Radiographic Positioning: Radiographic Positioning of the Ankle

ANKLE

ROUTINE POSITIONS: AP, Internal oblique, Lateral

AP
1. 10 x 12 extremity cassette (divide in half)
2. Patient supine with foot flexed up.
3. Table top exposure
4. 40" FFD
5. Central Ray: mid ankle joint

Internal Oblique (mortis view)
1. 10 x 12 extremity cassette (divide in half)
2. Patient supine with foot rotated in 5-15 degree to place intermalleolar line parallel to film with foot flexed.
3. Table top exposure
4. 40" FFD
5. Central Ray: mid-ankle joint

Lateral
1. 8 x 10 extremity cassette
2. Patient lateral turned toward affected side until leg and foot are in a true lateral position (may need knee support).
3. Table top exposure
4. 40" FFd
5. Central ray: mid-ankle joint

*NOTE: It is very important that the foot be flexed for all views to open up the space between foot and ankle if patient is able to tolerate it.

STRESS VIEWS

Radiologist is to do ALL stress views.

ROUTINE POSITIONS: Per Radiologists, need comparison views.

RADIOLOGIST WILL APPLY STRESS TO AREA