Hussan Mohammed MD, Presenter: Nothing to Disclose

Dakshesh Bhulabhai Patel MD, Abstract Co-Author: Nothing to Disclose

George Robert Matcuk MD, Abstract Co-Author: Nothing to Disclose

Timothy Charlton MD, Abstract Co-Author: Nothing to Disclose

Aaron Schein MD, Abstract Co-Author: Nothing to Disclose

Deborah M. Forrester MD, Abstract Co-Author: Nothing to Disclose

Eric Allan White MD, Abstract Co-Author: Nothing to Disclose

Foot and ankle arthrodesis, also known as fusion surgery, is the mainstay surgical approach to relieve disabling foot and ankle pain/deformity. An understanding of how to interpret postoperative arthrodesis films is critical in musculoskeletal radiology practice. The purpose of this exhibit is to describe the clinical issues surrounding foot and ankle arthrodesis, to review the expected postoperative appearance, and to illustrate the imaging findings of arthrodesis complications in a case-based format.

Description of the clinical issues surrounding foot and ankle arthrodesis, including indications and contraindications, types of surgical approaches, and outcomes. Review of the relevant anatomy and the normal radiographic findings after arthrodesis, such as what to expect in the early postoperative period and when to expect bridging of bony trabeculae across the joint. Pictorial essay and description of the various complications that may occur using illustrative cases from our institution. This includes nonunion, malalignment, loosening of fixation screws/plates, hardware fracture, hardware migration, infection, and development of arthritis at joints adjacent to those fused. Protocolling pearls and pitfalls will be highlighted throughout the exhibit, including techniques to minimize metal artifacts on CT and MRI.

http://abstract.rsna.org/uploads/2014/14001597/14001597_j43i.pdf

Mohammed, H, Patel, D, Matcuk, G, Charlton, T, Schein, A, Forrester, D, White, E, "Walking on Pins and Needles": Arthrodesis of the Foot and Ankle and Its Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001597.html