Postoperative Ankle Imaging, 2022

Abstract

Postoperative ankle imaging requires knowledge of the underlying surgical techniques, the usefulness of various imaging modalities, as well as an appreciation for the desired clinical outcomes. Surgical procedures discussed in this article are tibiotalar fracture fixation, tibiotalar, subtalar, and tibiotalocalcaneal arthrodesis, total ankle arthroplasty, talar osteochondral lesion repair and grafting, lateral ligamentous repair and reconstruction, and peroneal and Achilles tendon repair and reconstruction. Imaging can play a vital role in determining if the expected outcome has been achieved and identifying complications, with particular emphasis placed on the use of radiographs, computed tomography (including weight-bearing), magnetic resonance imaging, and ultrasonography.

EURO-MUSCULUS/USPRM Dynamic Ultrasound Protocols for Ankle/Foot

“…Of note, sutures can be visualized as thin intratendinous double lines, with or without acoustic shadowing 34 . Tendon gliding, routine regenerative process or any suspicion in the presence of “abnormal” healing (Videos 17, http://links.lww.com/PHM/C202, and 18, http://links.lww.com/PHM/C203) can substantially be examined 35 . In patients without a clear anechoic gap, dynamic assessment is invaluable/contributory.…”