Imaging Chapter 12: Foot and ankle

← Diagnostic Imaging class notes

FROM MY PT SCHOOL NOTES · DIAGNOSTIC IMAGING · UNIT 3 · CHAPTER 12

Foot and ankle

Review the relevant anatomy and imaging question before deciding what the finding may mean for rehabilitation.

Key imaging concepts

  • Different projections assess the malleoli, talar dome, mortise, midfoot and forefoot. Alignment of the mortise and tarsometatarsal joints may be key.
  • Distinguish sprain from potential fracture and be aware of common missed injuries such as navicular, talar or Lisfranc patterns.
  • Ottawa ankle/foot rules guide radiograph decisions only in appropriate acute trauma presentations and depend on reliable examination.

PT clinical connection

Concerning midfoot plantar bruising, disproportionate pain or inability to bear weight needs medical assessment even if the first X-ray is normal.

High-yield distinction

Mortise and midfoot: Check tibiotalar alignment and distal syndesmosis; clinical suspicion for Lisfranc injury warrants appropriate urgent assessment. AUTHENTIC CLINICAL IMAGE · Talar osteochondritis dissecans, 4 views (AP radiograph + CT). Mikael Häggström, CC0 1.0. Exact unmodified original embedded in lecture 1.pdf, p.18; SHA-1 matches Wikimedia Commons CC0 source. VERIFIED REAL-IMAGE REFERENCES (EMBEDDED FILE WITH SOURCE LINK) • Talus osteochondritis dissecans (X-ray and CT montage) · CC0 1.0 · EXACT file extracted from the class PDF, SHA1 7795739e5cf892db093851484c748b31141f5e78; EMBEDDED in chapter 12

Course source: 6 Foot & Ankle.pdf; 6 Cases For Foot & Ankle.pdf. These are educational notes, not image reading certification or a substitute for an official report. Imaging orders and interpretation rights vary with professional scope and state law; image examples must be clinically verified and properly licensed.

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