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Diagnostic and Surgical Imaging Anatomy: Knee, Ankle, Foot (Diagnostic & Surgical Imaging Anatomy) PDF

633 Pages·2007·68.25 MB·English
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Preview Diagnostic and Surgical Imaging Anatomy: Knee, Ankle, Foot (Diagnostic & Surgical Imaging Anatomy)

DIAGNOSTIC AN SURGICAL IMAGING NATOMY KNEE • ANKLE • FO T DIAGNOSTIC AND SURGICAL IMAGING NATOMY KNEE • ANKLE • FOOT B.j. Manaster, MD, PhD, FACR Professor of Radiology University of Utah School of Medicine julia Crim, MD Chief of tvlusculoskeletal Radiology Professor of Radiology and Orthopedics University of Utah School of Medicine Zehava Sadka Rosenberg, MD Professor of Radiology and Orthopedic Surgery New York School of Medicine Univer~ity NYU - Hospital for joint Diseases AMIRSVS '\,,tll\t'\ \-<111 1.1111\\, \ lltlll:lll \CHI lrll\l Ill AMIRSYS First Edition ll'XI • Copyright H.J. M<lllilStl'r, MD, PhD, Ft\CR 2007 Drawing~-< .upyriRht Amir'Y' ltll" 2007 Compilation -Copyrls::ht Amirsy> Inc 2007 /\II ri~llt~ reserved. No p.ut or thi~ publication may bt.> reproduced, stored in a n·tril·Val ~y-.tern. or trim'imitted, in .my form ur llll'dla llr hy ;my mean~. clcctmnk, mcdtanic:al, phottx:opyin~. r~ording, or otherv.•is.:, without prior wrilll'll pcrnti\'iion fmm Ami~"' Int. <: ornpll\itlun h)" 1\mlr'Y' Inc Salt l.akl' City, Utah Printed in Canad:~ ~~~ f-rkwn~. Altona, Manitoba, Camula ISUN-1J : 97~-1-ll:lll:lli-l-42-h ISilN-10: 1-<)J IRtH-42-11 1'\Hl"-JJ: <)7H-1-t).HHH4-4.4-.i (International EnJllish Ulition) I~H'\:-1 O: 1-911H H-1--1 t.<J llntt'rn.Jtional English Edition! Notice and Disclaimer It'""""" I ht• ml(lnnatlnn In thl' tlftkiUl t l""t•ru.Jt"t'"t h llr-'\'ldtod a' a rd't'fnl. .- c.· fOf u~· h)· flcen"t'd 11\t"\Jk:al Jlrufc.~\f•tt"Wh .unl "'• utht-n nul .and \huuld nnt ht• con~trut-d .iK an\· hltttl nut• uutwhdt'icf. I.sKl: dallt~tlt'l\o0lr\~l \r rnurf pror.\oMh" t~c'.t'll' n'1.·1l3;1tmt,tu~Unc,.h.lapl atld\-t\wh,'r_<\..".-nu n.\ "n"t)ln m)o"~\t JhU."\.'f.. ,·lh,\·nut·lJfp'\t) 'r\W "t t•.f u\1h.·. rll.fu' tl~h im' IiTpt'ikrtnucl1 . 1Inh i\\'h ,.u,,l),t·j•,M'f', .I nn lt:~t)u' tn, dotkt""~ nu lt lnh,t•u m,hnh,.t hc." .utr'nr .c" . Inl•l .f11t\rt•"d't td<.1K1 .dIcc.•"r'-\p"\.~JJtoiptnnMt.,1 1thhC,. 'afin!Jdll \\1m-pdihl\L)•\n t 111JM...., no dam~ f)f'oml~"\. ur ):.L~.tr.uHc.'\"\ ahnul dt"('Umty. c.ont~~c..