MR Imaging of the Ankle and Hindfoot

Jenny Bencardino1, Zehava S. Rosenberg1

1 Hospital for Joint Diseases, NYU Medical Center, New York, New York
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A25.1
DOI:  10.1002/0471142719.mia2501s015
Online Posting Date:  June, 2008
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Abstract

Magnetic Resonance Imaging (MRI) is the diagnostic modality of choice for evaluation of traumatic ligamentous and tendinous injuries of the ankle and hindfoot. MRI is also valuable in the detection of occult bony trauma, osteochondral injuries, avascular necrosis, osteomyelitis, and a variety of other osseous conditions. This unit presents basic protocols for T1‐ and T2‐weighted sequences and short tau inversion recovery (STIR) imaging. Additional imaging following intravenous gadolinium is indicated in selected cases.

     
 
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Table of Contents

  • Basic Protocol 1: MR Examination of the Ankle and Hindfoot
  • Commentary
  • Literature Cited
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: MR Examination of the Ankle and Hindfoot

  Materials
  • Extravascular contrast agent (e.g., Omniscan, Magnevist, Prohance)
  • Normal saline (0.9% NaCl), sterile
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Figures

Videos

Literature Cited

Literature Cited
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   Chandnani, V.P., Harper, M.T., Ficke, J.R., Gagliardi, J.A., Rolling, L., Christensen, K.P., and Hansen, M.F. 1994. Chronic ankle instability: Evaluation with MR arthrography, MR imaging and stress radiography. Radiology 192:189‐194.
   Erickson, S.J. and Johnson, J.E. 1997. MR imaging of the ankle and foot. Radiol. Clin. N. Am. 35:163‐192.
   Kneeland, J.B. 1994. Technical considerations for magnetic resonance imaging of the ankle and foot. Magn. Reson. Imaging Clin. N. Am. 2:23‐28.
   Mesgarzadeh, M., Sapega, A.A., Bonakdarpour, A., Revesz, G., Moyer, R.A., Maurer, A.H., and Alburger, P.D. 1987. Osteochondritis dissecans: Analysis of mechanical stability with radiography, scintigraphy, and MR imaging. Radiology 165:775‐780.
   Morrison, W.B., Schweitzer, M.E., Batte, W.G., Radack, D.P., and Russel, K.M. 1998. Osteomyelitis of the foot: Relative importance of primary and secondary MR imaging signs. Radiology 201:625‐632.
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   Vahlensieck, M., Peterfy, C.G., Wischer, T., Sommer, T., Lang, P., Schlippert, U., Genant, H.K., and Schild, H.H. 1996. Indirect MR arthrography: Optimization and clinical applications. Radiology 200:249‐254.
   Verhaven, E.F., Shahabpour, M., Handelberg, F.W.J., Vaes, P.H., and Opdecam, P.J. 1991. The accuracy of three‐dimensional magnetic resonance imaging in the diagnosis of ruptures of the lateral ligaments of the ankle. Am. J. Sports Med. 19:583‐587.
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