This 64-year-old female fell approximately three weeks ago, and presents with right ankle pain. Prior to this incident, this patient’s foot was assessed in 2015 and 2017. Images 1 and 2 are radiographs of the patient’s foot from 2015. Images 3 and 4 are radiographs of the patient’s foot from 2017. Images 5 and 6… Read more »
Posts Categorized: Foot
Accessory muscles in the medial ankle
Today, we are examining accessory muscles of the ankle. To start us off, have a look at images 1 through 5. The areas of focus have been highlighted with arrows. What extra structure do you see in the tarsal tunnel? As a review, the normal tarsal tunnel contains: Posterior tibial tendon (PT) (image 5, red… Read more »
His ankle went one way, and he went another
This 24-year-old male performance athlete presents with inversion injury. The following axial images are in plantar flexion, 30 degrees. Q1 – What is the pink arrow pointing to in images 2 and 3? Q2 – To what is the blue arrow pointing in images 1 through 3? Q3 – Given the findings highlighted with the… Read more »
At a glance, how would you assess this ankle?
This 43-year-old female presents with ankle pain and paresthesia. Using images 1 through 5, what is your diagnosis? When looking at image 6, note four tendons in the medial flexor compartment. This is known as “the sign of too many tendons”. The arrows in image 6 point to a complex longitudinal split tear of… Read more »
Think “pump bump” and you may come up with the correct answer in this adult male with heel pain
You are shown six images of a 58-year-old male athlete with persistent heel pain for two years. The case seems simple, but have a look at the images, and see how many conditions or abnormalities you can find. With arrows now highlighting the key areas (images 7 to 12), see if you can answer… Read more »
What rare anomaly can be seen in this 28-year-old’s foot? It’s often difficult to recognize something that’s not there!
This 28-year-old female presents with ankle and foot pain, with no recent injury and no history of surgery. Have a look at images 1 through 5, and see if you can come up with the rare diagnosis in this case. On the images provided, note apparent absence of the tarsal navicular bone, except for… Read more »
‘Twas the night before Christmas
This holiday season, I am grateful for the support you have given me. Sharing my love and passion for radiology with you every day is a great gift and has been the highlight of 2017. Thank you for reading every day. In return, my Christmas gift to you is a short case. Happy Holidays everyone!… Read more »
Why is this patient still in pain eight months after surgery?
This 48-year-old male is eight months post surgery for Achilles repair and still has constant pain. You are initially shown three sagittal images and one axial image of the Achilles and repair site without arrows. The first is a fat or T1-weighted (image 1); the second is fat-suppressed or T2-weighted (image 2); the third is… Read more »
There are three ligamentous structures. Are you up for the challenge?
A prior fracture of the anterior talar process is presented in this 19-year-old. This is an anatomic test that might stress even the most experienced. Your challenge is to name the three ligamentous structures, or three structures that are identified in blue, pink, and orange. The three structures combined represent the inferolateral retinaculum of… Read more »
What rare condition can be seen in this 29-year-old’s foot?
This 29-year-old male reports with left midfoot pain. CT performed for diagnosis demonstrates a rare condition. Q1 – Do you recognize the rare condition? Hint: Think about lighting a candle for the table before dinner. A1 – The diagnosis in this case is melorheostosis. Melorheostosis is a rare, sporadic osseous dysplasia and is characterized… Read more »