Ultrasound of the hindfoot
Pain is the most common reason for orthopaedic foot and ankle referral. The prevalence is quoted as 20-25% in population based studies. Hindfoot pain can be complex. In our previous article, we considered the role of ultrasound scans in the diagnosis of disorders the forefoot. In this article we review those common, as well as some rare but important, problems that present with hindfoot pain.
Ultrasound imaging, in the right hands, is highly appropriate for diagnostic evaluation of the ankle and hindfoot. Tendon pathology in particular is often “underestimated” on MRI. Joint effusions from mechanical or inflammatory arthritis are well seen on ultrasound, and diagnostic injections can readily be performed. This article will focus on soft tissue conditions.
Regardless of who undertakes the ultrasound examination (sonographer or radiologist) an in-depth knowledge of anatomy and pathology is mandatory. Establishing a mutual understanding with referring clinicians is adviseable. We hold regular meetings to discuss cases for this purpose.
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