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Semin Musculoskelet Radiol 2019; 23(06): 594-602
DOI: 10.1055/s-0039-1697940
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Weight-bearing MR Imaging of Knee, Ankle and Foot

Federico Bruno
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Francesco Arrigoni
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Pierpaolo Palumbo
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Raffaele Natella
2   Department of Precision Medicine, University of Campania “L. Vanvitelli,” Naples, Italy
,
Alessandra Splendiani
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Ernesto Di Cesare
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Giuseppe Guglielmi
3   Department of Radiology, University of Foggia, Foggia, Italy
,
Carlo Masciocchi
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
,
Antonio Barile
1   Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
19 November 2019 (online)

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Abstract

Clinical management of several pathologies of the lower extremity joint relies on instrumental imaging evaluation. The assessment of joint changes with physiologic load requires studies using positions with the patient standing. Weight-bearing radiographs are the mainstay for the evaluation of several conditions such as knee osteoarthritis, pes planus, and hallux valgus, in particular to obtain measurements of articular parameters, especially for presurgical studies. In the last few years, dedicated magnetic resonance imaging and computed tomography scanners have also been developed to obtain high-resolution, multiplanar, and sectional images of the lower extremity joints during weight-bearing. These techniques provide detailed information on joint structure modifications under load in both physiologic and pathologic conditions to improve the diagnostic accuracy of weight-bearing studies.

