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ANKLE SUBSCRIPTION POST 12: ACHILLES DISTAL INSERTION

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ACHILLES TENDON DISTAL INSERTION ACHILLES TENDON TERMINOLOGY There is variable terminology used often to mean the same thing: Insertional Tendonitis. Insertional Tendinopathy. Insertional Tendinosis. CAUSES There are two causes of Insertional Achilles abnormalities. Inflammatory arthropathy. Non Inflammatory (Overuse). EARLY CHANGES The earliest changes may just be some fluid in the Retro Calcaneal Bursa (Green arrow). […]

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ANKLE SUBSCRIPTION POST 11: ACHILLES TENDON MID PORTION THICKENING

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We looked at Achilles tendonosis in the Course and we expand on that today and tomorrow by looking at abnormalities that are localised to a particular part of the Achilles.   Today we look at marked enlargement of the Achilles in its mid portion. What does it look like and what does it mean? ACHILLES

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ANKLE SUBSCRIPTION POST 10: REVIEW INFERIOR TRANSVERSE LIGAMENT

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The inferior transverse ligament is part of the PiTFL but is a distinct structure which can be injured separately. INFERIOR TRANSVERSE LIGAMENT INFERIOR TRANSVERSE LIGAMENT WHAT IS IT The Inferior transverse ligament is the deep component of the PiTFL.   Whilst connected the rest of the PiTFL, it has a separate distinct appearance. WHERE TO

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ANKLE SUBSCRIPTION POST 09: SPRING LIGAMENT RECESS DON’T CONFUSE WITH A TEAR

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The plantar spring ligaments have a recess in between them which sometimes is confused for a tear. In this post we look at what it looks like. PLANTAR SPRING LIGAMENT RECESS SPRING LIGAMENT RECESS PLANTAR SPRING LIGAMENTS We discussed in the course the two plantar spring ligaments. Complicated name but we can refer to them

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ANKLE SUBSCRIPTION POST 08: PERIOSTEAL STRIPPING WHAT TO LOOK FOR

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Ligaments attach to periosteum and bone. Sometimes instead of rupturing, the ligaments can remain attached to the periosteum but strip it instead  off the underlying cortex. Here we look at what to look for. PERIOSTEAL STRIPPING PERIOSTEAL STRIPPING WHAT HAPPENS Ligaments attach to periosteum and bone. Sometimes instead of rupturing, the ligaments can remain attached

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KNEE SUBSCRIPTION POST 12: PROXIMAL TIBIO FIBULAR JOINT ANATOMY

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The proximal tibiofibular joint (PTFJ) is not commonly injured but is often overlooked when assessing a knee MRI. Here we look at the anatomy of the ligaments that my be injured at the PTFJ. PROXIMAL TIBIO FIBULAR JOINT PTFJ ANATOMY WHAT ARE THE NORMAL LIGAMENTS There are two ligaments that stabilise the proximal tibio-fibular joint

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KNEE SUBSCRIPTION POST 11: HEMI BUCKETHANDLE TEAR

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A variation on the buckethandle tear we saw in the courses is the hemi buckethandle tear. HEMI BUCKETHANDLE TEAR HEMI BUCKETHANDLE TEAR USUAL BUCKETHANDLE TEAR In the usual buckethandle tear, the tear involves both the superior and inferior margins of the meniscus and the entire superior and inferior portions of the meniscus are torn and

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KNEE SUBSCRIPTION POST 10: THREE LATERAL FRACTURES AND WHAT THEY INDICATE

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With lateral and postero lateral corner injuries there are 3 types of fractures that indicate specific injuries. THE THREE FRACTURES ANATOMY ANATOMY LATERAL TIBIAL PLATEAU (Blue arrow): Attachment site of the  anterior longitudinal ligament. TIP OF THE FIBULA STYLOID (Green arrow): Attachment site of the arcuate complex. LATERAL FIBULAR MARGIN: Attachment site of LCL and

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ANKLE SUBSCRIPTION POST 06: CAPSULITIS AND SYNVOVITIS WHAT TO LOOK FOR

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Capsulitis and synovitis are common to see in the ankle. In this post we look at what their appearance is. CAPSULITIS AND SYNOVITIS CAPSULITIS & SYNOVITIS ANATOMY The normal capsule is seen as a thin, well defined low signal structure on MRI. The synovium is adherent to the capsule and cant be separated from it

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ANKLE SUBSCRIPTION POST 05: INTERMALLEOLAR LIGAMENT

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The posterior intermalleolar ligament is a posterior ankle ligament. INTERMALLEOLAR LIGAMENT INTERMALLEOLAR LIGAMENT WHERE IS IT The posterior inter-malleolar ligament lies (Pink) between  the transverse ligament (Orange) and the PTFL (Yellow). It extends between the medial and lateral malleolus and runs obliquely. On dissection its present in most ankles but on MRI is variable as

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