Case Challenge

Foot & Ankle

Stephen J Pomeranz

Gain confidence interpreting Foot & Ankle MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Post-Course Activities

This Power Pack is comprised of 25 unique Foot / Ankle MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Foot & Ankle MRI Cases

Case 18 - 20-year-old male presents with left foot pain at the anterior midfoot

<div>HISTORY:&#160;This 20-year-old male presents with left foot pain at the anterior midfoot and 1st metatarsal, ongoing for one month.&#160;No reported trauma.&#160;No history of surgery or cancer.(QUIZ ANSWER) PRIMARY FINDING:&#160;Partial tear involving lateral collateral ligament.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS:No acute or chronic fracture or bony injury.&#160;No stress injury or stress fracture of the 1st metatarsal.&#160;Mild hallux valgus deformity.&#160;Lisfranc joint is intact, without injury or fracture.Tear of the proper collateral ligament proximal segment at the 1st MTP joint, with mild MTP joint capsulitis.&#160;Insertional irregularity of the accessory collateral ligament at the lateral sesamoid versus normal structures medially.&#160;Remaining ligament structures are intact.No muscle atrophy or muscle injury.&#160;The posterior tibialis, peroneus longus and brevis tendon insertions are intact, without tear injury or tendinopathy.&#160;The flexor and extensor tendons are unremarkable.The distal plantar fascia is intact, without thickening, active inflammation, or tear.Swelling 1st intermetatarsal space.&#160;More dorsally positioned 4th ray relative to the 1st 2nd and 3rd toes.The neurovascular complex is intact, without impingement neuropathy or vascular anomaly.No joint effusion or intra-articular bodies.CONCLUSION:1. No fracture or stress fracture.&#160;No sesamoiditis.&#160;Turf toe mimic with partial tear involving the main or proper lateral collateral ligament at the 1st MTP Plantar plate intact otherwise.&#160;Small focus of 1st intermetatarsal space swelling and tiny 2nd intermetatarsal bursal cyst.2. Insertional irregularity of the FHB lateral head attachment to the lateral sesamoid.3. Mild hallux valgus deformity.</div>

Case

Partial tear involving lateral collateral ligament

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