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Foot & Ankle MRI

Content Reviewed: December 24, 2021

Mastery Series
Preview Course

8.5 CME

44 Clinical Cases

106 Videos

8 hr. 24 min.

Course Description

Foot and ankle injuries/abnormalities can be amongst the most debilitating conditions in MSK imaging. Whether it’s a game-time injury featuring an athlete or a grocery store parking lot accident involving your elderly neighbor, reading a foot & ankle MRI entails participation in decisions about a patient’s mobility and therefore their quality of life. In addition to discerning orthopedic surgeons, you may also field referrals from busy podiatrists who know their field thoroughly and expect the same from their imagers.

There’s a lot to consider with the complex anatomy of the foot and ankle; spraining the ankle ligaments can often lead to complications in the mid-foot and masses in any of the local regions can have an adverse effect on the multiple nerve pathways that pass through the joint. Recognizing the signs of injury in one area of the foot can help you ferret out what other anatomy may have been impacted.

If you aren’t lucky enough to get a detailed or accurate report of the mechanism of injury, you may be using corollary clues to piece together your evaluation.

  • Which damage is acute and which is chronic?
  • How stable is the ankle?
  • Is nerve injury a factor?

Join Dr. Stephen Pomeranz in this Foot & Ankle MRI Mastery Series, including in-depth review of anatomy, protocols & sequences along with extensive case review. This Course will help you sharpen your reading skills and establish yourself as a go-to reader in this musculoskeletal field where the volume of patients can be as large as the injury variation is wide.

Foot & Ankle MRI Anatomy & Diagnoses Covered in this Course

  • Achilles tendon injury
  • Ancillary stabilizers
  • Anterior tarsal tunnel space
  • Anterior tarsal tunnel syndrome
  • Charcot foot vs reactive arthritis
  • Coalition
  • Collateral ligaments
  • Deep peroneal nerve
  • Deltoid ligament
  • Extensor digitorum longus
  • Extensor hallucis longus
  • Fibromatosis
  • Hemangioma
  • Instability
  • Inversion injury
  • Lisfranc injury, Lisfranc joint
  • Lymphangioma
  • Masses
  • Medial plantar nerve
  • Morton’s Neuroma
  • Nerve Tumor
  • Osteoarthritis
  • Osteochondral defect of talar dome
  • Osteomyelitis
  • Peroneus brevis, Peroneus longus
  • Plantar fasciitis
  • Posterior tibial tendon
  • PVNS
  • Saphenous nerve
  • Sensory nerve supply
  • Sinus Tarsi Syndrome
  • Sprains
  • Superficial peroneal nerve
  • Sural nerve
  • Syndesmosis widening
  • Synovial Sarcoma
  • Tibial nerve
  • Tibialis anterior tendon
  • And much more…

People take their ankles for granted, and it shows in the frequency and mechanism of injuries to this joint. Whether it’s a game-time injury featuring an athlete or a grocery store parking lot accident involving your elderly neighbor, reading an ankle MRI entails participation in decisions about a patient’s mobility and therefore their quality of life.

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Watch this case review for free!

5 m

Why MRI in Ankle?