Keywords

weight-bearing - magnetic resonance imaging - knee - ankle - foot
 

  • References

  • 1 Chen A, Balogun-Lynch J, Aggarwal K, Dick E, Gupte CM. Should all elective knee radiographs requested by general practitioners be performed weight-bearing?. Springerplus 2014; 3: 707
    CrossrefPubMedGoogle Scholar
  • 2 Ma Y, Yin Q, Rui Y, Gu S, Yang Y. Image classification for Die-punch fracture of intermediate column of the distal radius. Radiol Med (Torino) 2017; 122 (12) 928-933
    CrossrefPubMedGoogle Scholar
  • 3 Michelini G, Corridore A, Torlone S. , et al. Dynamic MRI in the evaluation of the spine: state of the art. Acta Biomed 2018; 89 (1-S): 89-101
    PubMedGoogle Scholar
  • 4 Godoy-Santos AL, Cesar C. ; Weight-Bearing CT International Study Group. Weight-bearing computed tomography of the foot and ankle: an update and future directions. Acta Ortop Bras 2018; 26 (02) 135-139
    CrossrefPubMedGoogle Scholar
  • 5 Bruno F, Barile A, Arrigoni F. , et al. Weight-bearing MRI of the knee: a review of advantages and limits. Acta Biomed 2018; 89 (1-S): 78-88
    PubMedGoogle Scholar
  • 6 Melnic C, Gordon J, Courtney PM, Sheth NP. A systematic approach to evaluating knee radiographs with a focus on osteoarthritis. J Orthop Rheumatol 2014; 2 (01) 6
    PubMedGoogle Scholar
  • 7 Pinsornsak P, Naratrikun K, Kanitnate S, Sangkomkamhang T. The one-leg standing radiograph: an improved technique to evaluate the severity of knee osteoarthritis. Bone Joint Res 2016; 5 (09) 436-441
    CrossrefPubMedGoogle Scholar
  • 8 Boegård T, Rudling O, Petersson IF. , et al. Postero-anterior radiogram of the knee in weight-bearing and semiflexion. Comparison with MR imaging. Acta Radiol 1997; 38 (06) 1063-1070
    PubMedGoogle Scholar
  • 9 Babatunde OM, Danoff JR, Patrick Jr DA, Lee JH, Kazam JK, Macaulay W. The combination of the tunnel view and weight-bearing anteroposterior radiographs improves the detection of knee arthritis. Arthritis (Egypt) 2016; 2016: 9786924
    PubMedGoogle Scholar
  • 10 Merle-Vincent F, Vignon E, Brandt K. , et al. Superiority of the Lyon schuss view over the standing anteroposterior view for detecting joint space narrowing, especially in the lateral tibiofemoral compartment, in early knee osteoarthritis. Ann Rheum Dis 2007; 66 (06) 747-753
    CrossrefPubMedGoogle Scholar
  • 11 El-Azab HM, Morgenstern M, Ahrens P, Schuster T, Imhoff AB, Lorenz SG. Limb alignment after open-wedge high tibial osteotomy and its effect on the clinical outcome. Orthopedics 2011; 34 (10) e622-e628
    PubMedGoogle Scholar
  • 12 Zigo P, Ranke TP, Ziegenbalg A, Pfeiffer S. Axial deviation in total knee arthroplasty—is the navigation system necessary?. Bratisl Lek Listy 2009; 110 (06) 340-344
    PubMedGoogle Scholar
  • 13 Zoccali C, Arrigoni F, Mariani S, Bruno F, Barile A, Masciocchi C. An unusual localization of chondroblastoma: the triradiate cartilage; from a case report a reconstructive technique proposal with imaging evolution. J Clin Orthop Trauma 2017; 8 (Suppl. 01) S48-S52
    CrossrefPubMedGoogle Scholar
  • 14 Giraudo C, Weber M, Puchner A, Grisar J, Kainberger F, Schueller-Weidekamm C. Which MR sequences should we use for the reliable detection and localization of bone marrow edema in spondyloarthritis?. Radiol Med (Torino) 2017; 122 (10) 752-760
    CrossrefPubMedGoogle Scholar
  • 15 Saba L, De Filippo M. Unclassified MR arthrography pattern evaluation in patients with episodes of recurrent antero-inferior shoulder dislocation. Radiol Med (Torino) 2017; 122 (07) 540-545
    CrossrefPubMedGoogle Scholar
  • 16 Carotti M, Salaffi F, Di Carlo M, Giovagnoni A. Relationship between magnetic resonance imaging findings, radiological grading, psychological distress and pain in patients with symptomatic knee osteoarthritis. Radiol Med (Torino) 2017; 122 (12) 934-943
    CrossrefPubMedGoogle Scholar
  • 17 Lee SH, Yun SJ, Yoon Y. Diagnostic performance of shoulder magnetic resonance arthrography for labral tears having surgery as reference: comparison of high-resolution isotropic 3D sequence (THRIVE) with standard protocol. Radiol Med (Torino) 2018; 123 (08) 620-630
    CrossrefPubMedGoogle Scholar
  • 18 Giovagnorio F, Olive M, Casinelli A. , et al. Comparative US-MRI evaluation of the Insall-Salvati index. Radiol Med (Torino) 2017; 122 (10) 761-765
    CrossrefPubMedGoogle Scholar
  • 19 Simoni P, Malaise O, El Hachemi M, Tromba A, Boitsios G. Learning curves of two different techniques for the intra-articular injection of the knee joint under fluoroscopic guidance. Radiol Med (Torino) 2018; 123 (05) 359-366
    CrossrefPubMedGoogle Scholar
  • 20 Zappia M, Maggialetti N, Natella R. , et al. Diagnostic imaging: pitfalls in rheumatology. Radiol Med (Torino) 2019
    PubMedGoogle Scholar
  • 21 Vedi V, Williams A, Tennant SJ, Spouse E, Hunt DM, Gedroyc WM. Meniscal movement. An in-vivo study using dynamic MRI. J Bone Joint Surg Br 1999; 81 (01) 37-41
    CrossrefPubMedGoogle Scholar
