Learning objectives
The goals of this educational exhibit include discussing a reliable approach to the recognition,
evaluation,
and reporting of subtle traumatic injuries of the foot and ankle including any associated sequelae.
Background
Traumatic injuries to the foot and ankle are a common presentation of acute trauma across emergency departments in the United States and Canada.
Such traumatic injuries can be easily missed by the radiologist at first glance,
especially when appearing in a slew of similar appearing studies.
Proper survey,
evaluation,
and reporting of these subtle traumatic injuries are of paramount importance to clinical management and the prevention of long-term complications.
Findings and procedure details
Lisfranc Fractures:are the most common type of foot and ankle injuries,
and among the easiest missed given its presentation.
This injury invovles the first three tarso-metatarsal joints (where the first three metatarsals articulate with the three cunieforms).
This injury pattern is well-demonstrated on a plain film of the foot,
which shows subtle widening of this joint.
In a foot with multiple different injury patterns,
it is essential to look carefully at the lisfranc joint to determine its involvement.
The Fifth Metatarsal:is a site that is...
Conclusion
Imaging plays a key role in identifying subtle sequelae of traumatic injuries to the foot and ankle.
Knowledge of the many different sequelae of such injuries is essential in guiding appropriate management and prevention of morbidity.
Personal information
Dr.
Perry Gerard,
MD,
MBA,
FACR
New York Medical College
Westchester Medical Center
Valhalla,
NY 10595
+1-914-493-8267
[email protected]
References
1.
Okanobo H,
Khurana B,
Sheehan S,
Duran-Mendicuti A,
Arianjam A,
and Ledbetter S.
Simplified Diagnostic Algorithm for Lauge-Hansen Classification of Ankle Injuries.RadioGraphics 2012; 32:E71–E84.
2.
Topliss CJ,
Jackson M,
Atkins R.
Anatomy of pilon fractures of the distal tibia.
J Bone Joint Surg Br.
2005;87(5):692-7.
3.
Kleweno C,
Rodriguez EK.
Trimalleolar Ankle Fracture.
Orthopedic Traumatology.
2018.
4.
Tosun B,
Selek O,
Gok U,
and Ceylan H.
Posterior Malleolus Fractures in Trimalleolar Fractures: Malleolus vs Transyndesmal Fixation.
Indian J Orthop.
2018 May-Jun; 52(3): 309-14.
5....
