A patient arrives in your clinic 72 hours status post inversion sprain of the right ankle. The
conscientious emergency room physician ordered a MRI to rule out possible rupture of the collateral ligaments. The patient arrives with the MRI jacket, but
there is no report contained within. A trickle of sweat appears on your brow. Will you be able to distinguish between a well-defined anterior talofibular
ligament and an amorphous ligament with increased signal intensity on a T1 weighted image?
Relax!!! Dr. Steven Needel, Director of Musculoskeletal Imaging at Boca Raton Community Hospital, is here to help. He will clarify the difference between T1,
T2, and Stir images; enlighten us on the distinction between tendonitis, tendonosis, dysfunction and tears. He will explain why fluid distending the peroneal
sheath is an important secondary indicator of calcaneofibular ligament injuries. With Dr. Needel's help, you will be able to confirm or possibly rule out
sinus tarsi or os trigonum syndrome.
This is a beautiful lecture filled with crystal clear MRI images, all evaluated and explained in detail by an excellent, enthusiastic practicing radiologist and
teacher.