How to Report: Ankle MRI

Abstract

Reporting ankle magnetic resonance imaging involves the assessment of multiple joints, tendons, and ligaments in several planes and numerous sequences. This article describes an approach using four anatomical categories (subcutaneous fat, bones and joints, tendons, and ligaments) to simplify and improve reporting efficiency. The main pathologies are covered, emphasizing the specific features to comment on, as well as suggesting terminology and phrases to use when reporting.

Keywords

magnetic resonance imaging - ankle - joint - tendon - ligament

Publication History

Article published online:
03 December 2021

• References

• 1 Schmid MR, Pfirrmann CW, Hodler J, Vienne P, Zanetti M. Cartilage lesions in the ankle joint: comparison of MR arthrography and CT arthrography. Skeletal Radiol 2003; 32 (05) 259-265
• 2 Forney M, Subhas N, Donley B, Winalski CS. MR imaging of the articular cartilage of the knee and ankle. Magn Reson Imaging Clin N Am 2011; 19 (02) 379-405
• 3 Barr C, Bauer JS, Malfair D. et al. MR imaging of the ankle at 3 Tesla and 1.5 Tesla: protocol optimization and application to cartilage, ligament and tendon pathology in cadaver specimens. Eur Radiol 2007; 17 (06) 1518-1528
• 4 Griffith JF, Lau DT, Yeung DK, Wong MW. High-resolution MR imaging of talar osteochondral lesions with new classification. Skeletal Radiol 2012; 41 (04) 387-399
• 5 Sanghvi D. MRI of lateral hindfoot impingement. Diagn Interv Radiol 2021; 27 (03) 432-439
• 6 Palmer W, Bancroft L, Bonar F. et al. Glossary of terms for musculoskeletal radiology. Skeletal Radiol 2020; 49 (Suppl. 01) 1-33
• 7 Haims AH, Schweitzer ME, Patel RS, Hecht P, Wapner KL. MR imaging of the Achilles tendon: overlap of findings in symptomatic and asymptomatic individuals. Skeletal Radiol 2000; 29 (11) 640-645
• 8 Schweitzer ME, Karasick D. MR imaging of disorders of the Achilles tendon. AJR Am J Roentgenol 2000; 175 (03) 613-625
• 9 Khoury NJ, el-Khoury GY, Saltzman CL, Brandser EA. MR imaging of posterior tibial tendon dysfunction. AJR Am J Roentgenol 1996; 167 (03) 675-682
• 10 Schweitzer ME, Karasick D. MR imaging of disorders of the posterior tibialis tendon. AJR Am J Roentgenol 2000; 175 (03) 627-635
• 11 Kamel SI, Belair JA, Hegazi TM. et al. Painful type II os naviculare: introduction of a standardized, reproducible classification system. Skeletal Radiol 2020; 49 (12) 1977-1985
• 12 Wang XT, Rosenberg ZS, Mechlin MB, Schweitzer ME. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. Radiographics 2005; 25 (03) 587-602
• 13 Lee SJ, Jacobson JA, Kim SM. et al. Ultrasound and MRI of the peroneal tendons and associated pathology. Skeletal Radiol 2013; 42 (09) 1191-1200
• 14 Schubert R. MRI of peroneal tendinopathies resulting from trauma or overuse. Br J Radiol 2013; 86 (1021): 20110750
• 15 Kijowski R, De Smet A, Mukharjee R. Magnetic resonance imaging findings in patients with peroneal tendinopathy and peroneal tenosynovitis. Skeletal Radiol 2007; 36 (02) 105-114
• 16 Saupe N, Mengiardi B, Pfirrmann CW, Vienne P, Seifert B, Zanetti M. Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology 2007; 242 (02) 509-517
• 17 Cheung YY, Rosenberg ZS, Ramsinghani R, Beltran J, Jahss MH. Peroneus quartus muscle: MR imaging features. Radiology 1997; 202 (03) 745-750
• 18 Cheung Y, Rosenberg ZS. MR imaging of the accessory muscles around the ankle. Magn Reson Imaging Clin N Am 2001; 9 (03) 465-473 , x
• 19 Lee SH, Jacobson J, Trudell D, Resnick D. Ligaments of the ankle: normal anatomy with MR arthrography. J Comput Assist Tomogr 1998; 22 (05) 807-813
• 20 Erickson SJ, Smith JW, Ruiz ME. et al. MR imaging of the lateral collateral ligament of the ankle. AJR Am J Roentgenol 1991; 156 (01) 131-136
• 21 Kreitner KF, Ferber A, Grebe P, Runkel M, Berger S, Thelen M. Injuries of the lateral collateral ligaments of the ankle: assessment with MR imaging. Eur Radiol 1999; 9 (03) 519-524
• 22 Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel H. MRI findings associated with distal tibiofibular syndesmosis injury. AJR Am J Roentgenol 2004; 182 (01) 131-136
• 23 Mengiardi B, Pfirrmann CWA, Vienne P, Hodler J, Zanetti M. Medial collateral ligament complex of the ankle: MR appearance in asymptomatic subjects. Radiology 2007; 242 (03) 817-824