'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images

Magnetic resonance anatomy of the hindfoot as seen at the level of the sustentaculum tali is intricate due to surrounding muscles, tendons, aponeurosis and ligaments. The objective of this work is to provide a mnemonic with illustrative figures to simplify this complex anatomical region on coronal T...

Full description

Bibliographic Details
Main Authors: A. Haleem, B.W. Moritz, S.A. Hindawi, H.A. El-Deeb, A. El-Sherif, M. Alberawi, A.M. Haleem
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:European Journal of Radiology Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352047722000053
_version_ 1811294856900771840
author A. Haleem
B.W. Moritz
S.A. Hindawi
H.A. El-Deeb
A. El-Sherif
M. Alberawi
A.M. Haleem
author_facet A. Haleem
B.W. Moritz
S.A. Hindawi
H.A. El-Deeb
A. El-Sherif
M. Alberawi
A.M. Haleem
author_sort A. Haleem
collection DOAJ
description Magnetic resonance anatomy of the hindfoot as seen at the level of the sustentaculum tali is intricate due to surrounding muscles, tendons, aponeurosis and ligaments. The objective of this work is to provide a mnemonic with illustrative figures to simplify this complex anatomical region on coronal T1-weighted MR images (T1-MRIs).One hundred and twenty-four patients referred for foot and ankle complaints were scanned utilizing standard MRI imaging protocols for depiction of the hindfoot. Only coronal T1-MRIs of the calcaneus at the level of sustentaculum tali of unremarkably reported patients were selected for this work.Upon viewing the calcaneus with the adjacent anatomical structures on coronal T1-MRIs, the overall appearance resembles a “Hen in the Nest with Four Eggs’’. The calcaneus represents the body of the hen, while the sustentaculum tali forms the head and neck. The posterior tibial tendon represents the crest of the hen, and the flexor digitorum longus and flexor hallucis longus tendons represent its beak and wattle, respectively. The peroneus brevis and peroneus longus tendons represent the tail, and the long plantar ligament represents the flexed legs of Haleem’s hen. The plantar aponeurosis represents the hen’s nest. Whereas the abductor hallucis, flexor digitorum brevis, abductor digiti minimi and quadratus plantae muscles are the four eggs.The mnemonic, “Haleem’s Hen in the Nest with Four Eggs”, serves as a simplified phrase for radiologists and orthopedic surgeons to easily recall the anatomy of the hindfoot when viewing it at the level of the sustentaculum tali on coronal T1-MRIs.
first_indexed 2024-04-13T05:23:47Z
format Article
id doaj.art-3ad235ac3cf940db9adcae1fc854b27f
institution Directory Open Access Journal
issn 2352-0477
language English
last_indexed 2024-04-13T05:23:47Z
publishDate 2022-01-01
publisher Elsevier
record_format Article
series European Journal of Radiology Open
spelling doaj.art-3ad235ac3cf940db9adcae1fc854b27f2022-12-22T03:00:40ZengElsevierEuropean Journal of Radiology Open2352-04772022-01-019100398'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance imagesA. Haleem0B.W. Moritz1S.A. Hindawi2H.A. El-Deeb3A. El-Sherif4M. Alberawi5A.M. Haleem6Department of Radiology, College of Medicine, Menoufia University, EgyptDepartment of Orthopedic Surgery, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73014, United StatesDepartment of Radiology, Faculty of Medicine, Ain Shams University, EgyptDepartment of Radiology, Faculty of Medicine, Ain Shams University, EgyptDepartment of Radiology, Saudi, German Hospital, Jeddah, Kingdom of Saudia ArabiaDepartment of Radiology, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, United StatesDepartment of Orthopedic Surgery, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73014, United States; Department of Orthopedic Surgery, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt; Correspondence to: 800 Stanton L Young Blvd, Oklahoma City, OK 73104, United States.Magnetic resonance anatomy of the hindfoot as seen at the level of the sustentaculum tali is intricate due to surrounding muscles, tendons, aponeurosis and ligaments. The objective of this work is to provide a mnemonic with illustrative figures to simplify this complex anatomical region on coronal T1-weighted MR images (T1-MRIs).One hundred and twenty-four patients referred for foot and ankle complaints were scanned utilizing standard MRI imaging protocols for depiction of the hindfoot. Only coronal T1-MRIs of the calcaneus at the level of sustentaculum tali of unremarkably reported patients were selected for this work.Upon viewing the calcaneus with the adjacent anatomical structures on coronal T1-MRIs, the overall appearance resembles a “Hen in the Nest with Four Eggs’’. The calcaneus represents the body of the hen, while the sustentaculum tali forms the head and neck. The posterior tibial tendon represents the crest of the hen, and the flexor digitorum longus and flexor hallucis longus tendons represent its beak and wattle, respectively. The peroneus brevis and peroneus longus tendons represent the tail, and the long plantar ligament represents the flexed legs of Haleem’s hen. The plantar aponeurosis represents the hen’s nest. Whereas the abductor hallucis, flexor digitorum brevis, abductor digiti minimi and quadratus plantae muscles are the four eggs.The mnemonic, “Haleem’s Hen in the Nest with Four Eggs”, serves as a simplified phrase for radiologists and orthopedic surgeons to easily recall the anatomy of the hindfoot when viewing it at the level of the sustentaculum tali on coronal T1-MRIs.http://www.sciencedirect.com/science/article/pii/S2352047722000053HindfootAnatomyOrthopedicsMagnetic resonanceRadiology
spellingShingle A. Haleem
B.W. Moritz
S.A. Hindawi
H.A. El-Deeb
A. El-Sherif
M. Alberawi
A.M. Haleem
'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
European Journal of Radiology Open
Hindfoot
Anatomy
Orthopedics
Magnetic resonance
Radiology
title 'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
title_full 'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
title_fullStr 'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
title_full_unstemmed 'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
title_short 'Haleem’s Hen'; A mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal T1-weighted magnetic resonance images
title_sort haleem s hen a mnemonic for the anatomy of hindfoot structures at the level of sustentaculum tali on coronal t1 weighted magnetic resonance images
topic Hindfoot
Anatomy
Orthopedics
Magnetic resonance
Radiology
url http://www.sciencedirect.com/science/article/pii/S2352047722000053
work_keys_str_mv AT ahaleem haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT bwmoritz haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT sahindawi haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT haeldeeb haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT aelsherif haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT malberawi haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages
AT amhaleem haleemshenamnemonicfortheanatomyofhindfootstructuresatthelevelofsustentaculumtalioncoronalt1weightedmagneticresonanceimages