The ankle radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
The majority of ankle radiographs in an exam setting will have been performed because of a history of pain or trauma.
Ankle joint/capsule
- joint effusion
- pseudogout
- septic arthritis
- rheumatoid arthritis
- osteoarthritis
- haemophilic arthropathy
Distal tibia
- toddler fracture
- triplane fracture
- Brodie abscess
- hypertrophic osteoarthropathy
- non-ossifying fibroma/ fibrous cortical defect
Distal fibula
- hidden fibula fracture
- Maisonneuve fracture
- bimalleolar ankle fracture
Talus
- talar dome fracture
- talar neck fracture
- talar shift
- osteochondritis dissecans
- osteochondral lesion (OCL)
Calcaneus
- calcaneal body fracture - abnormal Bohler angle
- intraosseous lipoma
- stress fracture
- anterior process of calcaneum fracture
Midfoot
- base of 5th metatarsal fracture
- apophysis of the proximal 5th metatarsal
- navicular stress fracture
- Chopart injury
Soft tissues
- gouty tophi
- calcified atherosclerosis