Ankle and Foot

Part of the Learning Imaging book series (LEARN)


A 63-year-old woman presented with a 3-month history of left ankle pain. She recalled a traumatic ankle sprain 6 months before. Plain-film radiographs and MRI were obtained.

The name “osteochondral lesion” mainly describes a posttraumatic lesion involving an area of hyaline cartilage at an articular surface and its underlying subchondral bone. This process can precipitate to loss of continuity at the talar articular surface, with decreased range of ankle motion and eventually osteoarthritis.


Ankle Sprain Plantar Fascia Plantar Fasciitis Osteochondral Lesion Talar Dome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading


  1. Diagnostic Imaging: Orthopaedics. Stoller DW, Tirman PFJ, Miriam A, Bredella M (2004). Elsevier, Philadelphia, PA. ISBN 0-7216-2920-2Google Scholar
  2. Imaging of the Musculoskeletal System. 2-volume set. Thomas Pope, MD, Hans Bloem, MD, Javier Beltran, MD, William Morrison, MD, David Wilson, MD (2008). Saunders, Elsevier, Philadelphia, Amsterdam. ISBN 978-1-4160-2963-2Google Scholar
  3. Problem Solving in Musculoskeletal Imaging. William BM, Timothy GS (2008). Mosby, Elsevier, London, Philadelphia, PA. ISBN 978-0-323-04034-1Google Scholar


  1. American College of Radiology
  2. RSNA Society
  3. Medical Imaging Search Engine
  4. International Foot and Ankle Biomechanics
  5. ARRS Society


  1. Anderson IF, Crichton KJ, Grattan-Smith T, Cooper RA, Brazier D. Osteochondral fractures of the dome of the talus. J Bone Joint Surg Am. 1989; 71(8):1143-1152PubMedGoogle Scholar
  2. Ashman CJ, Klecker RJ, Yu JS. Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics 2001; 21(6):1425-1440PubMedGoogle Scholar
  3. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am 1959; 41-A:988-1020 (no abstract available)PubMedGoogle Scholar
  4. Bowers CA, Mendicino RW, Catanzariti AR, Kernick ET. The flexor digitorum accessorius longus-a cadaveric study. J Foot Ankle Surg 2009; 48(2):111-115. Epub 2009 Jan 9CrossRefPubMedGoogle Scholar
  5. Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med 1991; 19(3):294-298CrossRefPubMedGoogle Scholar
  6. Campbell SE, Warner M. MR imaging of ankle inversion injuries. Magn Reson Imaging Clin N Am 2008; 16(1):1-18CrossRefPubMedGoogle Scholar
  7. Coughlin MJ. Common causes of pain in the forefoot in adults. J Bone Joint Surg Br 2000; 82(6):781-790CrossRefPubMedGoogle Scholar
  8. Dalinka MK, Alazraki NP, Daffner RH, DeSmet AA, El-Khoury GY, Kneeland JB, Manaster BJ, Morrison WB, Pavlov H, Rubin DA, Steinbach LS, Weissman BN, Haralson RH III. Expert Panel on Musculoskeletal Imaging. Suspected ankle fractures. [online publication]. Reston (VA): American College of Radiology (ACR); 2005; 4Google Scholar
  9. Daftary A, Haims AH, Baumgaertner MR. Fractures of the calcaneus: a review with emphasis on CT. Radiographics 2005; 25(5):1215-1226 (review)CrossRefPubMedGoogle Scholar
  10. Hartgerink P, Fessell DP, Jacobson JA, van Holsbeeck MT. Full- versus partial-thickness Achilles tendon tears: sonographic accuracy and characterization in 26 cases with surgical correlation. Radiology 2001; 220(2):406-412PubMedGoogle Scholar
  11. Hilary U. Foot and ankle imaging. Radiol Clin North Am 2008; 46(6):957-1130CrossRefGoogle Scholar
  12. Kane D, Greaney T, Shanahan M, Duffy G, Bresnihan B, Gibney R, FitzGerald O. The role of ultrasonography in the diagnosis and management of idiopathic plantar fasciitis. Rheumatology (Oxford) 2001; 40(9):1002-1008CrossRefGoogle Scholar
  13. 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; 9:519-524CrossRefPubMedGoogle Scholar
  14. Loredo R, Sanders TG. Imaging of osteochondral injuries. Clin Sports Med. 2001; 20(2):249-278 (review)CrossRefPubMedGoogle Scholar
  15. Masciocchi C, Catalucci A, Barile A. Ankle impingement syndromes. Eur J Radiol. 1998; 27(suppl 1):S70-S73CrossRefGoogle Scholar
  16. Morrison WB, Schweitzer ME, Wapner KL, Lackman RD. Plantar fibromatosis: a benign aggressive neoplasm with a characteristic appearance on MR images. Radiology 1994; 193(3): 841-845PubMedGoogle Scholar
  17. Nagaoka M, Matsuzaki H. Ultrasonography in tarsal tunnel syndrome. J Ultrasound Med 2005; 24(8):1035-1040PubMedGoogle Scholar
  18. Poirier JY, Garin E, Derrien C, Devillers A, Moisan A, Bourguet P, Maugendre D. Diagnosis of osteomyelitis in the diabetic foot with a 99mTc-HMPAO leucocyte scintigraphy combined with a 99mTc-MDP bone scintigraphy. Diabetes Metab 2002; 28(6 pt 1):485-490PubMedGoogle Scholar
  19. Quinn SF, Murray WT, Clark RA, Cochran CF. Achilles tendon: MR imaging at 1.5 T. Radiology 1987; 164(3):767-770PubMedGoogle Scholar
  20. Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ. Imaging of musculoskeletal fibromatosis. Radiographics 2001; 21(3):585-600 (review)PubMedGoogle Scholar
  21. Russell JM, Peterson JJ, Bancroft LW. MR imaging of the diabetic foot. Magn Reson Imaging Clin N Am 2008; 16(1):59-70, viCrossRefPubMedGoogle Scholar
  22. Sabir N, Demirlenk S, Yagci B, Karabulut N, Cubukcu S. Clinical utility of sonography in diagnosing plantar fasciitis. J Ultra­sound Med 2005; 24(8):1041-1048PubMedGoogle Scholar
  23. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res 1993; 290:87-95PubMedGoogle Scholar
  24. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA 2005; 293(2):217-228 (review)CrossRefPubMedGoogle Scholar
  25. Williams GN, Jones MH, Amendola A. Syndesmotic ankle sprains in athletes. Am J Sports Med 2007; 35(7):1197-1207. Epub 2007 May 22 (review)CrossRefPubMedGoogle Scholar
  26. Zanetti M, Strehle JK, Zollinger H, Hodler J. Morton neuroma and fluid in the intermetatarsal bursae on MR images of 70 asymptomatic volunteers. J Radiol 1997; 203(2):516-520Google Scholar
  27. Zehava SR. Update on the ankle and foot. MRI Clin North Am 2001; 9(3):413-671Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Radiology DepartmentMuscle-Skeletal Unit Hospital ClínicBarcelonaSpain

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