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Standard Radiographs Ankle

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(Redirected from Standard Ankle Radiographs)

Other Names

  • Standard Ankle Radiographs

Introduction

Standard Views

  • Normal AP view
    Normal AP view
  • Normal lateral view
    Normal lateral view
  • Normal mortise 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]
    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
    Anterior-Posterior
  • Lateral
    Lateral
  • Oblique
    Oblique

Normal 12 Year Old

  • Anterior-Posterior
    Anterior-Posterior
  • Oblique
    Oblique
  • Lateral
    Lateral

Pathology

Distal Fibular Fracture

  • Weber A fracture[2]
    Weber A fracture[2]
  • Weber B fracture with widened joint space
    Weber B fracture with widened joint space
  • 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)
    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
  • Medial malleolus fracture
    Medial malleolus fracture
  • Salter Harris 2 and pilon fracture of distal tibia
    Salter Harris 2 and pilon fracture of distal tibia
  • Tibial plafond fracture[3]
    Tibial plafond fracture[3]

Ankle Fracture

  • Weber C fracture with widening of joint space on stress view (note hand at bottom of XR)
    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.
    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.
    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.
    Ankle XR mortis view showing trimalleolar fracture with unstable joint.

Talus Fracture

  • XR demonstrating significantly displaced talar neck fracture[4]
    XR demonstrating significantly displaced talar neck fracture[4]

Calcaneus Fracture

  • Nondisplaced fracture of calcaneus
    Nondisplaced fracture of calcaneus
  • How to calculate Bohler's Angle
    How to calculate Bohler's Angle

Subtalar Dislocation

  • Subtalar dislocation (lateral view)
    Subtalar dislocation (lateral view)
  • Subtalar dislocation (PA view)
    Subtalar dislocation (PA view)
  • Subtalar dislocation (oblique)
    Subtalar dislocation (oblique)
  • Complete talar dislocation[5]
    Complete talar dislocation[5]

Syndesmotic Injury

  • Measuring the tibiofibular clear space[6]
    Measuring the tibiofibular clear space[6]
  • Ankle XR with syndesmotic widening, widening of medial clear space[7]
    Ankle XR with syndesmotic widening, widening of medial clear space[7]
  • Ankle XR showing widening of distal syndesmosis[8]
    Ankle XR showing widening of distal syndesmosis[8]
  • Ankle XR status post tightrope surgery[9]
    Ankle XR status post tightrope surgery[9]

Evidence

See Also

References

  1. ↑ 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.
  2. ↑ https://radiopaedia.org/cases/7965
  3. ↑ https://radiopaedia.org/cases/26987
  4. ↑ https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/talus/neck-multifragmentary/definition
  5. ↑ Case courtesy of Dr Matt Skalski. https://radiopaedia.org/cases/25925
  6. ↑ https://www.orthobullets.com
  7. ↑ 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.
  8. ↑ https://radiopaedia.org/cases/68182
  9. ↑ https://radiopaedia.org/cases/78719
Created by:
John Kiel on 27 July 2020 17:05:12
Authors:
Last edited:
23 September 2021 12:55:49
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