The forefoot is a highly specialized anatomical region characterized by a complex interplay of osseous, ligamentous, tendinous, and neurovascular structures that are essential for load transmission and propulsion during gait. This presentation will focus on the role of high-resolution ultrasound, emphasizing practical ultrasound landmarks, optimized scanning strategies and dynamic assessment techniques for accurately depicting the complex and clinically relevant anatomy of the forefoot. Key structures addressed will include the flexor and extensor digitorum tendons, pulley systems, plantar plates, metatarsophalangeal and interphalangeal joints (including capsuloligamentous components, joint recesses, and sesamoids), as well as distal nerve branches such as the interdigital, hallucal, and deep peroneal nerves. In addition to anatomical assessment, the most relevant forefoot pathologies affecting these structures will be addressed, focusing on common and clinically significant conditions encountered in daily practice. By integrating both dorsal and plantar scanning approaches, this presentation aims to enhance understanding of the capabilities and versatility of high-resolution ultrasound in forefoot evaluation, supporting a more precise, comprehensive, and clinically meaningful evaluation.
Workshop recording from ECR 2026

Prof. Carlo Martinoli
Radiologist
Associate Professor of Radiology, IRCCS San Martino University Hospital Genoa, ItalyCourse Information
At the end of this lecture, delegates will:
- Recognize normal forefoot anatomy on high-resolution ultrasound, including tendons, joints, sesamoids, and distal nerves
- Apply practical scanning techniques and landmarks to improve diagnostic accuracy and patient assessment
This educational talk was created on 4th March 2026. All information contained in this session was correct at the time of distribution.
Disclaimer: Appearing on the Canon Medical Academy does not represent a commercial partnership or interest from the speaker. The views herein do not represent the views of Canon Medical Systems Ltd.
