging. These two techniques each have their advantages and disadvantages and are complementary. Today they are an essential complement to clinical examination and conventional radiography. This chapter has two aims: first, a better understanding of CT and MRI indications by the clinician and second, to assist his interpretation of these examinations.