Ligaments of the Lisfranc joint in MRI:​ 3D-SPACE (sampling perfection with application optimized contrasts using different flip-angle evolution) sequence compared to three orthogonal proton-density fat-saturated (PD fs) sequences

Ulbrich, Erika J.; Zubler, Veronika; Sutter, Reto; Espinosa, Norman; Pfirrmann, Christian W.; Zanetti, Marco

Affiliations

¹Department of Diagnostic and Interventional Radiology, University Hospital Zürich, Rämistr. 100, 8091 Zürich, Switzerland

²Department of Radiology, Orthopedic University Hospital Balgrist, Forchstr. 340, 8008 Zürich, Switzerland

³Department of Orthopedic Surgery, Orthopedic University Hospital Balgrist, Forchstr. 340, 8008 Zürich, Switzerland

Abstract and keywords

Purpose: To compare the detection rate and visibility of the ligaments in the Lisfranc joint with a single 3D (−SPACE) MR sequence and three orthogonal PD fat-saturated sequences.

Materials and methods: Thirty-one asymptomatic feet and 15 patients with posttraumatic pain in the Lisfranc joint were evaluated with a 3D-SPACE-sequence (0.5 mm section thickness, acquisition time 10:22 min, secondary reformations) and three orthogonal PD fs sequences (2 mm section thickness, 9:20 min). The Lisfranc-ligament, the dorsal and plantar tarsometatarsal ligaments (TMT), the dorsal, interosseous, and plantar intermetatarsal ligaments (IMT) (24 ligaments for each foot) were assessed.

Results: In asymptomatic feet, 692 ligaments were detected with the SPACE sequence, thereof 90.6 % exhibited normal signal, and most (96.9 %) were completely visible on one single image. A total of 659 ligaments were detected with the PD fs sequence, thereof 86.6 % yielded normal signal, and 28.5 % were completely visible on one single image.

In patients, 327 ligaments were detected with SPACE, thereof 50.6 % appeared completely visible with high signal. On PD fs, 308 ligaments were detected, 42.2 % of the ligaments had high signals.

Conclusions:The ligaments of the Lisfranc joint are better detected with a single 3D-SPACE sequence and secondary reformations than with three orthogonal PD fs sequences.

Keywords: Lisfranc joint; Ligaments; MRI; SPACE; PD fs sequence; Pain in the Lisfranc joint

Links

DOI: 10.1007/s00256-012-1491-5

PubMed: 22915209

WoS: 000314054000012

History

Received: 2012-06-18

Revised: 2012-07-11

Accepted: 2012-07-12

Online: 2012-08-23

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Cited By (2)

Year	Entry
2021	Sripanich Y, Steadman J, Krähenbühl N, Rungprai C, Saltzman CL, Lenz AL, Barg A. Anatomy and biomechanics of the Lisfranc ligamentous complex: a systematic literature review. J Biomech. April 15, 2021;119:110287.
2014	Siddiqui NA, Galizia MS, Almusa E, Omar IM. Evaluation of the tarsometatarsal joint using conventional radiography, CT, and MR imaging. RadioGraphics. March–April 2014;34(2):514-531.