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Abstract #1191

Magnetic Resonance Imaging of the Pulleys of the Flexor Tendons of the Toes at 11.7T

Monica Tafur 1 , Kenyu Iwasaki 1 , Sheronda Statum 1 , Christine B. Chung 2,3 , Nikolaus M. Szeverenyi 1 , and Graeme M. Bydder 1

1 Radiology, University of California, San Diego, San Diego, California, United States, 2 Radiology, VA San Diego Healthcare System, San Diego, California, United States, 3 Radiology, Univerisity of California, San Diego, San Diego, California, United States

In this study, we have obtained high resolution, high field (11.7 Tesla) Magnetic Resonance (MR) images of the pulleys of the flexor tendons of cadaveric toe specimens. Although the anatomy of the pulley system has been described in one previous article, there have been no previous MRI descriptions of the pulley system of the toes published in the imaging literature. Understanding of toe pulley anatomy is likely to be of benefit in diagnosing tenosynovitis and recognizing the effects of trauma. Detailed anatomy of the pulley system of the flexor tendons allows similarities and differences between the pulley system in the foot and that in the hand to be identified. The A5 pulley, which has previously been described only in the 2nd to 5th fingers, was also present in the lesser toes. The MR visualization of the pulleys included features not seen or reported in descriptions of the finger pulleys such as the internal structure and magic angle effects. Validation was performed by direct inspection of anatomic specimens.

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