Ankle radiograph (checklist)

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 5^th metatarsal fracture
• apophysis of the proximal 5th metatarsal
• navicular stress fracture
• Chopart injury

Soft tissues

• gouty tophi
• calcified atherosclerosis

See also

• ankle radiograph (an approach)