XXXX Appropriateness Criteria Acute @entity130 to the Foot.

@entity1 @entity697 @entity6 @entity12169 @entity1897 @entity130
UNASSIGNED: This @entity12169 Appropriateness Criteria article offers imaging triage guidance for several variants of @entity1 presenting with acute foot @entity130 . @entity1 meeting inclusion criteria for the Ottawa Rules should undergo a 3-view radiographic series. @entity6 @entity1 with @entity1897 should undergo radiography, even though they do not meet the Ottawa Rules inclusion criteria. @entity1 with suspected midfoot and/or @entity130 should undergo 3-view radiographs with weight bearing on at least the anterior-posterior view. @entity1 with suspected @entity130 and normal radiographs should be considered for MRI and CT on a case-by-case basis. MRI or ultrasound could confirm cases of  suspected @entity697 . Radiography is the initial imaging modality for suspected @entity130 after metatarsal-phalangeal @entity130 . Weight-bearing anterior-posterior, lateral, and sesamoid axial views may detect proximal migration of the hallux sesamoids. Ultrasound or MRI can directly evaluate the capsuloligamentous complex, specifically the plantar plate. Radiography can detect radiopaque penetrating foreign bodies, and ultrasound can be helpful in detecting those that are nonradiopaque. The @entity12169 Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures, by the panel. In instances in which evidence is lacking or is not definitive, expert opinion may be used to recommend imaging and treatment.
