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The mortise view is an AP x-ray taken with the ankle internally rotated 15-20 degrees since the foot is naturally externally rotated relative to the ankle. [9] In addition to these views, a full-length view of the tibia and fibula may be necessary to evaluate for injuries to the proximal fibula associated with Maisonneuve fractures .
Salter–Harris fractures; Other names: Growth plate fracture [1]: An X-ray of the left ankle showing a Salter–Harris type III fracture of medial malleolus.Red arrow demonstrates fracture line while the blue arrow marks the growth plate.
A Tillaux fracture is a Salter–Harris type III fracture through the anterolateral aspect of the distal tibial epiphysis. [1] It occurs in older adolescents between the ages of 12 and 15 when the medial epiphysis had closed but before the lateral side has done so, [2] due to an avulsion of the anterior inferior tibiofibular ligament, at the opposite end to a Wagstaffe-Le Fort avulsion fracture
Ligaments of the ankle. In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged.
Danis–Weber classification of ankle fractures (Types A, B and C) Danis–Weber classification on X-ray. The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. It has three categories: [1] Type A
Ankle fractures may result from excessive stress on the joint such as from rolling an ankle or from blunt trauma. [20] [21] Types of ankle fractures include lateral malleolus, medial malleolus, posterior malleolus, bimalleolar, and trimalleolar fractures. [20] The Ottawa ankle rule can help determine the need for X-rays. [21]
Fracture of the medial malleolus seen on X-ray scan (left ankle) Common symptoms of a Maisonneuve fracture are pain, swelling, tenderness, and bruising around the ankle joint and inferior (or distal) tibiofibular joint. More specifically, as a pronation-external rotation injury, pain during external rotation of the ankle joint is expected.
The standard set of X-rays for a skeletal survey includes X-rays of the skull, entire spine, pelvis, ribs, both humeri and femora (proximal long bones). It is more effective than isotope scans at detecting bone involvement in multiple myeloma. Although significantly less sensitive than MRI, it is easier to include more bones. A study found that ...