Ankle & Foot Flashcards
AP view of the ankle what will u likely see
overlap of the tib/fibula
lateral mal goes more distal
AP oblique view of the ankle what can u clearly see
talocrural joint space
lateral view of the ankle, what will be superimposed
tibia and fibula
AP inversion and eversion stress views allows what
allows you to see the change in position being excessive
integrity of the medial collateral ligament (deltoid ligament)
anterior talar drawer stress view allows you to view the integrity of what
the ATFL
AP view of the foot what joint is better seen
talus navicular
oblique view of the foot has a better view of what
metatarsals
what is the C sign
tarsal coalition
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspected stress fatigue fx
excluding vertebrae
initial image
xray
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspected stress fatigue fx
excluding hip and vertebrae
neg xray
next image
xray repeat in 10-14 days
MRI
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspected stress fatigue fx, hip
neg xray
next image
MRI
bone scan
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspected stress fatigue fx, excluding vertebrae
neg xray
immediate “need to know” dx
next image
MRI
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
confirmed stress fatigue fx, excluding vertebrae
follow up image for return to play eval
MRI
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspect stress insufficiency fx of LE, excluding pelvis and hip
first image
xray
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspect stress insufficiency fx of LE, excluding pelvis and hip
neg xray
next image
MRI
xray 10-14 days
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspect stress insufficiency fx, pelvis or hip
first image
xray
stress (fatigue/insufficiency) fx, including sacrum, excluding other vertebrae
suspect stress insufficiency fx, pelvis or hip
neg xray
next image
MRI
CT
acute trauma to ankle
adult or child 5 y/o or older
acute trauma to ankle or acute trauma to ankle w/ persistent pain for more than 1 week but less than 3wk
no exlusion criteria present
initial image
pt meets requirements for ottawa ankle: +
xray
acute trauma to ankle
adult or child 5 y/o or older
acute trauma to ankle or acute trauma to ankle w/ persistent pain for more than 1 week but less than 3wk
no exlusion criteria present
initial image
pt meets requirements for ottawa ankle: -
none
acute trauma to ankle
adult or child 5 y/o or older
acute trauma to ankle
exclusion criteria are present - neurological disorder, neuropathy, other
pt does not meet requirements for ottawa ankle
initial image
xray
acute trauma to foot
adult or child 5 y/o or older
acute trauma to foot
ottawa rules can be evaluated w/o exclusionary criteria
ottawa neg
no abnormalities
initial image
none
acute trauma to foot
adult or child 5 y/o or older
acute trauma to foot
ottawa rules can be evaluated w/o exclusionary criteria
ottawa positive
initial image
xray
acute trauma to foot
adult or child 5 y/o or older
acute trauma to foot
ottawa rules can be evaluated w/o exclusionary criteria
ottawa neg
suspected pathology in an anatomic area not addressed by ottawa
initial image
xray
chronic ankle pain
initial image
xray
chronic ankle pain
ankle xray normal
suspected osteochondral lesion
next image
MRI
chronic ankle pain
ankle xray normal
suspected tendon abnormality
next study
MRI
US
chronic ankle pain
ankle xray normal
uncertain path
next study
MRI
chronic foot pain
unknown etiology
initial image
xray
chronic foot pain
plantar heel pain
xray neg or equivocal
clinical concern includes plantar fasciitis or plantar fascia tear
next image
US
MRI
