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L’apport de l’échographie dans le diagnostic des douleurs de l’avant-pied

Usefulness of ultrasound in the diagnosis of forefoot pain

  • Pratique Quotidienne / Daily Practice
  • Published:
Médecine et Chirurgie du Pied

Résumé

Les douleurs de l’avant-pied constituent un motif fréquent de consultation en podologie. La métatarsalgie est le symptôme dominant décrit par les patients. Cet article se propose de rapporter la sémiologie échographique de causes les plus fréquentes de douleurs de l’avant-pied susceptibles d’être diagnostiquées par cette méthode. La radiographie standard en charge reste l’examen de première intention. Son association à l’échographie, si elle n’a pas permis de résoudre le problème diagnostic, paraît actuellement la démarche diagnostique la plus pertinente des douleurs de l’avant-pied.

Abstract

Pain in the forefoot is a frequent chief complaint in podiatry consults. Metatarsalgia is the main symptom described by patients. This article purpose is to describe the echographic semiology of the most frequent causes of pain in the forefoot that are sonographically diagnosable. Plain X-ray remains the first step in imaging examination. Its association to ultrasound, if it has not been able to solve the diagnostic problem, now appears to be the most pertinent diagnostic procedure of pain of the forefoot.

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Authors and Affiliations

  1. Service d’imagerie médicale, hôpital Lapeyronie, 371, avenue du Doyen-G.-Giraud, F-34295, Montpellier cedex 05, France

    A. Tonina-Senes, M. P. Baron & C. Cyteval

Authors
  1. A. Tonina-Senes
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  2. M. P. Baron
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  3. C. Cyteval
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Corresponding author

Correspondence to A. Tonina-Senes.

Additional information

Cet article a été présenté à la Journée d’hiver de la SFMCP à Paris, en novembre 2008.

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Tonina-Senes, A., Baron, M.P. & Cyteval, C. L’apport de l’échographie dans le diagnostic des douleurs de l’avant-pied. Med Chir Pied 25, 105–111 (2009). https://doi.org/10.1007/s10243-009-0192-9

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  • DOI: https://doi.org/10.1007/s10243-009-0192-9

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