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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 5 min.
1 topic, 3 min.
9 topics, 50 min.
Foot and Ankle Coils
4 m.Sagittal Ankle View
5 m.Sagittal Plane: Field of View
5 m.Ankle Short Axis Projection
8 m.Special Sequences and Pitfalls: Coronal and Paracoronal Plane
6 m.Ankle MRI: Additive Gradient Echo Sequence
6 m.Ankle Neutral Positioned Scans: Dorsiflexed Ankle
7 m.Different Sequences in Low Field Ankle Imaging
7 m.Ankle MRI: Expanded Field of View on 1.5 Tesla
7 m.33 topics, 1 hr. 41 min.
Ligamentous Anatomy on Neutral Position
4 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
3 m.Ankle MRI: Posterior Ligaments in Sagittal Plane
3 m.Ankle Ligaments in Axial Plane
6 m.Lateral Collateral Ligamentous Anatomy: Coronal Projection
3 m.Deltoid Ligament Anatomy
5 m.Deltoid Ligament: Axial Plane
2 m.Deltoid Ligament: Sagittal Plane
2 m.Deltoid Ligament: Coronal Plane
4 m.Deltoid Ligament: Origins and Insertions
4 m.Deltoid Ligament: Superficial Layer Lateral view
2 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
5 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.5 topics, 17 min.
23 topics, 2 hr. 57 min.
Midfoot Subluxation: Lisfranc Ligament Injury
8 m.Lisfranc Ligament Injury
7 m.Lisfranc Injury: Nunley-Vertullo Classification
10 m.High Ankle Injury
13 m.Coronal Projection in Inversion Injury: Low Ankle Injury
8 m.Axial Projection in Inversion Injury: Low Ankle injury
8 m.Posterior Ankle Ligaments Anatomy
2 m.Ankle Impingement Syndromes: Posterolateral Impingement Syndrome
11 m.Anterolateral Impingement Syndrome
5 m.Sinus Tarsi Syndrome
10 m.Microtrabecular Stress Injury and Osteochondral Defect
9 m.Osteochondral Defect
11 m.Complex Regional Pain Syndrome (CRPS) Type 1: Reflex Sympathetic Dystrophy
10 m.Complex Regional Pain Syndrome (CRPS) Type 2
4 m.Talocalcaneal Coalition
7 m.Achilles Tendon Tear
14 m.Medial Ankle Pain: R/O Psterior Tibial Tendon Tear
11 m.Peroneus Longus and Brevis Tendons Tear
4 m.Multiple Tendon Tears
12 m.Posterior Tibial Tendon Injury
6 m.Posterior Tibial Tendon Injury
5 m.Plantar Fibromatosis
6 m.Turf Toe
8 m.34 topics, 2 hr. 28 min.
Introduction to Foot & Ankle Masses
1 m.Ganglion Cyst
6 m.Lymphangioma
4 m.Hemangioma
5 m.Granuloma Annulare
5 m.Nerve Tumor
6 m.Plantar Fibromatosis
5 m.Charcot Foot
5 m.Brody's Abscess
9 m.Osteomyelitis and Fracture in the Big Toe
4 m.Osteomyelitis from Ingrown Toenail
4 m.Osteomyelitis with Multiple Tracts Infected
4 m.Septic Joint
7 m.Foreign Body- Splinter
5 m.Necrotizing Fasciitis
7 m.Infected Re-Rupture
3 m.Morton's Neuroma
7 m.Intermetatarsal Bursal Cyst
7 m.Stem Ligament Bursal Cyst
6 m.Dermato Fibroma Protuberans
4 m.Schwannoma
6 m.Synovial Sarcoma
7 m.Lipomatous Skin Tag
3 m.Calcaneal Lipoma with Infarction
4 m.unicameral bone cyst
3 m.PVNS
6 m.Giant tophus
5 m.Tenosynovial Cyst
3 m.GCT- Secondary ABC
6 m.Osteoid Osteoma- Focal
5 m.Os Naviculare Syndrome Type 2
5 m.ONS TYPE 3
4 m.Cystic Degeneration Rare Cyst of PB
3 m.Summary of Foot & Ankle Masses
2 m.0:01
Let's go with the most favored nation status for the deltoid,
0:06
which is the foot in the neutral projection, coronal projection.
0:11
So this is T1 on the left, T2 on the right.
0:15
We're in the back, and we're gonna start to roll forward.
0:19
So as we roll forward, we see this ligament right here, which
0:24
is the tibiotalar ligament, which is in the back, also known as the
0:29
posterior tibiotalar ligament.
0:31
And these fibers are the deep posterior fibers of the deltoid.
0:37
Remember that the deltoid deep fibers are very simple.
0:40
There's posterior fibers, there's anterior fibers, and they course obliquely from
0:45
proximal, supra medial, to inferior, and more lateral onto the talus.
0:53
So not complex.
0:55
Also remember one other thing.
