{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:27:46Z","timestamp":1791764866742,"version":"4.3.4"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"1132","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To determine the additional benefit of MRI for children with flatfoot deformity assessed with weight-bearing radiographs in a specialist paediatric orthopaedic unit.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and materials:<\/jats:title>\n                  <jats:p>Patient cohort was obtained by searching the Radiology Information System for children referred for investigation of flatfoot. All patients with flatfoot on weight-bearing radiographs who had undergone MRI were included. Radiographs were classified by a consultant musculoskeletal radiologist as showing no underlying abnormality, talo-calcaneal coalition, calcaneonavicular coalition, accessory navicular or other abnormality. MRI studies were classified similarly by a different consultant musculoskeletal radiologist blinded to the radiographic findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>33 males and 24 females were included (mean age 12.5 years; range 3\u201318 years). 24 had bilateral abnormality, so 81 feet were assessed. Radiographs showed no specific abnormality (n = 51), talocalcaneal coalition (n = 6), calcaneonavicular coalition (n = 3), os naviculare (n = 12) or other abnormality (n = 9). MRI showed no specific abnormality (n = 40), talocalcaneal coalition (n = 10), calcaneonavicular coalition (n = 5), os naviculare (n = 12) or other abnormality (n = 14). Assuming MRI as the diagnostic gold-standard, additional relevant diagnostic information was identified in 19 (23.5%) cases, while in the 51 cases for which radiographs provided no specific diagnosis MRI confirmed no underlying abnormality in 31 (60.8%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>MRI is a valuable adjunct to weight-bearing radiography for investigating paediatric flatfoot deformity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>MRI is of value in the assessment of paediatric flatfoot, additional diagnostic information to radiography being identified in 23.5% cases, while in 60.8% of cases for which radiographs provided no specific diagnosis MRI confirmed no underlying abnormality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20210784","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T20:36:27Z","timestamp":1639773387000},"source":"Crossref","is-referenced-by-count":3,"title":["MRI for paediatric flatfoot: is it necessary?"],"prefix":"10.1093","volume":"95","author":[{"given":"Caroline","family":"Bagley","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"McIlhone","sequence":"additional","affiliation":[{"name":"TRG Imaging, North Shore City, Auckland 0620 , Milford , New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nehal","family":"Singla","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupert","family":"Berkeley","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Tennant","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif","family":"Saifuddin","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill , Stanmore, Middlesex , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"2024050216200489700_b1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/MOP.0000000000000039","article-title":"Pediatric flatfoot: cause, epidemiology, assessment, and treatment","volume":"26","author":"Dare","year":"2014","journal-title":"Curr Opin Pediatr"},{"key":"2024050216200489700_b2","first-page":"247","article-title":"Pediatric flexible flatfoot; 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