·nc.-..,, or .a.,k'..IUo.lC.) ol the.· infrKniDUtlU '')UtAinc.'tl tn nr Jlnkffl ht thr flhkhH t t hrl"ruc.1uc.l•'-m.lt a .)uh'\tttutc.• fur m ••·pl. ... , .. ,,"."' nf t•n.~rt."'\1CliMII11\.,Itc..,l 1ud~ment. ,\mtn)~ am1 tt,.tff•liottt.."!a., .,uthon.. c..·untrlbuton. p.1r1n''" .. uKl 'l>onsnrcdt~~lm osllllolhlhl\"••r r'"'Ji't't•\.tiHhty r,.,r 1Ul\"lttjut'\' •. uu.tA,, t.l.ui\.IJ(t' h.lJX."r\Un\ur ptnJlen\·lu h"\Jllt1.1 to .urtorK tak<'fl o• ,..,..,., tdkt'n h,t'\.(1\)on OJH\" and .,ut•Juduc..l fnfurm.thon In 1tu , ... ~ \\'h«'C d~ vf olh~1f c..ht-rnk:ll\ ;,r~ prtsc.rlbc'd. readt..>fs art :Ktvtstd 10 ched: lhC" l'rodun tnfuunauun c.urtMtl' s>tu\khxt ~~IlK" m;Hmt4'<.1:urcr of E>at_h druJ:. tn bt• .uJnum'-t\·H:d I<• \t"tlh ,, ..., r~ununvndt'\l Lk•M'. lhc' mc:thocJ and du1111k'n uf 3dnunli1ta1inn. :md C'OI1tr.111"khl;tlh10\. II b the ft.'\('Wtcl\ahtllt'\ nt dK· tr<·ett•ng phY'" i:.1t1 rd\u1~ nn '"XT~t·n(;nc.t• find kuuwk,.9(,,J.t\· ul th\• lt,tlic.•nl tU d\'1t'nnttu• doY.Kt•t "m.J the.• bt~t Ut-atnKnt f<11 thl ratM.'lll. Ito lh~ ""'Aimuon cxlrnl r<-rnlill~•l h• apphuhl<"la\\, '""'"'1"'""1,-;lll<"l'ro>dl.ll.l ~!-I~ o\Nil Willi \II 1·~1111~. A:>:l111FRFIW nJ>;t I \I~ I~ ~II W\RI! \"-Tlf\ .\~ll t 'O"IJillllll!'), Wll~llll-lt ~'(1'111"\\, l~ll'llrfl OR STA1l'ltlltY. INn lllliNio 1111r '111'1 11\1111'1110. ,\'IV Ill \N\11~11'11UI WAIIR,\'1,,11 \(\It t'tl'IJDmt11'\S t'l Mlllt"ll.\:-11,\llllll \, 01 Ill 'II\.\ IIIII,\ 1'1\1111~·1'1 ,\ll PliRrnsr, Of I 'll'ldlF Vllll'~f.l>. tlll /\( l I Ifill(~ Olt l (1\11'1 ~.II :-:I~S l\1 ltL\I'l>;o.;.\F~. lilt H~.\1JI rs, ·1:-.tl tll I II J.. Ill' 'ilt.lllof:-:n 1\lt I1\C "KIll IVOitlo.MA:-ol.lkh LHO!rl. /11.\0, TlllllF I~ NP W,\IUv\NTY OH ~ llt\IIIIION 01 IIIII. ~L!II·I I NJO\ Mil\ l.llllll I I'O'i.~I·~SIO", l"l Ill HI ~I'OMll·'\1( I Ill lll.\1 llll' JiliN OR Nll:-.1-INI·lUNiii·!-.11-.NI. Wllllllft~MUI ro 1111 1'1101111( I I ill' I·NIIHI·. 111~1\ 1\~ Ill II II 1!1'•\111 \'Ill llll AHI~I:\'l, 0\Jl 01· U\1 Ill! I'I'HI IIHM,\:-Jt ~.Ill· 1111 I'I<ODIIl I Ill MAIN~ Wllli'JH f IU IIIli· I!. library of \tlll)o:fC~\ ( "atalogin)o:-in-l'ublil:ation Jlata M.llla'lt'r, II. J. l>ia~Oll~tic anJ <>urlo(il·al ima~o:inR anatomy. Klll'l', anl"l', foot I n.J. M:m:l\tcr, Juli<l Crim, ZehJ\";1 S;u.ll-J Ro-.cnbcrg. - 1st l'd. p. ;em. lndullcs biblio~rilphil··•l rdl·rt:llt:C!> and imkx. ISIII\-1:\: 97H-J-9J IHH·l-42-o I standard t.