SYMPTOMS:

A 50-year-old female patient experienced pain and swelling of the ankle as well as instability after twisting her ankle and falling. Her podiatrist referred her for 3Tesla (3T) MRI of her ankle. Extremely high resolution images were obtained using a dedicated 8-Channel “ski boot” coil. Multiple pathologies were quickly and easily identified. Sample images with pathology clearly labeled and annotated are presented for reference below.

 

Ankle001a
Ankle001b
Ankle001c
Ankle001d
SUMMARY OF FINDINGS:

1. Type II os navicularis with likely active os navicularis syndrome.

2. Mild tenosynovitis involving the posterior tibialis, flexor digitorum longus, and flexor hallucis longus tendons.

3. Dorsolateral talonavicular ganglion cyst.

4. Chronic rupture of the ATFL.