Foot & Ankle MRI Fellowship Practice Cases

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		<div id="tve_flt" class="tve_flt tcb-style-wrap"><div id="tve_editor" class="tve_shortcode_editor tar-main-content"><div class="thrv_wrapper thrv_text_element">This course includes 25 essential cases a radiologist needs to master to confidently diagnose foot and ankle conditions on MRI.<a href="https://mrionline.com/remote-fellowships/" class="">Browse all Radiology Remote Fellowships</a><h2 class="" dir="ltr">Desired Outcomes</h2>Upon completion of this activity, participants should be better able to:<ul class=""><li dir="ltr">Interpret essential pathologies for foot/ankle MRI</li><li dir="ltr">Diagnose foot/ankle conditions for MRI&#160;</li></ul>Bibliography: Suggested reading resources and references can be found within each case discussion.<h2 dir="ltr" class="">Credit Information</h2>Accreditation StatementMRI Online is accredited by the Accreditation Council for Continuing Medical Education (ACCME)to provide continuing medical education for physicians.Credit Designation StatementMRI Online designates this Enduring activity for a maximum of 14.25&#160;AMA PRA Category 1 Credits&#8482;.Physicians should claim only the credit commensurate with the extent of their participation in the activity.This activity is valid for credit from November 6, 2023 to November 6, 2026.Content is reviewed and updated on an ongoing basis.CME Planning Committee&#160;Suresh K. Mukherji, MD, MBA, FACRProfessor of Radiology, University of IllinoisProfessor of Radiation Oncology, Robert Wood Johnson Medical School, Rutgers UniversityFaculty, Otolaryngology Head Neck Surgery, Michigan State UniversityNational Director of Head &amp; Neck RadiologyProScan ImagingStephen J. Pomeranz, MDChief Medical Officer and FounderProScan ImagingFounderMRI OnlineDavid M. Yousem, MBA, MDProfessor of RadiologyVice Chairman and Associate DeanJohns Hopkins UniversityDaniel Arnold, MBACEO and Co-FounderMRI OnlinePaul BohartSenior Content ManagerMRI OnlineJennifer A. Hall, MSDirector, FellowshipsMRI OnlineDeanna M. Heier, PhDVP, Educational Strategy and OperationsMRI OnlineDisclosure StatementsCME Planning CommitteeThe CME Planning Committee members have no relevant financial relationships to disclose.FacultyThe Faculty for this activity have no relevant financial relationships to disclose.Staff and Content reviewersAll MRI Online staff and reviewers involved in the development of content for this activity have norelevant financial relationships to disclose.Commercial SupportThere is no commercial support for this activity.Course content is peer-reviewed for content validity by persons that do not have conflicts of interest related tothe content and to verify the educational material is evidence-based, fair, balanced, and free from commercial bias.</div></div></div><div class="tcb_flag"></div>
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Stephen J Pomeranz

Jenny T Bencardino

Edward Smitaman

Gain confidence reading and reporting on Foot and Ankle MRI Cases with the Medality Fellowship Certificate Program. Practice using real-world, scrollable cases, earn CME, and receive a Fellowship Certificate™ upon completion!

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Course Evaluation

Post-Course Activities

Welcome to the Foot and Ankle MRI Fellowship Practice Cases course! In this course, you&rsquo;ll be presented with a series of worklists, comprised of 25 essential cases you must review to receive your Fellowship Certificate.

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Access Full Fellowship Certificate Program <a href="https://mrionline.com/proficiency/foot-and-ankle-mri-fellowship-certificate/" style="text-decoration:none">Here</a>&nbsp;

Foot and Ankle MRI Practice Cases

Patient History
59-year-old woman with previous plantar fasciitis, complaining of right ankle pain  for 2 months

Findings
SKELETAL/BONES:
Moderate-sized plantar calcaneal spur, at the origin of the plantar fascia with associated moderate to marked periostitis and osteoedema.

No other pattern of reactive osteoedema. No micro or macro trabecular fracture. No aggressive osseous abnormality. No stress fracture.

No os trigonum.

No hindfoot valgus deformity.

ARTICULATIONS:
Tibiotalar joint/talar dome: No osteochondral defect of the talar dome or tibial plafond. Mild capsulitis.

Ankle mortise/syndesmosis: The ankle mortise is in anatomic alignment. No syndesmosis widening.

Chopart joint: Mild capsulitis of the posterior subtalar joint, with a small capsular bursal cyst. Otherwise unremarkable.

Midfoot/hindfoot: No fracture or injury of the anterior calcaneal process. No prominent midfoot or hindfoot arthrosis. Mild 2nd tarsometatarsal joint arthrosis with periarticular osteoedema.

Lisfranc articulation: Unremarkable. Intact Lisfranc ligament.

LIGAMENTS:
High ankle: Intact.

Low ankle: Slightly thickened scarred ATFL. Otherwise unremarkable low ankle ligaments.

Subtalar/Chopart: Intact.

TENDONS:
Intact.

GENERAL:
Sinus tarsi: Unremarkable.

Muscles: Moderate fatty atrophy involving abductor digiti minimi. Otherwise unremarkable intrinsic musculature of the foot.

Soft tissue: Unremarkable.

Plantar fascia: Markedly thickened proximal central cord of the plantar fascia, with a deep, near full-thickness or full-thickness incomplete tear adjacent to the calcaneal origin, measuring 1.1 cm AP diameter, 0.8 cm transverse diameter. Marked perifascial high signal inflammation noted and prominent plantar calcaneal periostitis.

Moderately thickened lateral and mildly thickened medial cords proximally.

Neurovascular complex/tarsal tunnel: Unremarkable. No evidence of entrapment neuropathy.

Intra-articular/loose bodies: None.

Impressions
1. Marked active plantar fasciitis, most prominently involving the central cord, with a focal full-thickness or near full-thickness incomplete tear measuring 1.1 x 0.8 cm. Auto-release could account for recent symptom relief.
2. Moderate-sized plantar calcaneal spur with moderate to marked periostitis and reactive osteoedema.
3. Diffuse abductor digiti minimi fatty atrophy, consistent with coexisting Baxter’s neuropathy.


Case