  • 22 Gold GE, Besier TF, Draper CE, Asakawa DS, Delp SL, Beaupre GS. Weight-bearing MRI of patellofemoral joint cartilage contact area. J Magn Reson Imaging 2004; 20 (03) 526-530
    CrossrefPubMedGoogle Scholar
  • 23 Besier TF, Draper CE, Gold GE, Beaupré GS, Delp SL. Patellofemoral joint contact area increases with knee flexion and weight-bearing. J Orthop Res 2005; 23 (02) 345-350
    CrossrefPubMedGoogle Scholar
  • 24 Jinkins JR, Dworkin JS, Damadian RV. Upright, weight-bearing, dynamic-kinetic MRI of the spine: initial results. Eur Radiol 2005; 15 (09) 1815-1825
    CrossrefPubMedGoogle Scholar
  • 25 Barile A, Conti L, Lanni G, Calvisi V, Masciocchi C. Evaluation of medial meniscus tears and meniscal stability: weight-bearing MRI vs arthroscopy. Eur J Radiol 2013; 82 (04) 633-639
    CrossrefPubMedGoogle Scholar
  • 26 Nicholson JA, Sutherland AG, Smith FW, Kawasaki T. Upright MRI in kinematic assessment of the ACL-deficient knee. Knee 2012; 19 (01) 41-48
    CrossrefPubMedGoogle Scholar
  • 27 Draper CE, Besier TF, Fredericson M. , et al. Differences in patellofemoral kinematics between weight-bearing and non-weight-bearing conditions in patients with patellofemoral pain. J Orthop Res 2011; 29 (03) 312-317
    CrossrefPubMedGoogle Scholar
  • 28 Mariani S, La Marra A, Arrigoni F. , et al. Dynamic measurement of patello-femoral joint alignment using weight-bearing magnetic resonance imaging (WB-MRI). Eur J Radiol 2015; 84 (12) 2571-2578
    CrossrefPubMedGoogle Scholar
  • 29 Miller CP, Ghorbanhoseini M, Ehrlichman LK, Walley KC, Ghaheri A, Kwon JY. High variability of observed weight bearing during standing foot and ankle radiographs. Foot Ankle Int 2017; 38 (06) 690-693
    CrossrefPubMedGoogle Scholar
  • 30 Bancroft LW, Kransdorf MJ, Adler R. , et al. ACR appropriateness criteria acute trauma to the foot. J Am Coll Radiol 2015; 12 (06) 575-581
    CrossrefPubMedGoogle Scholar
  • 31 Hoshino CM, Nomoto EK, Norheim EP, Harris TG. Correlation of weightbearing radiographs and stability of stress positive ankle fractures. Foot Ankle Int 2012; 33 (02) 92-98
    CrossrefPubMedGoogle Scholar
  • 32 Seidel A, Krause F, Weber M. Weightbearing vs gravity stress radiographs for stability evaluation of supination-external rotation fractures of the ankle. Foot Ankle Int 2017; 38 (07) 736-744
    CrossrefPubMedGoogle Scholar
  • 33 Weber M, Burmeister H, Flueckiger G, Krause FG. The use of weightbearing radiographs to assess the stability of supination-external rotation fractures of the ankle. Arch Orthop Trauma Surg 2010; 130 (05) 693-698
    CrossrefPubMedGoogle Scholar
  • 34 Tuominen EKJ, Kankare J, Koskinen SK, Mattila KT. Weight-bearing CT imaging of the lower extremity. AJR Am J Roentgenol 2013; 200 (01) 146-148
    CrossrefPubMedGoogle Scholar
  • 35 Haleem AM, Pavlov H, Bogner E, Sofka C, Deland JT, Ellis SJ. Comparison of deformity with respect to the talus in patients with posterior tibial tendon dysfunction and controls using multiplanar weight-bearing imaging or conventional radiography. J Bone Joint Surg Am 2014; 96 (08) e63
    CrossrefPubMedGoogle Scholar
  • 36 Barg A, Bailey T, Richter M. , et al. Weightbearing computed tomography of the foot and ankle: emerging technology topical review. Foot Ankle Int 2018; 39 (03) 376-386
    CrossrefPubMedGoogle Scholar
  • 37 Weishaupt D, Treiber K, Jacob HAC. , et al. MR imaging of the forefoot under weight-bearing conditions: position-related changes of the neurovascular bundles and the metatarsal heads in asymptomatic volunteers. J Magn Reson Imaging 2002; 16 (01) 75-84
    CrossrefPubMedGoogle Scholar
  • 38 Richter M, Seidl B, Zech S, Hahn S. PedCAT for 3D-imaging in standing position allows for more accurate bone position (angle) measurement than radiographs or CT. Foot Ankle Surg 2014; 20 (03) 201-207
    CrossrefPubMedGoogle Scholar
  • 39 Richter M, Zech S, Hahn S. PedCAT for radiographic 3D-imaging in standing position. Fuss und Sprunggelenk 2015; 13 (02) 85-102
    PubMedGoogle Scholar
  • 40 Collan L, Kankare JA, Mattila K. The biomechanics of the first metatarsal bone in hallux valgus: a preliminary study utilizing a weight bearing extremity CT. Foot Ankle Surg 2013; 19 (03) 155-161
    CrossrefPubMedGoogle Scholar
  • 41 Kim JB, Yi Y, Kim JY. , et al. Weight-bearing computed tomography findings in varus ankle osteoarthritis: abnormal internal rotation of the talus in the axial plane. Skeletal Radiol 2017; 46 (08) 1071-1080
    CrossrefPubMedGoogle Scholar
  • 42 Hirschmann A, Pfirrmann CWA, Klammer G, Espinosa N, Buck FM. Upright cone CT of the hindfoot: comparison of the non-weight-bearing with the upright weight-bearing position. Eur Radiol 2014; 24 (03) 553-558
    CrossrefPubMedGoogle Scholar
  • 43 Krähenbühl N, Tschuck M, Bolliger L, Hintermann B, Knupp M. Orientation of the subtalar joint: measurement and reliability using weightbearing CT scans. Foot Ankle Int 2016; 37 (01) 109-114
    CrossrefPubMedGoogle Scholar