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DOI:10.2214/AJR.08.1316
AJR 2009; 192:487-495
© American Roentgen Ray Society

Pictorial Essay

Sonography of the Normal Ankle: A Target Approach Using Skeletal Reference Points

Michel De Maeseneer1, Stefaan Marcelis2, Tjeerd Jager3, Maryam Shahabpour4, Peter Van Roy5, Jennifer Weaver6,7 and Jon A. Jacobson6

1 Division of Radiologic Sciences, Wake Forest University, Winston-Salem, NC 27157.
2 Department of Radiology, Sint Andries Ziekenhuis, Tielt, Belgium.
3 Department of Radiology, Aalsters Stedelijk Ziekenhuis, Aalst, Belgium.
4 Department of Radiology, Vrije Universiteit Brussel, Brussels, Belgium.
5 Department of Experimental Anatomy, Vrije Universiteit Brussels, Brussels, Belgium.
6 Department of Radiology, University of Michigan, Ann Arbor, MI.
7 Present address: Eastern Virginia Medical School, Medical Center Radiologists, Norfolk, VA 23502.

OBJECTIVE. Sonographic examination of the ankle depends on exact knowledge of the specific probe positions to acquire the best images.

CONCLUSION. In this article, we discuss these positions and illustrate them with drawings, anatomic slices or dissection, and sonograms. Positions studied include those for best imaging of the anterior tibiotalar joint, anterior tibiofibular ligament, anterior talofibular ligament, calcaneofibular ligament, peroneal tendons, Achilles tendon, flexor hallucis longus, posterior deltoid ligament, anterior deltoid ligament, and posterior medial tendons.

Keywords: anatomy • ankle • sonography • ultrasound


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