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How to assess plantar plate anatomy and tears on MRI
Рет қаралды 23,628
Күн бұрынWith a bit of a cold, in this video I show you the anatomy of the plantar plate of the metatarsophalangeal joints on MRI and how to identify tears of the plantar plates on MRI, and how you can differentiate it from morton's neuroma.
References:
1. MR Imaging of the Plantar Plate: Normal Anatomy, Turf Toe, and Other Injuries.
Nery C, Baumfeld D, Umans H, Yamada AF.
www.ncbi.nlm.n...
2. MRI of lesser metatarsophalangeal joint plantar plate tears and associated adjacent interspace lesions.
Umans H, Srinivasan R, Elsinger E, Wilde GE.
www.ncbi.nlm.n...
3. Evaluation of lesser metatarsophalangeal joint plantar plate tears with contrast-enhanced and fat-suppressed MRI.
Dinoá V, von Ranke F, Costa F, Marchiori E.
www.ncbi.nlm.n...
4. Predictive MRI correlates of lesser metatarsophalangeal joint plantar plate tear.
Umans RL, Umans BD, Umans H, Elsinger E.
www.ncbi.nlm.n...
5. Flouroscopic arthrography versus MR arthrography of the lesser metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule: a prospective comparative study.
Mazzuca JW, Yonke B, Downes JM, Miner M.
www.ncbi.nlm.n...
6. MRI evaluation of the MTP plantar plates compared with arthroscopic findings: a prospective study.
Nery C, Coughlin MJ, Baumfeld D, Mann TS, Yamada AF, Fernandes EA.
www.ncbi.nlm.n...
7. MR arthrography of the second and third metatarsophalangeal joints for the detection of tears of the plantar plate and joint capsule.
Kier R, Abrahamian H, Caminear D, Eterno R, Feldman A, Abrahamsen T, Davis D, Rice A.
www.ncbi.nlm.n...
8. MRI of the metatarsophalangeal joints: improved assessment with toe traction and MR arthrography.
Lepage-Saucier M, Linda DD, Chang EY, Huang BK, Fliszar EA, Trudell D, Resnick D.
www.ncbi.nlm.n...
9. Second and Third Metatarsophalangeal Plantar Plate Tears: Diagnostic Performance of Direct and Indirect MRI Features Using Surgical Findings as the Reference Standard.
Yamada AF, Crema MD, Nery C, Baumfeld D, Mann TS, Skaf AY, Fernandes ADRC.
www.ncbi.nlm.n...
10. Imaging of Lesser Metatarsophalangeal Joint Plantar Plate Degeneration, Tear, and Repair.
Linklater JM, Bird SJ.
www.ncbi.nlm.n...
#PlantarPlate #MSKradiology #MRI
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Thanks for watching and keep learning! You need an MRI and want it analyzed by me personally? Go to www.aristra.com (Germany and Switzerland), also available on www.aristra.de and aristra.ch #ARISTRA
Sie brauchen ein MRT und wollen den Befund durch mich? Melden Sie sich zur MRT an auf www.aristra.de , dann kann ich Ihnen helfen :)
@DrChristophAgten 5 жыл бұрын
Sorry for my voice. I had a bit of a cold while I was recording this. This video is longer than my previous videos. Suddently, it was 20min :) although I try to keep them below 10min. I was considering splitting Anatomy and Pathology into two parts. Do you think it is too long?? Do you prefer having anatomy and pathology in the same video or should I split such videos? Please comment below!
@yannickthali9152 5 жыл бұрын
I liked the link btw anatomy and pathology - direct comparing to the normal makes it a lot easier to spot the pathology.
@DrChristophAgten 5 жыл бұрын
Thx 😁
@drmateensiddiquicom 5 жыл бұрын
Perfect
@mkg007 5 жыл бұрын
I like it. Keeping both anatomy and pathology together is a great idea. Please keep anatomy and relevant pathology together in next video. Thank you for ur great videos.
@ghassanalmeer2090 4 жыл бұрын
I personally think any lecture up to 20 min is absolutely fine. Thanks for your effort.
@dalia_79 4 жыл бұрын
One of the best explanations i have ever seen, thank you so much.
@DrChristophAgten 4 жыл бұрын
thanks!
@greggarvin612 2 жыл бұрын
Personally I am fine with videos of a variety of different links. So a 20 minute videos just fine with me.
