✅ Ankle MRI

[Coalition 20] Tom Hates Dick: Mnemonic for the Extensor Tendons at the Ankle

MSK MRI 2025. 9. 27. 17:40

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This mnemonic organizes the extensor tendons as they pass beneath the extensor retinaculum, oriented medial → lateral.

Order at the anterior ankle

  • T: Tibialis anterior (TA)

  • H: Extensor hallucis longus (EHL)

  • D: Extensor digitorum longus (EDL)

Radiology perspective

  • On axial ankle MRI, these tendons are lined up at the anterior aspect, deep to the extensor retinaculum.

  • Tibialis anterior is the most medial and robust dorsiflexor.

  • EHL sits centrally, coursing to the great toe.

  • EDL is lateral, splitting into slips for the lesser toes.

  • Pathology includes tendonitis, tears, or subluxation; identifying this order avoids confusion with peroneal tendons more laterally.

This simple mnemonic ensures quick orientation for radiologists and clinicians when reviewing cross-sectional imaging or teaching ankle anatomy.

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