>d.J ISRN-10 : 1-93 I fiR4-·42-0 (~tanllard t.>d.) I~U!'>-U: 97R-1-'H 1H H4-4.t-i (international F.n~li~h t-d.) I~IIN-10: 1-93 l~tH-.U-9 (illl<'rnalional Engli\h <.:d.) I. Knt'<'- Anatom)'·-1\tla"-'S. 2. 1\nkl<.'-.\niltnmy-AtlaSL~ . .l . Foot-;\rMtumy-1\tlaSt:~. 4. Knl'l-lmo~xin~-Atla~·~. 5. Anldc- lmaging- i\tla\l'S. b. 1-oot- lmilging-r\tlas<'\. I. Crim, julia R. II. ll.ownlwr~. 7..eha,·a ~- Ill. Titl<'. 1\'. Title: Knee, anl-k. rout. 11>~1 M: I. Knl'c>- anntomv ts histology- Mia\C\. 2. Ankle-anatomy & hi\tolngy ,'\tla<>l'lt. 3. Foot- anatomy N hbtology- Atlils<'s. ~- Magnetic Remnant:<' Spct:trll\mpy- 1\tla,cs. S. Tomography, X-Ray Computl'll-1\tla~c~. WI·. 17 M2ll7l.l 20071 QMS·I9.M2~ 2007 612'.9 H-dc22 2007021 U9 iv To my parents, Robert Rising & Hetty Tracy Morrow, who had faith in their daughter's academic aspirations in an era when it wasn't fashionable. BJM fo my husband I est~o•r and children Philip & Eleanor. JC To my mother, Tova Murad Sadka, a shining light in my pc1th. ZSR The authors are deeply gratelul for all your support. v DIAGNOSTIC AND SURGICAL IMAGING ANATOMY: KNEE, ANKLE, FOOT We ,,t Arnir'"' lo~l'lher with our dr\lnhution tulk.l)lUl'\ .11 I WW, ,Jrl' proud lu prt•wnt lliiuul!l}lti... .. .U.ll.l...~.l-'.!J~ti..·•Ll!lliuarr~ \111l!!.!!U:. krr~·l \n!Jl~. tht.• fourth in our hr..rnc.J-m"' '>eric' of .m.rtonl\ rdl•n•mc ttth.'~. -'\lll>eMrl-.\ in tlw wnt.·' .rrt dl'\1/otlll'd 'I ,_.l ilil.allv to \Cf\ ,. dmilidn' m nwllt<:al 1m il~i ng ;mc.J c.lt h ,.,, ,.\ rd.ttcd \Ur)ltlill .Jnd allied hea ll h \llll'IJt't ,,,httc\ \Ul h '" \port\ 1-:''' . mt.·d11..rm· foot N .ml-.k \Uf~l'r\ .Jnd ptxliatr\ \'\c IO< ll' un an.rtumv th,tl i'> ro~lh \ i~ible on un.s~-:m~-t \llllltl'' trrl\\11\1( llllltlaiJtrt.'\ illld Jlfl'\<.'llllll~ huiJct<'CJ hriCI ill!rt>dU(lCII)' h·>.l tll"l riJliiOII\ .Jillll)( \.\Jih d )(IOrtOliS. rtdl Otll'rllll-t ur llllllf llllrlll.ll .rn.lllllll\ ~-tr..rplm\ 1 •Rl'thcr with 111 depth nurltimud..thl\ multtpl..tn..tr hi~-th rc\oluh<m ima~-tin~. l..tdl ima~-tin~ot anatomv texthool-. tont.urn !1\Cr 2,';(1() lahd,•d olllr graph•<·' ;uul hrgh-n·,()lutron r..rdr •lo~l!· lnlil)ll'' wrth hl·.tv\ l'mpha~rs on l lt:>sla MR and \tat~: •I tlw-art mullt·ddt'! tor<. I. It 1\ d,·.,.•:nnl lP gi'\.c HlU till" hu\\ rm'tlit..tl proll'"rcm.rl. !.lpid .m~wcr~ t(l rmawng tllldtolll'\. 