Diagnostic value of elastography in the diagnosis of ıntermetatarsal neuroma

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dc.authorid0000-0001-8532-4917
dc.authorid0000-0002-0022-0439
dc.authorid0000-0002-4843-5121
dc.authorid0000-0002-7794-9308
dc.contributor.authorÖrmeci, Tuğrul
dc.contributor.authorGüler, Olcay
dc.contributor.authorMalkoç, Melih
dc.contributor.authorKeskinbora, Mert
dc.contributor.authorGüngören, Fatma Zeynep
dc.contributor.authorMahiroğulları, Mahir
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:10Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:10Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000378071300006
dc.descriptionPubMed ID: 26964696
dc.description.abstractThe objective of the present study was to characterize the ultrasound and elastographic properties of intermetatarsal neuroma (interdigital neuroma) and their contribution to diagnosis. Eighteen patients with metatarsalgia, who had presented to an orthopedic clinic from April 2013 to February 2015, were diagnosed with 25 intermetatarsal neuromas (11 unilateral [61.11%], 7 bilateral [38.89%]). These patients underwent evaluation with ultrasonography and simultaneous ultrasound strain elastography to assess the elastographic properties of the tissues in the intermetatarsal space. The intermetatarsal neuroma diagnosis was confirmed by histopathologic inspection. The lesion contours, localization, dimensions, and vascularization were evaluated before surgical excision. The elasticity and strain ratio values were compared between the neuroma and adjacent healthy intermetatarsal space. Of the 25 intermetatarsal neuromas, 1 (4%) was not detected by ultrasonography (incidence of detection of 96%). The mean neuroma width was 6.35 (range 3.7 to 13) mm in the coronal plane, and the mean elasticity and strain ratio values were 3.44 (range 1.1 to 5.1) and 9.47 (range 2.3 to 19.3), respectively. The elasticity and strain ratio values were significantly greater in the presence of an interdigital neuroma than in the adjacent healthy intermetatarsal spaces (Z = - 3.964, p = .0001 and Z = -3.927, p = .0001, respectively). The diagnostic cutoff values were calculated as 2.52 for elasticity and 6.1 for the strain ratio. Four neuromas (16%) were not demarcated, and the elasticity and strain ratio values for these were lower than those for neuromas with demarcated contours but were greater than those for healthy intermetatarsal spaces (p < .006 and p < .005, respectively). Patients with clinically suspected intermetatarsal neuromas that do not show demarcation and with smaller lesions might benefit from the use of ultrasound elastography for diagnosis.
dc.identifier.citationÖrmeci, T., Güler, O., Malkoç, M., Keskinbora, M., Güngören, F. Z. ve Mahiroğulları, M. (2016). Diagnostic value of elastography in the diagnosis of ıntermetatarsal neuroma. Journal Of Foot & Ankle Surgery, 55(4), 720-726. https://dx.doi.org/10.1053/j.jfas.2016.01.025
dc.identifier.doi10.1053/j.jfas.2016.01.025
dc.identifier.endpage726
dc.identifier.issn1067-2516
dc.identifier.issn1542-2224
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage720
dc.identifier.urihttps://dx.doi.org/10.1053/j.jfas.2016.01.025
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3121
dc.identifier.volume55
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal Of Foot & Ankle Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectElasticity
dc.subjectIntermetatarsal Space
dc.subjectMorton's Neuroma
dc.subjectStrain Ratio
dc.subjectUltrasound
dc.titleDiagnostic value of elastography in the diagnosis of ıntermetatarsal neuroma
dc.typeArticle

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