See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/315833646

Ultrasound of Ankle and Foot

Conference Paper · November 2012

CITATIONS READS

0 1,478

1 author:

Syed Amir Gilani

University of Lahore
928 PUBLICATIONS   8,408 CITATIONS   

SEE PROFILE

Some of the authors of this publication are also working on these related projects:

Physical Therapy education training and research-a way to facilitate humanity. View project

Impact of the coronavirus (covid-19) on the environment? View project

All content following this page was uploaded by Syed Amir Gilani on 28 May 2017.

The user has requested enhancement of the downloaded file.

 Ankle
Ultrasound
 Technique
• 12 MHz probe
• Gel stand – off
• Tailored examination
to site of concern
• Tendons on stretch
• Dynamic scanning
• Colour / power Doppler
Structures of the Anterior Ankle
 Anterior Ankle Assessment
• Anterior pain
– anterior joint space
– anterior tendons ( Tib ant, EHL and EDL)
– Anterior ligs ( ant tib-fib, ant talo-fib)
 Fluid Collections around the
Ankle
Sites and amounts of fluid in asymptomatic
normal volunteers

• anterior joint space </= 3mm

• tibialis post tendon </= 4mm
• common peroneal tendon </= 3mm
• retrocalcaneal bursa </=2.5mm
Normal anterior
structures
 Tibialis anterior degeneration / tear

trans

ant haematoma

Long at level of insertion

Long at level of ankle jnt

 EDL ganglion

Pt with RA, acute on chronic S&S

 Effusion following trauma

Ant long
Lat long

Ant long
Chronic swelling in haemophiliac Med long
Structures of the lateral ankle
Lateral collateral ligaments
 Lateral Ankle Assessment
Lateral pain
• evaluate the peroneal tendons : Peroneus
longus and brevis and retinacula
• lateral collateral ligament complex
• anterior joint for an effusion.
 Peroneal tendons

longus

brevis

Longus and brevis trans

Peroneal tendonitis
Peroneal sesamoid inflammatory change
 Anterior talo-fibular
ligament tear

norm

Acute tear Chronic tear

Calcaneo -fibular ligament

Acute tear

normal

Chronic tear

Large tear
 Calc –fib lig tear with fracture

tear

norm Post talo fib lig

 Posterior Ankle Assessment
Posterior pain
• evaluate the Achilles tendon
• retro-calcaneal bursa
 Partial tear

Full thickness tear

chronic
acute
Chronic calcific tendonitis
Hagland’s syndrome
Medial Ankle Assessment

Medial pain
• medial tendons
(Tib Post, FDL and FHL)
• medial collateral ligament
• joint for effusion.
Flexor retinacula
FHL pathology - sites
Medial collateral ligament
Normal medial tendons
Normal medial tendons - transverse
Tib post tendon tear

Acute

chronic
 Medial collateral lig

Partial tear

Full thickness tear

 Heel Pain
Heel Pain ( Plantar)
• Plantar fascia

normal Plantar fasciitis

 Plantar fascia fibroma

Plantar fascia haemangioma

 Foot Pathology

Trauma Serpiginous
FB Dorsal
Ganglion ganglion
Infection
Fracture
implantation dermoid
Other
Morton’s neuroma
GCT
 Foreign bodies

multiple
single

Implantation dermoid
mid foot pathology

Vascular callus
Stress fracture

Morton’s neuroma
Complex synovial cyst, interphalangeal joint

Nail bed abscess, great toe

 Summary
• Listen to the patient’s history
• Localize the area of concern
• Evaluate structures in this region
• Use dynamic scanning colour
• Correlate with other imaging
modalities

View publication stats