Correlative Imaging of the Tarsometatarsal Joint

The anatomy, injury mechanisms, classification systems, and imaging features of injuries to the tarsometatarsal joint are reviewed.

Course ID: Q00399 Category:
Modalities: , , ,

3.0

Satisfaction Guarantee

$34.00

View cart

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.00
Procedures: 2.00
Head, Spine, and Musculoskeletal: 2.00

Magnetic Resonance Imaging: 3.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 2.00
Musculoskeletal: 2.00

Nuclear Medicine Technology: 2.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 1.00
Other Imaging Procedures: 1.00

Radiography: 3.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 2.00
Extremity Procedures: 2.00

Registered Radiologist Assistant: 3.00
Procedures: 3.00
Musculoskeletal and Endocrine Sections: 3.00

Sonography: 2.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 1.00
Superficial Structures and Other Sonographic Procedures: 1.00

Outline

  1. Introduction
  2. Anatomy
  3. Mechanisms of Injury
  4. Classification Systems
    1. Lisfranc Fracture-Displacements
      1. Quen¸ and K¸ss
      2. Myerson
    2. Lisfranc Sprains: Nunley and Vertullo Classification
  5. Imaging Characteristics
    1. Conventional Radiography
    2. Bone Scintigraphy
    3. Ultrasonography
    4. Computed Tomography
    5. MR Imaging
  6. Treatment
  7. Conclusion

Objectives

Upon completion of this course, students will:

  1. describe the clinical symptoms a patient may exhibit with a Lisfranc joint complex injury
  2. understand the role that medical imaging modalities play in assisting in the diagnosis of a Lisfranc joint complex injury
  3. know who the tarsometatarsal joint is named after
  4. describe the difference between low impact and high impact Lisfranc joint complex injuries and the most common cause of each
  5. know what percentage of Lisfranc joint complex injuries initially go undiagnosed
  6. understand which bones of the foot make up the Roman arch configuration of the Lisfranc joint
  7. name the articulations that make up the Lisfranc joint complex
  8. know the names of the ligaments that provide stability to the Lisfranc joint complex
  9. know which of the ligaments in the Lisfranc joint complex are the strongest and which are the weakest
  10. name the most prominent nerves and vascular component that make up the Lisfranc joint complex
  11. name both direct and indirect mechanisms of injury to the Lisfranc joint complex
  12. be familiar with what types of Lisfranc joint injuries affect athletes
  13. name the first classification system for Lisfranc joint complex fractures
  14. describe the Quenü and Küss classification of high-grade Lisfranc fracture-displacements
  15. know which of the Quenü and Küss Classification of High-Grade Lisfranc Fracture-Displacements is the most common
  16. describe the modifications that Hardcastle made to the Quenü and Küss classification of high-grade Lisfranc fracture-displacements
  17. describe the modifications that Myerson made to the Hardcastle classification of high-grade Lisfranc fracture-displacements
  18. know which classification system of high-grade Lisfranc fracture-displacements is the most commonly used today
  19. describe the Nunley-Vertullo classification of low-grade midfoot sprains
  20. understand the role conventional radiography plays in diagnosing Lisfranc joint complex injuries
  21. describe the technical nuances of performing proper foot radiography
  22. describe the radiographic anatomy of the foot that is best visualized on each projection
  23. know what percentage of subtle Lisfranc joint complex injuries will appear normal on non-weight-bearing radiographic studies
  24. describe the radiographic fleck sign
  25. explain the necessary ancillary equipment needed to safely perform weight-bearing foot radiography to better diagnose Lisfranc joint complex injuries
  26. know the most frequent and reliable indicator of a Lisfranc joint complex injury on radiographic studies
  27. define the role that bone scintigraphy plays in the diagnosis of Lisfranc joint complex injuries, as well as its benefits and limitations
  28. know what role diagnostic ultrasound plays in the evaluation of patients with Lisfranc joint complex injuries
  29. know which projections are used with diagnostic ultrasound of the Lisfranc joint complex
  30. describe the benefits and limitations of using CT as a medical imaging modality in the diagnosis of Lisfranc joint complex injuries
  31. know the role that 3D reformatted CT plays in patients presenting with Lisfranc joint complex injuries
  32. describe the role MR imaging plays in the diagnosis of a Lisfranc joint complex injury
  33. know what size field of view is used in MR imaging of the Lisfranc joint complex
  34. describe the types of sequences used in MR imaging of the foot for Lisfranc joint complex injuries
  35. know which anatomic plane the intermetatarsal ligaments are best visualized with MR imaging
  36. know which anatomical plane that the Lisfranc ligament is best visualized with MR imaging
  37. describe the most common findings on MR imaging that indicative of ligament damage to the foot
  38. know what non-operative treatment options are available for Lisfranc joint complex injuries
  39. describe what criteria the treatment of Lisfranc joint complex injuries are based upon
  40. know what type of Lisfranc joint complex injuries are treated surgically as well as the various procedures performed