3 m

Foot and Ankle Coils

4 m

Sagittal Ankle View

5 m

Sagittal Plane: Field of View

4 m

Ankle Short Axis Projection

8 m

Special Sequences and Pitfalls: Coronal and Paracoronal Plane

6 m

Ankle MRI: Additive Gradient Echo Sequence

5 m

Ankle Neutral Positioned Scans: Dorsiflexed Ankle

7 m

Different Sequences in Low Field Ankle Imaging

6 m

Ankle MRI: Expanded Field of View on 1.5 Tesla

6 m

Ligamentous Anatomy on Neutral Position

3 m

Ankle MRI: Posterior Ligaments in Coronal Plane

3 m

Ankle MRI: Anterior Ligaments in Coronal Plane

2 m

Ankle MRI: Anterior Ligaments in Sagittal Plane

2 m

Ankle MRI: Posterior Ligaments in Sagittal Plane

3 m

Ankle Ligaments in Axial Plane

6 m

Lateral Collateral Ligamentous Anatomy: Coronal Projection

2 m

Deltoid Ligament Anatomy

4 m

Deltoid Ligament: Axial Plane

2 m

Deltoid Ligament: Sagittal Plane

2 m

Deltoid Ligament: Coronal Plane

3 m

Deltoid Ligament: Origins and Insertions

3 m

Deltoid Ligament: Superficial Layer Lateral view

1 m

Tendinous Anatomy

3 m

Achilles Tendon

5 m

Posterior Tibial Tendon

4 m

Peroneus Brevis: Axial and Sagittal View

4 m

Peroneus Brevis: Sagittal and Coronal view

3 m

Peroneus Longus

6 m

Tibialis Anterior Tendon

4 m

Extensor Hallucis Longus

3 m

Extensor Digitorum Longus

4 m

Extensor Digitorum Longus Pitfalls and Extensor Retinacula

5 m

Anterior Tarsal Tunnel Space

2 m

Anterior Tarsal Tunnel Syndrome

4 m

Deep Peroneal Nerve

2 m

Superficial Peroneal Nerve

2 m

Sural Nerve

2 m

Saphenous Nerve

2 m

Tibial Nerve

2 m

Sensory Nerve Supply

3 m

Medial Plantar Nerve

5 m

Lateral & Medial Plantar Nerves

5 m

The Lisfranc Joint

6 m

Columnar Mid-foot Anatomy

1 m

Ancillary Stabilizers in the Mid-Foot

4 m

Lisfranc Injury Classifications

2 m

Classifying Lisfranc Injury on MRI (10-year-old female)

5 m

Midfoot Subluxation: Lisfranc Ligament Injury

7 m

Lisfranc Ligament Injury

6 m

Lisfranc Injury: Nunley-Vertullo Classification

10 m

High Ankle Injury

12 m

Coronal Projection in Inversion Injury: Low Ankle Injury

8 m

Axial Projection in Inversion Injury: Low Ankle injury

7 m

Posterior Ankle Ligaments Anatomy

1 m

Ankle Impingement Syndromes: Posterolateral Impingement Syndrome

10 m

Anterolateral Impingement Syndrome

5 m

Sinus Tarsi Syndrome

9 m

Microtrabecular Stress Injury and Osteochondral Defect

9 m

Osteochondral Defect

11 m

Complex Regional Pain Syndrome (CRPS) Type 1: Reflex Sympathetic Dystrophy

9 m

Complex Regional Pain Syndrome (CRPS) Type 2

4 m

Talocalcaneal Coalition

6 m

Achilles Tendon Tear

14 m

Medial Ankle Pain: R/O Psterior Tibial Tendon Tear

10 m

Peroneus Longus and Brevis Tendons Tear

4 m

Multiple Tendon Tears

11 m

Posterior Tibial Tendon Injury

6 m

Posterior Tibial Tendon Injury

4 m

Plantar Fibromatosis

6 m

Turf Toe

7 m

Introduction to Foot & Ankle Masses

1 m

Ganglion Cyst

6 m

Lymphangioma

4 m

Hemangioma

5 m

Granuloma Annulare

4 m

Nerve Tumor

5 m

Plantar Fibromatosis

5 m

Charcot Foot

4 m

Brody's Abscess

8 m

Osteomyelitis and Fracture in the Big Toe

3 m

Osteomyelitis from Ingrown Toenail

3 m

Osteomyelitis with Multiple Tracts Infected

4 m

Septic Joint

6 m

Foreign Body- Splinter

4 m

Necrotizing Fasciitis

7 m

Infected Re-Rupture

2 m

Morton's Neuroma

6 m

Intermetatarsal Bursal Cyst

6 m

Stem Ligament Bursal Cyst

6 m

Dermato Fibroma Protuberans

4 m

Schwannoma

6 m

Synovial Sarcoma

6 m

Lipomatous Skin Tag

3 m

Calcaneal Lipoma with Infarction

4 m

unicameral bone cyst

3 m

PVNS

5 m

Giant tophus

5 m

Tenosynovial Cyst

2 m

GCT- Secondary ABC

6 m

Osteoid Osteoma- Focal

5 m

Os Naviculare Syndrome Type 2

4 m

ONS TYPE 3

4 m

Cystic Degeneration Rare Cyst of PB

3 m

Summary of Foot & Ankle Masses

1 m

Course Evaluation

Suggested Reading

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