Have you seen my recent post Anterior Talo-Fibular Ligament (ATFL) Injury? In this new post you can see the changes of Mri and Ultrasound imaging after one month; it’s very important the monitoring with both modalities but…. don’t forget to consider also the evolution of clinical presentation and if possible, go on the playing field to directly see the real situation.
Axial T2 weighted an Fast Stir Mri scans (0.3 Tesla) 1 month after a complete rupture of the ATFL
Remember not to misdiagnose the normal irregular ossification of the femoral condyles as stage I osteochondral defect, especially when using ultrasound; MR imaging is helpful in distinguishing this normal variant.
Dynamic ultrasound scan of the anterior aspect of the lateral femoral condyle of a young football player.
Sagittal Ge-Stir and T1 weighted Mri of the same patient (0.3 Tesla). The overlying articular cartilage is intact.
Many causes can determinate a posterior ankle impingement and its diagnosis may be often difficult.
Sagittal T1 weighted (left) and Axial T2 weighted Mri scans (0,3 Tesla) of a professional football player with posterior ankle pain.
The MR imaging shows a clear picture of synovial reaction between the bone and soft-tissue structures of the posterior ankle; a small os trigonum is noted, with a tenosynovitis of the flexor allucis longus tendon. The dynamic ultrasound exam allows to better discriminate the posterior impingement.