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.
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.
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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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.
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.
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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Practice Cases
Worklist 1
13 topics, 1 hr. 7 min.
Wk 1, Case 1, Knee MR - Practice
Wk 1, Case 1, Knee MR - Review pt 1
6 m.Wk 1, Case 1, Knee MR - Review pt 2
3 m.Wk 1, Case 1, Knee MR - Review pt 3
10 m.Wk 1, Case 1, Knee MR - Review pt 4
10 m.Wk 1, Case 2, Knee MR - Practice
Wk 1, Case 2, Knee MR - Review
13 m.Wk 1, Case 3, Knee MR - Practice
Wk 1, Case 3, Knee MR - Review
9 m.Wk 1, Case 4, Knee MR - Practice
Wk 1, Case 4, Knee MR - Review
11 m.Wk 1, Case 5, Knee MR - Practice
Wk 1, Case 5, Knee MR - Review
10 m.Practice Cases
Worklist 2
10 topics, 40 min.
Wk 2, Case 1, Knee MR - Practice
Wk 2, Case 1, Knee MR - Review
18 m.Wk 2, Case 2, Knee MR - Practice
Wk 2, Case 2, Knee MR - Review
6 m.Wk 2, Case 3, Knee MR - Practice
Wk 2, Case 3, Knee MR - Review
3 m.Wk 2, Case 4, Knee MR - Practice
Wk 2, Case 4, Knee MR - Review
9 m.Wk 2, Case 5, Knee MR - Practice
Wk 2, Case 5, Knee MR - Review
6 m.Practice Cases
Worklist 3
10 topics, 53 min.
Wk 3, Case 1, Knee MR - Practice
Wk 3, Case 1, Knee MR - Review
16 m.Wk 3, Case 2, Knee MR - Practice
Wk 3, Case 2, Knee MR - Review
16 m.Wk 3, Case 3, Knee MR - Practice
Wk 3, Case 3, Knee MR - Review
9 m.Wk 3, Case 4, Knee MR - Practice
Wk 3, Case 4, Knee MR - Review
11 m.Wk 3, Case 5, Shoulder MR - Practice
Wk 3, Case 5, Shoulder MR - Review
4 m.Practice Cases
Worklist 4
10 topics, 1 hr. 6 min.
Wk 4, Case 1, Shoulder MR - Practice
Wk 4, Case 1, Shoulder MR - Review
27 m.Wk 4, Case 2, Shoulder MR - Practice
Wk 4, Case 2, Shoulder MR - Review
8 m.Wk 4, Case 3, Shoulder MR - Practice
Wk 4, Case 3, Shoulder MR - Review
17 m.Wk 4, Case 4, Shoulder MR - Practice
Wk 4, Case 4, Shoulder MR - Review
5 m.Wk 4, Case 5, Shoulder MR - Practice
Wk 4, Case 5, Shoulder MR - Review
12 m.Practice Cases
Worklist 5
10 topics, 46 min.
Wk 5, Case 1, Shoulder MR - Practice
Wk 5, Case 1, Shoulder MR - Review
8 m.Wk 5, Case 2, Shoulder MR - Practice
Wk 5, Case 2, Shoulder MR - Review
4 m.Wk 5, Case 3, Shoulder MR - Practice
Wk 5, Case 3, Shoulder MR - Review
19 m.Wk 5, Case 4, Shoulder MR - Practice
Wk 5, Case 4, Shoulder MR - Review
3 m.Wk 5, Case 5, Shoulder MR - Practice
Wk 5, Case 5, Shoulder MR - Review
15 m.Practice Cases
Worklist 6
10 topics, 54 min.
Wk 6, Case 1, Shoulder MR - Practice
Wk 6, Case 1, Shoulder MR - Review
17 m.Wk 6, Case 2, Hip MR - Practice
Wk 6, Case 2, Hip MR - Review
15 m.Wk 6, Case 3, Hip MR - Practice
Wk 6, Case 3, Hip MR - Review
10 m.Wk 6, Case 4, Hip MR - Practice
Wk 6, Case 4, Hip MR - Review
7 m.Wk 6, Case 5, Hip MR - Practice
Wk 6, Case 5, Hip MR - Review
7 m.Practice Cases
Worklist 7
10 topics, 18 min.
Wk 7, Case 1, Hip MR - Practice
Wk 7, Case 1, Hip MR - Review
4 m.Wk 7, Case 2, Hip MR - Practice
Wk 7, Case 2, Hip MR - Review
4 m.Wk 7, Case 3, Hip MR - Practice
Wk 7, Case 3, Hip MR - Review
4 m.Wk 7, Case 4, Hip MR - Practice
Wk 7, Case 4, Hip MR - Review
5 m.Wk 7, Case 5, Hip MR - Practice
Wk 7, Case 5, Hip MR - Review
4 m.Practice Cases
Worklist 8
10 topics, 25 min.
