MR imaging of the foot and ankle: The orthopedic surgeon’s perspective
The complex anatomy, biomechanics, and associated diagnoses affecting the foot and ankle can be intimidating to the clinician. A systematic and logical approach is necessary to use the diagnostic tools available efficiently to investigate and treat these problems. In most instances, the symptomatic foot can be evaluated with a good history, physical exam, and routine imaging studies. Radiographic examination, including computed tomography (CT), remains the preferred and basic method of evaluating bony anatomy. Magnetic resonance (MR) imaging, as discussed in previous chapters, offers the best imaging of soft-tissue, joint, and bone marrow pathology. In addition, it is a multiplanar technique, which facilitates the evaluation and depicts the relationship of complex anatomic structures in various oblique planes. Using thin-slices, oblique angles, and dedicated surface coils, many authors have illustrated the utility of MR imaging in a foot and ankle orthopedic practice.1-4.
