Evaluation Criteria: Toes, feet, ankle, calcaneus

Question 1

What should you see for AP axial toes?

five

Answer 1

• Tip of toe(s) to distal half of metatarsal
• Toes separated from each other
• No rotation of phalanges
• Equal soft tissue, equal concavity
• Open joint spaces

Question 2

What should you see for AP Oblique Toes?

Answer 2

• More soft tissue and concavity on elevated side
• Open MTP joints 2-5 and Open IP joints

Question 3

What should you see on lateral toes?

Answer 3

• Tip of toe to distal metatarsal
• Entire toe with minimal superimposition
• Toenail in profile
• Concave plantar surface
• Open joint spaces

Question 4

What should you see on AP axial foot?

Answer 4

• Entire foot visualized
• Equal space between 2nd through 4th metatarsals
• IP, MTP, TMT joints demonstrated
• Phalanges not burned out

Question 5

What should you see on AP oblique foot?

6

Answer 5

• Entire foot
• 3rd – 5th metatarsals free of superimposition
• Base of 1st and 2nd superimposed with cuneiforms
• Cuboid free of superimposition
• Base of 5th MT
• Sinus tarsi

Question 6

What should you see on a mediolateral foot?

Answer 6

• Entire foot and distal tib/fib
• Superimposed plantar surface of metatarsal heads
• Fibula overlapping posterior portion of tibia
• Tibiotalar joint

Question 7

What should you see on a Standing Lateral Foot - Lateromedial?

Two

Answer 7

Overlapping metatarsals
Tarsal joint spaces

Question 8

What should you see on a AP Axial Weight bearing Feet?

Answer 8

• Both feet on one image
• Both markers and weight bearing marker

Question 9

What should you see on a Inferosuperior/Plantodorsal or Axial Projection Calcaneus?

Answer 9

• All of calcaneus and talocalcaneal joint
• No rotation

Question 10

What should you see on a lateral calcaneus?

Answer 10

• Entire calcaneus, ankle joint, and surrounding tarsals
• No rotation
• Tuberosity in profile
• Sinus tarsi open
• Calcaneocuboid and talonavicular joints open

Question 11

What should you see on an AP ankle?

Answer 11

• Inferior tibiofibular and talofibular articulations NOT open
• Talus slightly overlapping distal fibula
• Open medial talomalleolar articulation

Question 12

What should you see on a lateral ankle?

five

Answer 12

* Distal leg, talus, calcaneus, and adjacent tarsals
* Tibiotalar joint visualized
* Talar domes superimposed
* Fibula over posterior 1/3rd of tibia
* Sinus tarsi

Question 13

What should you see on an AP oblique-Mortise view?

Answer 13

Open Mortise Joint

Question 14

What do stress views demonstrate?

Answer 14

Demonstrates ligament or tendon damage-done by radiologist