75-Dr Ahmed Esawy imaging oral board mri ankle &foot part II
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Transcript of 75-Dr Ahmed Esawy imaging oral board mri ankle &foot part II
ANKLE FOOT FRACTURE
ANKLE FRACTUREFracture of malleoli, distal tibia and fibula
TALUS FRACTURES
CALCANEAL FRACTURES
Anterior process fracture adjacent to calcaneocubiod jiont
Calcaneal stress fracture
Calcaneal body fracture and Anterior process fracture complicated by infarction
NAVlCULAR FRACTURES
METATARSAL FRACTURES
2nd MTB fracture
LISFRANC FRACTURE-DISLOCATIONDorsal dislocation as homolateral or divergent +associated fractures at
tarsometatarsal joints
MEDlAL TlBlAL STRESS SYNDROMELeg pain + discomfort secondary to repetitive overuse in running + hiking
TARSAL COALITIONOsseous, cartilaginous or fibrous union of two or more
bones involving hindfoot or midfoot
OS TRIGONUM SYNDROMEPain with disruption of cartilaginous synchondrosis
between os trigonum + lateral tubercle of posterior talar process
OS TRIGONUM (arrow)
OS TRIGONUM (arrow)
ACCESSORY NAVlCULARCongenital development of navicular tuberosity from
a secondary center of ossification with synchondrosis to the navicular body
SESAMOID DYSFUNCTlON
Osteochondritis of the sesamiod
COMPARTMENT SYNDROME, LOWER EXTREMITYCirculation + function of tissue within anatomically
confined spacelfibro-osseous compartment aredamaged by elevated pressure
GASTROCNEMIUS SOLEUS STRAIN
PLANTARIS RUPTUREMyotendinous junction rupture
Soft-Tissue Ganglion Cysts
PLANTAR FASCIITISInflammation of plantar aponeurosis
Plantar Fasciitis
PLANTAR FIBROMATOSISFibrous and collagenous nodular development in plantar aponeurosis
MORTON'S NEUROMAMetatarsalgia + localized enlargement of the
interdigitainerve between 3rd; 4th metatarsal heads
DIABETIC FOOT
CellulitisMR study performed to rule out metatarsal osteomyelitis in a 41-year-old woman
with an ulcer beneath first metatarsal head.
Tenosynovitis
Osteomyelitis and large open ulcer.
Bone marrow signal changes of early neuroarthropathy in a 29-year-old diabetic woman with peripheral neuropathy but no clinical evidence of infection.
Synovial Disorders
Anterolateral impingement
Flexor hallucis longus tendon pathology
Bone marrow oedema
Stress fracture
Osteochondral injury
Ligamentous injury
Plantar Fascial Lesions
Tendinous Lesions
Osseous Lesions
Heel Fat Pad Abnormalities
Features that help differentiate osteomyelitis from neuropathic osteoarthropathy
Bone marrow signal change
Distribution
Ulceration
Sinus tract formation
Cellulitis
Tenosynovitis
Abscess
Differentiating infected from non-infected neuropathic osteoarthropathy
Factors influencing decision to biopsy
Charcot Foot
Charcot Foot
Radiographic Staging (Eichenholtz, 1966)
Neuropathic Arthropathy
Classification Scheme
Classification Scheme
Ultrasonography
CT
MRI
Bone Scan
Radiology
Radiology