0:57
The deep fibers never tear without the superficial fibers tearing first.
1:03
So, we're in the back, tibiotalar fibers, which means as we move forward, we should
1:08
start to see more anterior fibers of the deep deltoid, but we should also run
1:13
smack dab into the next superficial group, and we do the tibio calcaneal ligament.
1:22
Oh, there it is.
1:23
She's a beauty.
1:25
But what's on top of it?
1:26
Another layer.
1:28
Well, that's not a ligament, even though it's called the Liciniate ligament.
1:33
It's the medial retinaculum, the superficial covering
1:37
of the tarsal tunnel space.
1:40
Let's keep going, shall we?
1:42
The next ligament that we should run into is the all important
1:46
superficial tibial spring ligament.
1:49
And here it comes, right there.
1:52
I'm going to draw on it on the next image, right now.
1:56
This is the tibial spring ligament.
1:58
It runs into the spring ligament.
2:00
Which helps supports the arch of the foot and the spring ligament
2:06
is gonna be coming at you.
2:08
So this is a bone to ligamentous attachment, A ligament to
2:14
ligamentous attachment.
2:15
One of the few you're gonna find in the body and of the superficial ligaments.
2:20
This one's the most important.
2:22
Let's keep going, shall we?
2:23
More of the tibio spring ligament.
2:26
There's the spring ligament.
2:28
There's the Tibio spring ligament.
2:30
Let's keep going.
2:31
Still more spring ligament.
2:34
Now it's a little hard to see the ligaments, they're a little wispy
2:36
looking, and just as we get to the tip of the navicular, very tough to
2:40
see, is the tibio navicular ligament, which is of lesser importance, the
2:45
most anterior of the superficial group.
2:49
So now let's work our way from front to back.
2:51
Tibio navicular, tibio navicular, tibio spring, and the spring ligament, tibio
3:00
calcaneal, and finally in the back.
3:03
Tibio Taylor.
3:05
And deep to these will be the posterior deep and the anterior deep.
3:11
It's actually easier than you thought.
Interactive Transcript
0:01
Let's go with the most favored nation status for the deltoid,
0:06
which is the foot in the neutral projection, coronal projection.
0:11
So this is T1 on the left, T2 on the right.
0:15
We're in the back, and we're gonna start to roll forward.
0:19
So as we roll forward, we see this ligament right here, which
0:24
is the tibiotalar ligament, which is in the back, also known as the
0:29
posterior tibiotalar ligament.
0:31
And these fibers are the deep posterior fibers of the deltoid.
0:37
Remember that the deltoid deep fibers are very simple.
0:40
There's posterior fibers, there's anterior fibers, and they course obliquely from
0:45
proximal, supra medial, to inferior, and more lateral onto the talus.
0:53
So not complex.
0:55
Also remember one other thing.
0:57
The deep fibers never tear without the superficial fibers tearing first.
1:03
So, we're in the back, tibiotalar fibers, which means as we move forward, we should
1:08
start to see more anterior fibers of the deep deltoid, but we should also run
1:13
smack dab into the next superficial group, and we do the tibio calcaneal ligament.
1:22
Oh, there it is.
1:23
She's a beauty.
1:25
But what's on top of it?
1:26
Another layer.
1:28
Well, that's not a ligament, even though it's called the Liciniate ligament.
1:33
It's the medial retinaculum, the superficial covering
1:37
of the tarsal tunnel space.
1:40
Let's keep going, shall we?
1:42
The next ligament that we should run into is the all important
1:46
superficial tibial spring ligament.
1:49
And here it comes, right there.
1:52
I'm going to draw on it on the next image, right now.
1:56
This is the tibial spring ligament.
1:58
It runs into the spring ligament.
2:00
Which helps supports the arch of the foot and the spring ligament
2:06
is gonna be coming at you.
2:08
So this is a bone to ligamentous attachment, A ligament to
2:14
ligamentous attachment.
2:15
One of the few you're gonna find in the body and of the superficial ligaments.
2:20
This one's the most important.
2:22
Let's keep going, shall we?
2:23
More of the tibio spring ligament.
2:26
There's the spring ligament.
2:28
There's the Tibio spring ligament.
2:30
Let's keep going.
2:31
Still more spring ligament.
2:34
Now it's a little hard to see the ligaments, they're a little wispy
2:36
looking, and just as we get to the tip of the navicular, very tough to
2:40
see, is the tibio navicular ligament, which is of lesser importance, the
2:45
most anterior of the superficial group.
2:49
So now let's work our way from front to back.
2:51
Tibio navicular, tibio navicular, tibio spring, and the spring ligament, tibio
3:00
calcaneal, and finally in the back.
3:03
Tibio Taylor.
3:05
And deep to these will be the posterior deep and the anterior deep.
3:11
It's actually easier than you thought.
Report
Description
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Musculoskeletal (MSK)
MSK
MRI
Foot & Ankle
Acquired/Developmental
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