Foot & Ankle MRI Fellowship Practice Cases

<div class="entry-content">
		<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>
	</div>

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!

Wk 1, Case 1 - Practice

Wk 1, Case 1 - Review

Wk 1, Case 2 - Practice

Wk 1, Case 2 - Review

Wk 1, Case 3 - Practice

Wk 1, Case 3 - Review

Wk 1, Case 4 - Practice

Wk 1, Case 4 - Review

Wk 1, Case 5 - Practice

Wk 1, Case 5 - Review

Practice Cases

Wk 2, Case 1 - Practice

Wk 2, Case 1 - Review

Wk 2, Case 2 - Practice

Wk 2, Case 2 - Review

Wk 2, Case 3 - Practice

Wk 2, Case 3 - Review

Wk 2, Case 4 - Practice

Wk 2, Case 4 - Review

Wk 2, Case 5 - Practice

Wk 2, Case 5 - Review

Wk 3, Case 1 - Practice

Wk 3, Case 1 - Review

Wk 3, Case 2 - Practice

Wk 3, Case 2 - Review

Wk 3, Case 3 - Practice

Wk 3, Case 3 - Review

Wk 3, Case 4 - Practice

Wk 3, Case 4 - Review

Wk 3, Case 5 - Practice

Wk 3, Case 5 - Review

Wk 4, Case 1 - Practice

Wk 4, Case 1 - Review

Wk 4, Case 2 - Practice

Wk 4, Case 2 - Review

Wk 4, Case 3 - Practice

Wk 4, Case 3 - Review

Wk 4, Case 4 - Practice

Wk 4, Case 4 - Review

Wk 4, Case 5 - Practice

Wk 4, Case 5 - Review

Wk 5, Case 1 - Practice

Wk 5, Case 1 - Review

Wk 5, Case 2 - Practice

Wk 5, Case 2 - Review

Wk 5, Case 3 - Practice

Wk 5, Case 3 - Review

Wk 5, Case 4 - Practice

Wk 5, Case 4 - Review

Wk 5, Case 5 - Practice

Wk 5, Case 5 - Review

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.

&nbsp;

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
78-year-old man with a one-month history of a blister on the third left toe with purulent drainage.

Findings
Skeletal/osseous:
Cortical destruction with diffuse confluent osteoedema involving the 3rd toe distal phalanx (mid to proximal portion), middle phalanx (mid to distal portion). Cortical destruction at the distal interphalangeal joint with partial lateral subluxation of the distal phalanx. Proximal interphalangeal joint preserved. Proximal phalanx preserved. No intraosseous abscess/fluid collection or involucrum identified. No sequestrum or cloaca.

Marked hallux valgus deformity with moderate to marked 1st metatarsophalangeal joint osteoarthropathy. Marked hammertoe deformities of the 2nd to 5th toes. Varus deformities of the 2nd to 5th metatarsophalangeal joints.

Moderate to marked lateralization of the sesamoids, due to the hallux valgus deformity. Marked tibial and moderate fibular sesamoid hallux arthrosis. Flattening of the crista and sesamoid grooves.

No micro- or macro-trabecular fracture.

Tendons:
Visualized portions intact.

Ligaments:
Thickened medial and lateral collateral ligaments of the 1st metatarsophalangeal joint.

Plantar plates:
Stretched plantar plates. No macro tear.

Soft tissues:
Soft tissue callus formation/thickening at the plantar aspect of the 5th metatarsal head. Soft tissue thickening/callus formation with fatty atrophy/thinning adjacent to the medial aspect of the 1st metatarsal head.

Extensive soft tissue thickening surrounding the nail bed and dorsal aspect of the distal 3rd toe.

No bulky Morton neuroma. No intermetatarsal bursitis with effusion.
Other:
Partially imaged plantar fascia unremarkable. Diffuse mild fatty infiltration and muscle edema of the intrinsic musculature of the forefoot.

Impressions
1. Osteomyelitis involving the 3rd toe middle phalanx and proximal segment of the distal phalanx with DIPJ septic arthritis. Possible contiguous extension from an adjacent nailbed infection. Proximal interphalangeal joint preserved.
2. Marked hallux valgus deformity with lateralized sesamoids. Moderate to marked degenerative arthrosis 1st MTPJ, tibial hallux-sesamoid and moderate fibular hallux-sesamoid arthrosis. 
3. Incidental 2nd through 5th hammertoe deformities.
4. Incidental mild diffuse fatty infiltration and muscle edema of the intrinsic forefoot musculature. Assessment for systemic neuropathy recommended.


Case

Neuropathic osteoarthropathy/Charcot joint