@DrChristophAgten 2 жыл бұрын
Thanks for the feedback
@gavin3935 5 жыл бұрын
Excellent video and explanation! Video was not too long and one doesn't have to watch it completely in one sitting anyway. Keep up the good work.
@DrChristophAgten 5 жыл бұрын
Thanks @Gavin for the feedback!
@gavin3935 5 жыл бұрын
@@DrChristophAgten YW. I recently purchased your Speed MSK book and am enjoying that as well!
@DrChristophAgten 5 жыл бұрын
@@gavin3935 excellent to hear ! would you mind writing a review on amazon? i would very much appreciate it! thx :)
@gavin3935 5 жыл бұрын
@@DrChristophAgten Certainly. I will do so, once I've completed it.
@immane75 5 жыл бұрын
Awsome explanations , love the multiple cases and the anatomy correlation . Please do the Hallux .
@JFK90787 Жыл бұрын
I justr want to say thank you for all your videos. You are carrying me through my MSK fellowship!
@s.halqarooni3386 10 ай бұрын
Greetings from the UK, Fantastic range and number of cases to help get my eye in. Thank you Dr Agten !
@mskblumenau 4 жыл бұрын
Perfect video...the time wasn't too long. Lots of examples...I appreciate it!
@DrChristophAgten 4 жыл бұрын
You're welcome!
@valkeriefire9928 3 жыл бұрын
Thanks so much. I’m a firefighter with ball of foot pain for the last 5 months. After a cortisone shot and months of reduced activity I have not had an improvement in my pain. I finally have an MRI scheduled. Your video will help me understand what my podiatrist is saying so I can make an informed decision regarding surgery. I don’t have any dislocation of my 2nd toe (although my 2nd toe is a hair longer than my big toe unfortunately). Is it common to have a PP tear without dislocation?
@drjaffery 4 жыл бұрын
Dear Christop Greeting from Scotland. I am a consultant trauma and orthopaedic surgeon with fellowship training in F&A Surgery. I am really impressed with your explanations and especially the hand drawing you make with three colours. I must admit I found it difficult to visualise until I saw your coloured diagram of Accessory and True Collateral Ligament. Well Done. That’s great. Perhaps we can work togther at some point in future as I am thinking of making a KZfaq channel for my patients.With my very best wishes to you and stay safe in COVID-19 period. Mr Turab A Syed, Conusltant Trauma & Orthopaedic Surgeon,
@DrChristophAgten 4 жыл бұрын
Hi there, i am open for collaborations. feel free to contact me
@HuskyRadiologist 3 ай бұрын
Great video. Many thanks!
@alvaroabellon2174 3 жыл бұрын
Please! we need a video about the hallux. Perfect video, thanks you
@DrChristophAgten 3 жыл бұрын
You got it!
@ayadabbas6307 Жыл бұрын
really great lecture. Explanation of anatomy and findings is great. Thanks so much for your efforts.
@markusschmid6315 5 жыл бұрын
Well done Christoph!
@jayasudhasambedu 3 жыл бұрын
Excellent work! Please keep going
@DrChristophAgten 3 жыл бұрын
Thx!
@maheshk2086 4 жыл бұрын
Outstanding videos, eagerly waiting for more, please do more videos on small joints
@DrChristophAgten 4 жыл бұрын
Thx Mahesh! Consider to become a patron and have a say in what videos I will make 😉. www.patreon.com/agten
@gustavopoletto8740 2 жыл бұрын
Great video!
@DrChristophAgten 2 жыл бұрын
Glad you enjoyed it
@wassanapeuksiripibul1768 3 жыл бұрын
Thank u so much. This video is really helpful. 👍👍👍
@DrChristophAgten 3 жыл бұрын
Glad it was helpful!
@ahmedslatnia3504 2 жыл бұрын
Amazing
@DrChristophAgten 2 жыл бұрын
Thank you very much
@kalumarjuna80 2 жыл бұрын
Danke! Great Presentation!
@DrChristophAgten 2 жыл бұрын
Glad you like it
@martinnilsson495 2 жыл бұрын
Wonderful. Thank You!
@DrChristophAgten 2 жыл бұрын
Thanks
@deborasalvestro2839 5 жыл бұрын
Very good! Congratulations!!