1)111'\11011\. I ;u:h llllllllcll .Ul.llnmv )l'lJlll.'ll('(' JlUI\ lc.ll'\ dl'lilih:c.l \ll'W\ orl ,m,lhliJ\1( \lrlllltrrt.·~ lll'\er hdort• wt·rr drRilll\lU\~t•tl rn cln anilhlln} refcrc:nw tl'\thuol. lur t'il'} rdcrcm.l', l)j,u;~ll>)lil IIlli ~u.!ill_<_;;rLJm.IJ:IIII: \ll.tiiiJ.lll).. lo.Jil'!'. 'lltbl~ is sulxlh·illl'llintt> WJI.Ir.ttl 'l'lli<lll' lh.!tlCl\l'f tk·t,uk\1 rwrmal :trMit>lll\ lll till: 1-nt."t'. o.IOI.h• .Jill\ root lhl' Jl•lllh, mu~ks. tc:ndono;, li~..tllH'Ill\, lll'f\t.'\ dnd o~lljatt•nt IKIIH'\ .Jrt< tll\t. 1\wd 111r ,.,1\'h .ut.l. 111 ..tthlrlloll. 'IX'lr.tl \l'tllon' on norm.rl varr:lnh ,,, ~H·II a' rele\..rnt angln and llll'a\llll'lll<·nt' tor llw l.rlt·t. k~-t dlltl .ml-.lc/lout .trt· irulutlt'<l. lrn..tll\. nn·dlt .rppruathc' lor '''Pir.ltion/rnJ!'l'lilln o~n· th.:linl'all'c.l in t.kt.ul In \lrrnm;rrv, I!J,u:nl"lil and '\ur~it,lllm~An.tllllll.). 1:\LH<. \..!J.hk...J:i'iU i~ a prO<Iuu dt,l~ll!'tl w1th vou, thl· rt•;rllu. 111 mint!. lod.1y'' I) lllt..ll r:~diologk. \llfMH·.rl 'Jlnrl\ llll'thnrll' .111<1 pmli,urv llr.tUKl' \l'IIIO~\ dtnl<lntl huth .rt.lur..tl\ o~ml dlid,·nn 111 im.lgt.· illl!'l prl'l.llion tor dinit.ll dt•t. I\ IIIII nMI-In~. We thml-. you'll lind thi\ nt·w c1pproad1 to .IIMtonn .1 hi~hlv •·lllt.lllll .md wundt·rfull" ridl r,•,c•urt·c: that will hl' tlw '"''' ol V<lllr rl'l'l'lllll! t.lllll·t.tinll Oth ·r hook~ in our \l'rit·" th,•t \1111 m,l\ lrnd 11\l'lul Ml' Pl,t):IIO\!Il ..I IJtl \u_QU.l o~l h!l!!ltlllJ> I\ nat< rn • Mu't. uhhl-l'l<•t.ll Ill\' lll'W I h.t}:llll\lll o~ml ~un:k.!l I m.r~ll~ \ll.ll<~lll} Ill( r 1 om HI 1\rlll>~.· ,1\,JII.rhl< 1'\11\l'lllht•r 2007, and in<:lulln ''"" I,HMl· \nhw" on hi~-:h-n·,ulution muscuh"i-dl'I.Jiultr.l'nund \Vl• ho111. th..tt Hill will 'it b.l~l-. "i.: 111, and .:nju\ \l in~''"·"''"" ,md llll.1S:In~ \\Jth a '"hoi, dllh-fl•lltl'\l', \nnl' (., O~horn, Mil I 'l.t'luti\l \. 1u.· l'a·\llll'llt anll Fditor-in (.'hu~t. Amir~v\ lm II. lhl Jl.umh<·r~l r \Ill l I() N. < harrm..tn \mirsvs Inc II. I. 1\IJna\tcr, \II) \ 1u l'rt''illt'lll k ""''lldtl· \lt.·uit...rl lllfl'll"r. \nur'" lnt \-II \Ill FOREWORD 1111\ hool.. dl\f'l'l' .my lll}'\lt•ry or illnft·l\ dinithlfl\ llhl\ lhiVt: llllt'f!Ht·tin~ lllodt'lll 1n1.1~111~ 'tutht·' ot rht Iolli .md lowt·r t·,trt'lllitv. llt'•lllllfulh ''"''fllhlt•d, with dt•.fr dinit.lltnrrd,fliull\, I lind It \i111pl<. •IIHI vcn· .Jll:l'\\lhit· to ll\l' In thow who lrl'oll uunpk'< Jllnhlt•lll\ of tht' hlwt•r t':\tremity I n·u>mnwntl 1hh to l.t•t·p on vour 1 hlllt \lll'll \lm•"t tl,ul\ \\(.' \(l' palft•nl\ \\ho pr.