Wk 8, Case 1, Foot/Ankle MR - Practice
Wk 8, Case 1, Foot/Ankle MR - Review
8 m.Wk 8, Case 2, Foot/Ankle MR - Practice
Wk 8, Case 2, Foot/Ankle MR - Review
3 m.Wk 8, Case 3, Foot/Ankle MR - Practice
Wk 8, Case 3, Foot/Ankle MR - Review
4 m.Wk 8, Case 4, Foot/Ankle MR - Practice
Wk 8, Case 4, Foot/Ankle MR - Review
7 m.Wk 8, Case 5, Foot/Ankle MR - Practice
Wk 8, Case 5, Foot/Ankle MR - Review
7 m.Practice Cases
Worklist 9
10 topics, 49 min.
Wk 9, Case 1, Foot/Ankle MR - Practice
Wk 9, Case 1, Foot/Ankle MR - Review
13 m.Wk 9, Case 2, Foot/Ankle MR - Practice
Wk 9, Case 2, Foot/Ankle MR - Review
10 m.Wk 9, Case 3, Foot/Ankle MR - Practice
Wk 9, Case 3, Foot/Ankle MR - Review
8 m.Wk 9, Case 4, Foot/Ankle MR - Practice
Wk 9, Case 4, Foot/Ankle MR - Review
10 m.Wk 9, Case 5, Foot/Ankle MR - Practice
Wk 9, Case 5, Foot/Ankle MR - Review
12 m.Practice Cases
Worklist 10
10 topics, 1 hr. 11 min.
Wk 10, Case 1, Hand/Wrist MR - Practice
Wk 10, Case 1, Hand/Wrist MR - Review
11 m.Wk 10, Case 2, Hand/Wrist MR - Practice
Wk 10, Case 2, Hand/Wrist MR - Review
33 m.Wk 10, Case 3, Hand/Wrist MR - Practice
Wk 10, Case 3, Hand/Wrist MR - Review
7 m.Wk 10, Case 4, Hand/Wrist MR - Practice
Wk 10, Case 4, Hand/Wrist MR - Review
5 m.Wk 10, Case 5, Hand/Wrist MR - Practice
Wk 10, Case 5, Hand/Wrist MR - Review
18 m.Wk 8, Case 3, Foot/Ankle MR - Review
HIDEInteractive Transcript
Report
Patient History
69 F with foot pain and medial ankle swelling
Findings
ARTICULATIONS:
Bone: Patchy heterogeneous, feathery osteoedema scattered throughout the midfoot mainly involving the talar head and neck, the navicular, cuneiform and lateral cuboid extending to the middle subtalar, talonavicular, calcaneocuboid, naviculocuneiform and the entire tarsometatarsal joints. Pes planus.
No displaced fractures, cortical breakthrough or periosteal reactions.
Tibiotalar Joint: No osteochondral defect. No arthropathy.
Hindfoot: No arthropathy.
Midfoot: No arthropathy.
Forefoot: No arthropathy. No evidence of hallux valgus deformity.
Lisfranc Joint: The Lisfranc joint is intact, without fracture or joint space widening.
LIGAMENTS:
Anteroinferior Tibiofibular Ligament: Intact.
Posteroinferior Tibiofibular Ligament: Intact.
Interosseous Membrane and Ligament: Intact.
Anterior Talofibular Ligament: Intact.
Posterior Talofibular Ligament: Intact.
Calcaneofibular Ligament: Intact.
Deltoid Ligament Complex: Intact.
TENDONS:
Peroneus Longus/Brevis: Intact.
Posterior Tibialis: Complete rupture at the level of the medial malleolus with fluid-distended tendon sheath.
Flexor Compartment: Intact.
Extensor Compartment: Intact.
Plantar Plates: Intact.
GENERAL:
Muscles: No traumatic muscle injury. No volumetric muscle atrophy.
Soft Tissue: Diffuse reactive periarticular soft tissue swelling throughout the distal lower leg, ankle, hind and midfoot. Soft tissue edema within the Kager's fat pad.
Plantar Fascia: Intact.
Joint Effusion: Small tibiotalar and posterior subtalar joint effusions.
Intra-Articular/Loose Bodies: None.
Impressions
1. Patchy heterogeneous, feathery osteoedema scattered throughout the midfoot mainly involving the talar head and neck, navicular, cuneiform and lateral cuboid extending to the middle subtalar, talonavicular, calcaneocuboid, naviculocuneiform and entire tarsometatarsal joints. Findings in keeping with complex regional pain syndrome/Sudeck's atrophy/reflex sympathetic dystrophy. No underlying nerve lesion noted.
2. Complete rupture of the posterior tibial tendon.
3. No displaced fractures, cortical breakthrough or periosteal reactions.
4. Diffuse reactive periarticular soft tissue swelling throughout the distal lower leg, ankle, hind and midfoot.
5. Small tibiotalar and posterior subtalar joint effusions.
6. Os Trigonum
7. Pes planus
Case Discussion
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Gitanjali Bajaj, MD
Assistant Professor
University of Arkansas for Medical Sciences
Edward Smitaman, MD
Clinical Associate Professor
University of California San Diego
Brian Y. Chan, MD
Assistant Professor of Musculoskeletal Radiology
University of Utah
Tags
Musculoskeletal (MSK)
MRI
Foot & Ankle
© 2024 Medality. All Rights Reserved.