@DrChristophAgten 5 жыл бұрын
thx
@roohollahsalahi1526 2 жыл бұрын
thank you so much
@DrChristophAgten 2 жыл бұрын
Glad you like it
@Tucas07 4 жыл бұрын
Fantastic!
@DrChristophAgten 4 жыл бұрын
thx artur! and thx also for becoming a patron!! you're the best :)
@arielfranzgn 4 жыл бұрын
Very well explanation.
@DrChristophAgten 4 жыл бұрын
Glad you liked it
@eloisaamaral2802 Жыл бұрын
thanks 😍
@javiermota4187 4 жыл бұрын
excellent!!! thank u!
@DrChristophAgten 4 жыл бұрын
Thx 😄
@ghassanalmeer2090 4 жыл бұрын
Great summury
@DrChristophAgten 4 жыл бұрын
thx Ghassan
@anandrahalkar 4 жыл бұрын
amazing.
@DrChristophAgten 4 жыл бұрын
Thanks!
@user-dy5cr7np1l 4 жыл бұрын
thank you!!!!
@DrChristophAgten 4 жыл бұрын
No - thank you for watching 😉
@XxGlaciersOfIcexX 8 ай бұрын
Anyone dealing with this condition try ribbon taping. I SUFFERED for YEARS. pain all the way up the to the lower back. Feels like stepping on pebbles. Wore the tape for over a year straight. My foot is HEALED. Edit: i was never officially diagnosed with this. I only got xrays and nothing showed up. However i exhibited every symptom. It was either plantar plate issue, or maybe capsulitus. Nasty business this injury is. One of the worst things i ever dealt with bc its a nagging, chronic issue that does not go away. It put me into depression to be honest.
@Krystaldoll282 3 жыл бұрын
Thank you for this video. I fell close to 3 months ago and have continued pain on the outside of my foot and knees. Yes, 3 months is about how long it has been for me at this point. I’ve have not seen any specialists. They have decided to request an MRI but it’s been almost 3 months will an MRI be helpful at this point? I have had shocking, lighting type feelings, side foot pain, knees hurt.
@DrChristophAgten 3 жыл бұрын
if you have symptoms , MRI is still a good tool to see what's wrong
@jbryant6016 Жыл бұрын
Dr. Agten, just found your video. How do you diagnose a plantar plate injury/tear clinically? I've been told I do not have a tear via MRI, but I have the 'V' sign between 2nd and 3rd. The 3rd toe floats and does not touch the floor. Please advise. Thanks.
@DrChristophAgten Жыл бұрын
That's a question for a non-radiogist
@TolisDokianos 2 жыл бұрын
I'm a bit late to the party here (maybe a good thing) but as a recent patient who has no clue about reading MRIs this video greatly improved my knowledge on the matter especially when it comes to deciphering the visuals. As a patient, this helps me to have a better discussion with my doctors about my injury. As a video marketing and KZfaq professional I congratulate you on growing your channel and adding value to your community. Well well done! 👍
@TolisDokianos 2 жыл бұрын
FYI to answer your question - the length of the video was just fine. it served its purpose and from what I read in the comments it did what is was supposed to to do. In brief, a video needs to be as long as it has to be and not a second longer 🙂
@jayrock7594 Жыл бұрын
Doctor can you please help me I been to ten different doctors and told me ten different things and I’m still in the same pain two years later please help me thank you 🙏🏼
@lostinwonderland6873 2 жыл бұрын
Is an MRI the only thing to show it. I've had x-rays and she sees nothing but my pain is getting worse
@DrChristophAgten 2 жыл бұрын
Xray is not for this. Ultrasound would
@lostinwonderland6873 2 жыл бұрын
@@DrChristophAgten thank you I'm going to ask for it as the pain is getting worse especially in the mornings. Thank you for your video
@jonsopher6766 3 жыл бұрын
Great Video Dr. Agten, Do you offer an online consult or MRI reading? I have an MRI showing a Partial Planter Plate tear and other issues of the forefoot that I can share with you? How can I contact you?
@DrChristophAgten 3 жыл бұрын
I do second opinions. In my channel info "about" you will see my email address.
@XxGlaciersOfIcexX 8 ай бұрын
Not sure if u have your issue resolved, if not, learn what RIBBON TAPING is. It HEALED my condition. I wore it over a year straight.
@warpen2010 4 жыл бұрын
Great video!
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Dr Christoph Agten
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