Foot and Ankle MSK Diagnostic Ultrasound. Basics for Podiatrist wanted to learn the diagnostic ultrasound, implement and improve musculoskeletal practice as POCUS (point of care ultrasound). Other healthcare professionals can also benefit such as sonographers, physiotherapists, osteopath, chiropractors.

1.  SCANNING PROTOCOL/PRACTICAL DEMONSTRATION
INCLUDING
 CASE STUDY/SCENARIO
 PRACTICAL TIPS
 PATHOLOGICAL APPEARANCES
 IMPROVING OPERATORS SKILS
 ANATOMICAL VARIATIONS
AAMIR SAFDAR-KHAN
Advance Musculoskeletal Practitioner
Diagnostic & Interventional MSK Sonographer

2. Anterior Recess and Tendons
 Good starting point
 Landmarks
 Neurovascular bundle
 Tracking (will do that today)
Pathologies:
Grading of effusion?
Tenosynovitis?

3. Medial
 Tibailis posterior
(Normal variations)
Always see some fluid – why - where
Always thickening – why – where
Accessory bones?
Abnormals:
Tendinopathy – where?
Tenosynovitis – where?
 Flexor digitorum and hallucis longus
 Tarsal tunnel
 Medial ligaments including spring ligament

4. Image Presentations

5. Normal and Abnormal Variations and Case Discussion
 Medial ankle/mid foot pain? – cause
 Exam scenario – pick case and scan accordingly
What would you scan?

6. Lateral Tendons and Ligaments
 Positioning of patient and probe orientation
 Peroneal tendon
Peroneal tubercle importance
Common Sheath
Pathologies:
Where tenosynovitis?
Intrasheath dislocation?
 Ligaments: CFL, TFL and ATaFL (positioning very
important)

7. Case Study/Scenario
Lateral Ankle Pain

8. Heel Pain
 Achilles tendon – PsA and other
Retrocalcaneal bursa
Kager’s fat pad
Subcutaneous calcaneal bursa
 Plantar Fascia
Medial, central and lateral bands –insertional?

9. Morton’s Neuroma/Bursitis
 Common site
 Ultrasound appearances