Foot series

Dr Craig Hacking et al.

The foot series is comprised of a dorsoplantar (DP), medial oblique, and a lateral projection. The series is often utilised in Emergency departments after trauma or sports related injuries 2,4.

See approach to foot series 

Indications

Foot radiographs are performed for a variety of indications including 1-4

  • foot trauma
  • bony tenderness at the base of the 5th metatarsal
  • bony tenderness at the navicular bone
  • inability to weight-bear more than four steps
  • non-traumatic foot pain

Projections

Standard projections
  • DP
    • demonstrates the metatarsals in the natural anatomical position
  • medial oblique
    • a DP projection with the foot angled 30-40° medially (depending on the transverse arch)
    • the most pertinent projection for the evaluation of the tarsal bones that form the midfoot and forefoot structures 1,3
  • lateral
    • projection 90° to the DP view
    • demonstrates the foot in profile from the distal phalanges to the skin margins of the posterior calcaneus, extending superiorly to the talocrural joint
Additional projections

Weightbearing and comparison views are performed to assess for a dynamic widening of the Lisfranc joint indicating ligamentous injury.

Depending on geography, the lateral foot projection may be considered an additional projection.

Radiographic views
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Article Information

rID: 37499
Section: Radiography
Synonyms or Alternate Spellings:

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Cases and Figures

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    Figure 1: DP view
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    Figure 2: lateral
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    Figure 3: oblique view
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    Foot medial / lat...
    Figure 4: lower limb bones
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    Foot superior vie...
    Figure 5: lower limb bones
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    Figure 5: annotated
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