Standard Radiographs Ankle
Contents
Other Names
- Standard Ankle Radiographs
Introduction
- This page shows normal xrays of the ankle joint
- Stress Radiographs Ankle are discussed separately
Standard Views
Normal AP view
Normal lateral view
Normal mortise view
Alternative Views
Posterior Impingement (PIM) view. An alternative lateral, 25-degree external rotation, oblique view of the ankle for patients with hindfoot pain.[1]
Pediatrics
Normal 2 Year Old
Anterior-Posterior
Lateral
Oblique
Normal 12 Year Old
Anterior-Posterior
Oblique
Lateral
Pathology
Distal Fibular Fracture
Weber A fracture[2]
Weber B fracture with widened joint space
Weber B fracture with widened joint space
Weber C fracture with widening of joint space on stress view (note hand at bottom of XR)
Distal Tibia Fracture
Medial malleolus fracture
Medial malleolus fracture
Salter Harris 2 and pilon fracture of distal tibia
Tibial plafond fracture[3]
Ankle Fracture
Weber C fracture with widening of joint space on stress view (note hand at bottom of XR)
Bimal equivalent on mortise view. Note the small avulsion fracture on the tip of the medial malleolus suggesting medial instability.
Lateral XR showing trimalleolar fracture with posterior dislocation of the talus relative to the tibia.
Ankle XR mortis view showing trimalleolar fracture with unstable joint.
Talus Fracture
XR demonstrating significantly displaced talar neck fracture[4]
Calcaneus Fracture
Nondisplaced fracture of calcaneus
How to calculate Bohler's Angle
Subtalar Dislocation
Subtalar dislocation (lateral view)
Subtalar dislocation (PA view)
Subtalar dislocation (oblique)
Complete talar dislocation[5]
Syndesmotic Injury
Measuring the tibiofibular clear space[6]
Ankle XR with syndesmotic widening, widening of medial clear space[7]
Ankle XR showing widening of distal syndesmosis[8]
Ankle XR status post tightrope surgery[9]
Evidence
See Also
References
- ↑ Wiegerinck JI, Vroemen JC, van Dongen TH, Sierevelt IN, Maas M, van Dijk CN. The posterior impingement view: an alternative conventional projection to detect bony posterior ankle impingement. Arthroscopy. 2014 Oct;30(10):1311-6.
- ↑ https://radiopaedia.org/cases/7965
- ↑ https://radiopaedia.org/cases/26987
- ↑ https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/talus/neck-multifragmentary/definition
- ↑ Case courtesy of Dr Matt Skalski. https://radiopaedia.org/cases/25925
- ↑ https://www.orthobullets.com
- ↑ Kellett, John J., et al. "Diagnostic imaging of ankle syndesmosis injuries: A general review." Journal of medical imaging and radiation oncology 62.2 (2018): 159-168.
- ↑ https://radiopaedia.org/cases/68182
- ↑ https://radiopaedia.org/cases/78719