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IMAGING FOR RESIDENTS – QUIZ |
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| A woman with posterior heel pain |
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Ting-Yu Lin1, Ke-Vin Chang2, Wei-Ting Wu3, Levent Özçakar4
1 Department of Physical Medicine and Rehabilitation, Lo-Hsu Medical Foundation, Inc., Lotung Poh-Ai Hospital, Yilan City, Taiwan
2 Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University Hospital, National Taiwan University; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch; Center for Regional Anesthesia and Pain Medicine, Wang-Fang Hospital, Taipei Medical University, Taipei, Taiwan
3 Department of Physical Medicine and Rehabilitation, College of Medicine, National Taiwan University Hospital, National Taiwan University; Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan
4 Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey
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| Date of Submission | 19-May-2022 |
| Date of Decision | 30-Jun-2022 |
| Date of Acceptance | 04-Jul-2022 |
| Date of Web Publication | 22-Sep-2022 |
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| Section 1 – Quiz | |  |
Case
A 49-year-old female presented to the clinic with progressive left posterior heel pain for the last 1 month. The pain had worsened substantially during activity. She had a regular exercise habit of running twice per week. There was neither antecedent trauma nor any prior surgery of the affected limb. No history of rheumatic disease was reported either. Upon physical examination, tenderness and mild swelling over the left hind foot were noticed. There was no limitation of ankle range of motion, and Thompson test was negative on the affected side. [Figure 1] shows the lateral radiograph of her left foot. An ultrasound examination was carried out, and the images of the left foot are presented in [Figure 2]. What is the cause of her foot pain? | Figure 1: Lateral radiograph of the left foot shows an ossicle (arrow) behind the talus
Click here to view |
 | Figure 2: Ultrasound image of the long (a) and short (b) axes of the left posterior ankle. Side-to-side comparison of Achilles tendons of bilateral feet (c). PTFL: Posterior talofibular ligament
Click here to view |
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that her name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
This work was funded by the National Taiwan University Hospital, Bei-Hu Branch; the Ministry of Science and Technology (MOST 106-2314-B-002-180-MY3 and 109-2314-B-002-114-MY3); and the Taiwan Society of Ultrasound in Medicine.
Conflicts of interest
Prof. Ke-Vin Chang, an editorial board member at Journal of Medical Ultrasound, had no role in the peer review process of or decision to publish this article. The other authors declared no conflicts of interest in writing this paper.
Correspondence Address:
Ke-Vin Chang,
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei Hu Branch and National Taiwan University College of Medicine, Taipei
Taiwan
 Source of Support: None, Conflict of Interest: None
[Figure 1], [Figure 2] |
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