·wnt V.lth d \ 1rlu.JI hhr.Jn of""·'~"'~ \lUdiC\. !x.Jrtlll)\ IIHouAh tht">l' 'tmht•' '' dl1 arcd th:u mo\1 dnuciam lind t1mt: <.on\lllllmg thallt-11gin~ .1ntl ,,, time\ lomplllt:l} nl\\llf\lnj.;. lh•~' oftt•n du Wt·luuh .st thn~: ~can\ ,lfltl wond<.•r '1\ tl1.1t an ;tbnormtthl'l- or" lh<tt J norm,1l .ul.llullll< .. trmlurt · I h1: ~rt'dl \dlut uf lhl\ houl.. 1:. d' .Jil I.'.JS\ and l)UicJ... rt·l••rt:lll.l' tur hiI \\ dmlllolll\ II .lllov.\ ll\ to iniHJ>fl'l tht•"' tumpll'' tma~tnj,( \hlllit•\ \\ith lil'<. ollUtrJl ....m d. pcrh.lp\ Ill '" unporl<tnlh, tonlitlt·mt• I R\.llllllllt'lltllhdt \OU hCt·p thi\ h<><•l.. in \tHlf dinlt ,fiJ\111\t: it d.nh Ill\ .ullhorllall\t' .111t1 \1\'nl. 1\llh """\nil will'""" lind 11 lfldi\Jll.'ll'><thk h• \OUr cliniCal r<llltiOt' ,tnd rcfu~e t. \\uri.''""""' 11 < I ~lt.tman. l'l.lll l'roft'\\ur .Uhl t h.IHIII.III, Oqlolrlllll'lll nt l lrtht>pt·dit'> I niu·"it" ul tr1.1h c;, hnol uf ~It-Jilin<· IX PREFACE llu Mu\t ulu,t..dl·t,rlt,•am ol tin: /\nnrsy~ group h plt'.l\l"d II, prl'\1'111 our 1 rllt·.t~Ut \ wlw \l'l'lldhtl 1n htWl'r t•>-trcnllt'v ~ur~:crv d UllllJlrdWn\iVl' ati.J\ of lhl' Knee. 1\nt..lt'. dmJ htot. I J,l'r\ will qulll..h• ,om(' to appn•dJil' the mJnv lt•\C•I\on whilh thi!> atl;l\ i~ u\dul In our l'\IX'nt'Oll'. •m .ttla\" "'"'' ln•ttm•nth uwd to k>l.lll' .1ml ltil-11111} '"' ,lll.lllllllil<ll \llmtur• lu rhi' cmJ. our .ttl"'' h,l\ •I llllilllld'> 11\l'IUI I"''WIIIolllllll 'l}ll' 1.11 h lllillnr totnt of tlw lo\Wr l'"'H'IIlll\ 1\ d '1111111\llilll'll With .II MR imo~~t" in l'•llh ,l,uul,tnl pl.ml ot lllt.t).:lll~ lllllllll.ll \il~itt,1l .md ,1\t<tlt llw turunal .111d .n1.1l pl.mn •"'' prt·wntt-d "'' ht•lh till' n~l11 <.~nd ldt k·g\, nn tac111~ pagn. 1t1 m.rl..t• lliHl'IJtion '' ith an\ MR ,.,·en l'J\il·r. :'l,ut unh lhl· joint\, but o.~ho till' lon,.: ho11,., .tlld ,1\\(1\.i,tlt>tl \lrulturt·~ art• 'hm' n 111 tkt. til Ill .111 pl.u•c\ c;.,nut inMgl'' .m• mllulll'll tf •l"i'l 111 lcll .Jiit.ll ion I Ill' ima~c:\ .trt• lit hh l.ll'lt'lt-d, "tilt ,1\'><lllillt't.l llllllllll'III,H\ rhu\ ,Ill\ \lllll.. tllll Ill lhl' lo\\<:1 t>\lrt'lllil\-c·,urc·,l\11\ ht· lcx,Jinf. hh·nllfwd, olnd ll,lli..HJ 1r1 <Ill\ pJJIIl'. llrl\ .rtla~. ht •\\C\l'l t·'\tt•mh f..r 1"-'H nclth1. umn·ntiunal. In .tddlttnn to tlw un\\ wl.lion.tl il11il~lll~. multipll' tull\cllor J!r.tphil' Jrl' induduJ in urdcr W dcmctn\trah: lh<: fine pvinh I thl· ittl.l~l'<.l .lll.llulll\, nu;:n: t\ al\lr an mtrodllliOI\' I!