Imaging the ankle/hind foot in the upright weight-bearing position with a dedicated MR scanner and a dedicated coil might enable the identification of partial tears of the plantar fascia, which could be overlooked in the supine position.

SUMMARY -

We report a case of a 56-year old man with chronic pain in both knees for several years. This patient had already undergone surgery on his left knee in 2002 after an x-ray showed multiple lytic and well margined lesions in the distal femur and proximal tibia with ground-glass matrix, involving Hoffa's fat pad and the patellar ligament. Histology was consistent with an enchondroma. The most recent MRI examination showed enchondromatosis involving both knees with bilateral extension into Hoffa's fat pad and the patellar ligament. Subsequently, we performed an additional radiographic examination of the hands and feet, as well as an MRI of both hands to identify other possible enchondromas in the most common sites for this disease. Enchondromatosis with soft tissue involvement is extremely rare, and involvement of Hoffa's fat pad has not been reported in the scientific literature. The clinical presentation of this case and the general aspects of Enchondromatosis are discussed.

pingement syndrome (PAIS) determined by the PIML, with ligament changes (5/5) and associated synovial reactions (1/5), and an arthroscopic confirmation was obtained in 3/5 cases. Conclusion: the presence of the PIML seems to be a possible cause of PAIS and the use of a high-field MR scanner seems optimal for its identification.

Identification of normal and pathological posterior inter-malleolar ligament with dedicated high-field vs low-field MRI. A pilot study pingement syndrome (PAIS) determined by the PIML, with ligament changes (5/5) and associated synovial reactions (1/5), and an arthroscopic confirmation was obtained in 3/5 cases. Conclusion: the presence of the PIML seems to be a possible cause of PAIS and the use of a high-field MR scanner seems optimal for its identification.