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
30-year-old man with pain and swelling of the right great toe related to a football injury one day prior. 

Findings
LATERAL:
Ruptured proximal lateral/fibular sesamoid phalangeal ligament and plantar plate with proximally retracted and displaced lateral/fibular sesamoid.
Low-grade edema compatible with low-grade strain within the distal lateral head of the flexor hallucis brevis and oblique and transverse heads of abductor hallucis muscles/myotendinous junctions adjacent to the fibular sesamoid.
Interstitial partial thickness tear of the lateral/fibular collateral ligament.

MEDIAL:
Attenuated proximal medial/tibial sesamoid phalangeal ligament and plantar plate with detachment/high-grade full-thickness tear. Proximally retracted/displaced medial/tibial sesamoid. Distal portion of the sesamoid phalangeal ligament markedly thickened/swollen.
Detached attachment of the abductor hallucis from the medial sesamoid. Separation 3mm.
Sprained and frayed appearance of the flexor hallucis brevis attachment to the medial/tibial sesamoid.
Partial-thickness incomplete undersurface tear of the dorsal aspect of the medial collateral ligament. No macrofiber retraction. Bulk of the ligament intact.

CENTRAL:
Swollen but intact intersesamoid ligament.
Central plate ruptured.
No dominant or penetrating osteochondral erosions or bodies.
Extensor mechanism near normal with minimal dorsal swelling.
Mild interstitial tendinosis of the flexor hallucis longus compatible with interstitial microtrauma just distal to the sesamoids. However, a partial thickness tear without rupture of the flexor hallucis longus at the interphalangeal joint of the 1st digit lies just atop of a solitary distal phalanx sesamoid.

OTHER:
Microtrabecular injury or fracture of the 2nd metatarsal head and microtrabecular bone injury at the base of the proximal phalanx P2.

Impressions
1. Grade 3 turf toe with complete plantar plate rupture from the lateral sesamoid rim to the medial sesamoid rim.
2. Moderate depth and likely silent tear of the flexor hallucis longus muscle just plantar to the interphalangeal joint of the 1st digit.


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