·~ I for l'.u h 'lXttnn. l'\pl<unm~ not nnh th1.· n1etrpholc~~o;" hut Ill .tdthtiun tht llllt'l pmnt\ o( tlli.I~IOJ.: tht."il' 'tructurc' \l'JIJI.Jit• .. h.IJIIl'l\ h;l\c IX.'\.'11 llnotl'll to tlw uniqul'l\. ll•llltult fumllon.tl 111 .tnatt•mK..tl rq;:ium c•ltlu: lo~'n c'tn:mit\ I hew thapll'r\ mdud~ ll'XI .md dl'tltliltl"tllullc.olur ~raphil\ with m.llc.hc.'tl illu~tr.ttin•MH \II cr IOiol~l"-. I '\iln1J1lc."'lllth ~ lh:lptl'l\ intlmll· lh1.· I'• ·~t. . rvlo~t~r.ll < ··•mu ol l..tlll', .ntl..k· li.:.uncnt\, anl..h· ll'llllnm, and rwr\t'' ol the. I""'''' t'.\lrcmil\' I hi\ adllition.11 lll'IJil "ill hl'lp the U\l'r ~·•in In dt>pth umll·f'tdmling ol thl''l' anatomtt;tl rl'l.lllrtmhip' Om drtllc.ult) tlldt l·lll ou.ur tn dtJRrt0\1~ rs dtlll'll'Otialin~ uortnill \'ilrti.llll \lrlltlurc~ lllllll p;.tthohl~\ Wt• h.J\.t' rndutlt·d 'l'lltom \how•n~: nmmal v,mant' both OS~l'Ou~ o~nd 'ott ti~~ut· ilion~ "''th tl''\1 t·\pl;urHnR thr chfftrt>ntlilllll~ fl·atur~.~. J{uth mthllJ'k:dit \lll)(«>n!> and podt.lht\1\ llltll..t• lt'l'(Ut.:nt U\t ol mcasurl'llll'llb 111 thl hlwt•r c"trl·mit}' Dl·mumtration ot twrm.•l mca~ufl'llll'lll' .md their uw'" mduu ..' tl 111 till' book ah·n~ with l'llplan.ltoly ll'\1 I IW <lltlhor\ •IIlli Jlfllt1UlliOI1 ll'<llll ,tr\ Jll('a~C'<I With lht• 11''1111\ of IIlii h,ml WoJa... olll<l lool.. fom.ud to 11 hd11~ 11\C.'ll 111 lht· \lll~lt.ll world ltl. M.ur.l\ll't, Mil. l'hlt, 1·1\t ll l'rCIIc\\(11 t•l lt.tdioltt).:\ I 111\,·t,ll\ ul l't.th \dltHtlu( :\luhlllll' \1 ' \ ACKNOWLEDGMENTS Illustrations Ril..h.IHI ( oollll". t-.1'\ Contributing Illustrators '>.llvallur lkllr.m. 1'-11) I.Jmt'' i\ < '"'lll'r \1U Image/Text Editing llou~lit\ t.mnt ).1( "'' ,, \11.'11\\,1 \ IIUII(ll'\ ll..ll·rh M.1m Case Management ( 'hmtuphl·r ( kld;irJ.. Project Lead \n1.11HI.J llurtadu XIII

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This volume of the landmark Diagnostic and Surgical Imaging Anatomy series combines a rich pictorial database of high-resolution images and lavish, 3-D color illustrations to help you interpret multiplanar scans with confidence. The book brings you close up to see key structures with meticulously la
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