SYMPTOMS: The patient presented with right ankle pain and instability. After physical examination, plain x-rays were performed which provided no definite pathology. The patient was referred for a high resolution 3T MRI of the ankle at Siker Imaging. The study was performed with the aid of a specialty 8 channel foot and ankle “ski-boot” coil. Extremely high resolution images were obtained. Dr. Don Resnick of UCSD interpreted the study and was able to make a definitive diagnosis aiding in the subsequent treatment and recovery of the patient. Representative images with pathology clearly labeled and annotated are presented below.
SUMMARY OF FINDINGS:
1. Lateral talar dome osteochondral defect.
2. Peroneus brevis and peroneus longus tenosynovitis.
3. Osseous bodies within the ankle joint and sinus tarsi.