Seeing the Whole Picture: Imaging the Complex Foot and Ankle
This presentation provides a radiologist’s overview of contemporary imaging for the lower extremities, with a focus on improving diagnostic clarity and clinical communication. It examines how radiographic, CT, and MRI findings contribute to a deeper understanding of complex foot and ankle pathology, and how clinicians can better interpret imaging reports to guide management.
A component of the presentation will be the Progressive Collapsing Foot Deformity (PCFD), and adult‑acquired flatfoot.
The session also explores the radiologic differences between Charcot midfoot breakdown and non‑Charcot midfoot collapse, emphasising pattern recognition, joint involvement, bone quality, and the presence or absence of neuroarthropathy. Through selected case studies, the presentation illustrates how imaging can differentiate destructive neuropathic processes from mechanical or degenerative midfoot failure, and how these distinctions influence clinical decision‑making.
Overall, attendees will gain a clearer understanding of lower‑extremity imaging, improved confidence in interpreting reports, and practical insights into recognising deformity patterns that are critical for multidisciplinary care.
Dr James Linklater OAM
Dr James Linklater OAM
CEO & Radiologist ||
Castlereagh Imaging & Illawarra Radiology Group
Dr James Linklater undertook his undergraduate degree at the University of New South Wales and his radiology training at Concord, Royal North Shore and Royal Prince Alfred hospitals. He then did a Musculoskeletal Radiology Fellowship at the Hospital for Special Surgery in New York; part of the Cornell Hospital Group.
Dr Linklater has particular skills in all aspects of musculoskeletal imaging and intervention, and has ongoing research interests in imaging osteoarthritis and imaging of ACL reconstructions. He has authored 73 publications and 5 book chapters. He was a member of the imaging team at the Sydney Olympics and at the 2018 Commonwealth Games on the Gold Coast. He is a Consultant Radiologist for the Asian Football Confederation, Football Federation of Australia National Mens and Women’s teams, and a number of professional sports teams in Sydney. He is a past president of the Australasian Musculoskeletal Imaging Group and is an active member of the International Society of Skeletal Radiologists. In 2019 he was awarded the Medal of the Order of Australia (OAM) for services to radiology. James became CEO of Castlereagh Imaging and Illawarra Radiology Group in February 2020.
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