Clinical Edge

Imaging of Sports Injuries in the Foot & Ankle

When should you order imaging of the foot and ankle, and if you need to order imaging, what type of imaging should you order? When is XR the right choice, compared to US, CT and MR?

In this video presented by renowned Sydney radiologist, Dr James Linklater of Castlereagh Imaging, you will learn about the pros and cons of each of the imaging modalities - XR, US, MRI and CT. James will take you through a multitude of sports injuries in the foot and ankle, with examples of each each of these types of injuries and the associated imaging. You will learn differential diagnosis for musculoskeletal conditions that are common in your sporting patients, and how to identify each of these on imaging.

This video has been designed to be an easy future reference for you whenever you have a clinical question about a particular structure in the foot and ankle and the relevant imaging. Produced in short segments with a detailed timeline for each, you will easily be able to locate the particular section you are interested in. Would you like to refresh your memory on Talar dome fractures? Just head to the 6min 15sec mark of Video 2. How about ATFL rupture and the use of MR? That is 4mins and 5 seconds into Video 3.

So the next time you want to find a particular section of the videos, simply look it up in the Members Resources of your Clinical Edge members dashboard.

Covered in detail in this video series are:

  • Imaging modalities and acute ankle sprain

  • XR, US, MRI, CT

Ankle:

  • Acute Ankle Sprain and XR Indications

  • What to look for on ankle XR in the different views

  • Base of 5th MT #

  • Syndesmotic injury and Dx on XR

  • XR Oblique views and potential Deltoid ligament injuries

  • XR Lateral views

  • Differentiation between soft tissue swelling and joint effusion

  • Areas to check on XR to include/exclude fracture

  • Talar dome #

  • Post-lat aspect or lateral process of the Talus

  • ant process of calcaneus

Ankle ligaments:

  • When to order an MR following ankle sprain

  • Anatomy imaged in ankle MRI

  • Normal ligament on MRI and US

  • Ruptured ligament on MR

  • Ligament avulsion #

  • ATFL rupture on US

  • Partial ATFL tear on MR

  • Haematoma & ATFL Tear

  • Tearing of vein in antero-lateral gutter of ankle

  • Scar remodelling of ATFL over time

  • Calcaneo-Fibular ligament (CFL)

  • Medial rotation impaction deltoid injury

Talar dome and Syndesmosis:

  • Acute talar dome osteochondral injury

  • Antero lateral impingement and synovitis

  • Meniscoid lesion, bony spurs and loose bodies

  • Synovitis - antero lateral gutter

Ultrasound:

  • Synovitis and guided injection

  • Antero-lateral and Antero-medial bony impingement

  • Postero-medial bony and soft tissue impingement

  • Talar dome lesion on MRI

  • Talar dome osteochondral fragments

  • Post-op Fibrocartilage development

Syndesmosis injuries

  • Weber C #

  • Ankle sprains: fibular #

  • Maisonneuve Fx

  • AITFL injuries

  • Syndesmosis: Acute PITFL Tear

Midfoot:

  • Transverse Tarsal Joint Sprain

  • Lisfranc Ligament injuries

  • Fleck sign

Forefoot:

  • 1st MTPJ Anatomy: sesamoids

  • Turf Toe

  • MCL and MPP Tear

  • Subacute MCL Tear at Metatarsal Head Insertion

  • Proximal Avulsion Medial Plantar Plate

  • Distal Avulsion Lateral Plantar Plate

  • Morton Neuroma

  • 2nd MTP Joint Plantar Plate Degeneration, Tear, Synovitis and Instability

  • Plantar plate: Anatomy and injury

  • 2nd MTP Joint Instability: Pathology

  • 2nd MTP Jt LPP Degeneration & Tear

  • 2nd MTP Jt Capsulitis: US findings

  • Ganglion Compressing DPN

Posterior Ankle:

  • Posterior Impingement - bony and soft tissue

  • Myxoid PTFL and Ganglion

  • FHL Tenosynovitis

  • Achilles Tendon Pathology

  • Para-tenonitis & tendinopathy

  • Mucoid Tendinopathy

  • Insertional Tendinosis & Adventitial Bursitis

  • Haglund’s Syndrome

  • Retrocalcaneal Bursitis

  • Achilles rupture

 -Tib Post Tendinosis, Tenosynovitis and Partial Tear

  • Insertional Tibialis Anterior Tendinosis

Post-lat ankle

  • Peroneal tendons

  • Zones of Peroneal Tendon Injury

  • Peroneus Brevis Tendon Tears
Peroneal Tenosynovitis

  • Stenosing Peroneal Tenosynovitis
Peroneus Longus
Tendinitis

  • Peroneal Tendon Instability

  • Navicular Stress Fracture

  • Postero-lateral talar body stress fracture

  • Distal Calcaneal Stress Fracture

  • Subchondral Infraction Cuboid

  • Osteomyelitis

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Imaging of Sports Injuries in the Foot & Ankle Handout

Audio - Imaging of Sports Injuries in the Foot & Ankle

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