ESSR Planning images for Ankle/Foot MRI

ESSR Suggested Sequences

Use of Each Imaging Plane

Sagittal:

  • Ankle Joint
  • Subtalar Joint
  • Sinus Tari
  • Intertarsal joints
  • Achilles Tendon
  • Plantar fascia
  • Ankle tendons
  • Kager’s Fat pad
  • Spurs
  • Joint fluid
  • Bone Marrow
  • Articular cartilage

 

 

130

(Courtesy:www.freitasrad.net)

 

 

 

 

 

 

 

Axial:

  • Ankle ligaments
  • Extensor tendons
  • Peroneal tendons
  • Posteromedial tendons
  • NV bundles
  • Achilles tendon
  • Distal tibio-fibualar joint

 

 

132

 

Coronal:

  • Articular cartilage
  • Fractures
  • Coalition
  • Alignment
  • Tendons
  • Intersections of tendons
  • Plantar fascia
  • Ligaments

131

(Courtesy: Galaxy MRI diagnostic centre.)

Checklist

ANKLE JOINT

INTERTARSAL JOINTS
  • Osteochondral defect
  • Osteoarthritis(OA)
  • Effusion
  • Fractures
  • Anterior impingement (tibial and talar beak)
  • Posterior impingement (Os trigonum)?
  • Coalition?
  • Impingement
  • OA
  • Sinus Tarsi

 

TENDONS

LIGAMENTS
  • Anterior compartment
  • Posteromedial compartment
  • Peroneal compartment
  • Lateral
  • Medial/Deltoid
  • Syndesmotic ligaments (Anterior and Posterior Inferior Tibiofibular ligaments)

ACHILLES TENDON

OTHERS
  • Achilles tendon
  • Insertional
  • Non-insertional
  • Haglund’s deformity
  • Plantar fascia (central band)
  • Muscles of sole of foot

 
  • Charcot’s
  • Osteomyelitis/ Abscess or collection
  • Os naviculare
  • Hindfoot valgus or varus
  • First MTP joint/ Hallux valgus/ sesamoids

 

Standard Reports

 

D. STANDARD REPORTS

 

 

MRI OF THE FOOT

 

FINDINGS:

Intact ankle mortise.

Unremarkable subtalar and intertarsal joints.

Unremarkable tarsometatarsal and metatarsophalangeal as well as interphalangeal joints. No osteoarthritis.   Intact plantar plates.

No fracture or dislocation.

No intermetatarsal bursitis or definite Morton’s neuroma.

Unremarkable periarticular muscles, ligaments and tendons.

No collection.

There is no focal bony lesion.

IMPRESSION:

Unremarkable MRI of the foot.

 

MRI OF THE ANKLE

 

FINDINGS:

Intact ankle mortise.

There is no fracture or dislocation.

Unremarkable periarticular muscles, ligaments and tendons.

Intact tarsal tunnel structures.

There is no focal bony lesion.

There is no osteoarthritis.

IMPRESSION:

Unremarkable MRI of the ankle.

 

 

 

 

 

MRI OF THE TIBIA & FIBULA

 

FINDINGS:

Unremarkable subcutaneous and deep soft tissues.

There is no muscular tear or hematoma.

No bony lesion.

No fracture.

Red marrow reconversion seen in the upper tibia.

No osteomyelitis.

 

IMPRESSION:

Normal MRI of the right tibia & fibula.