1. Ankle

2. Views Ap
Lateral
Internal and external Obliques

3. Things to know Page 224 in book
Cassette: 10 x 12 crosswise divided in half
Measures 8
Shield
Marker
Hold still

4. Part Position for AP Place patient supine on table
Do not flex foot allow it to be in a natural position
Point toes up to ensure a true AP of lower leg and ankle.

6. Central Ray 40 SID Perpendicular to a point mid-way between malleoli
Collimate to lateral skin borders and included distal tib/fib and proximal half of metatarsals.

7. Seen on Radiograph The Distal tib/fib The lateral and medial malleoli
The talus
Proximal half of metatarsals

8. Lateral
The other half of the 10x 12 cassette
Shield
Marker

9. Part Position Rotate patient on side of affect foot
Place unaffected leg behind affected leg
Dorsiflex foot for a true 90 degree angle

11. Central ray
40 Sid
Perpendicular to the medial malleolus

12. Seen on Radiograph Distal third of tib/fib superimposed The talus
The calcaneus
The navicular and cuboid
Tibotalar joint open

13. Obliques
10 x12 cassette divided in half
Shield
Marker

14. Part Position for oblique
Start like on an AP
Patient supine and heel against cassette toes up
Center ankle to center of Cassette
Rotate leg medially (internal) 45 degrees
Rotate leg laterally (external) 45 degrees

17. Central ray
40 SID
Perpendicular to mid-way between malleoli

18. Seen on internal oblique
Distal third of tib/fib
the malleoli
the talus and proximal half of metatarsals
tibiofibular joint open
the lateral malleoli and talus joint open
the medial malleoli and talus partially imposed.

19. Seen on external oblique
The Calcaneal sulcus
The superior portion of the calcaneus
The distal tib/fib superimposed anterior

20. The lower leg Tib/fib

21. the Views AP
Lateral

22. Things to know Cassette size: 14 X 17 turned diagonally
one cassette per view
Shield
Marker
Measures 10

23. Part position for AP Patient Supine on table Place shield over lap
leg fully extended
place leg in true AP position for knee and ankle
Femoral condyles parallel to IR
foot flexed to 90 degree (TOES up)
include both joints (knee & ankle) IR.

25. Central Ray 40 SID perpendicular to mid-leg
Collimate to skin borders on lateral and medial sides.
Leave collimation open from top to bottom
** can go up to 44 or 48 SID to include more of part**

26. Seen on Radiograph The entire tibia and fibula
both ankle and knee joint
the condyles of tibia and femur in profile
the intercondylar eminence centered in the intercondylar fossa
some imposition of distal and proximal tib/fib

27. Lateral Tib/Fib
14 X 17 diagonally
shield
Marker

28. Part position for lateral
Patient on side with injured side down
flex knee about 45 degree to ensure true lateral
plane of patella should be perpendicular to IR
opposite leg behind injured one
both joints included on IR

29. 40 SID

30. Central Ray perpendicular to mid-leg
collimation to skin borders on sides
open fully top to bottom
** can go up to 44 or 48**

31. Seen on Radiograph Entire tib/fib both joints
tibial tuberosity in profile
fibula head imposed by tibia
distal fibula imposed on posterior portion of tibia
femoral condyles superimposed.

32. !!!Important Note!!!! If you can not fit entire leg on on film...
You must include the joint nearest the injury on the film and take a separate picture of the other joint.