SUBTALAR JOINT Flashcards
PP: Semisupine; foot & leg rotated 45o medially; knee flexed
RP: 1 in. distal & 1 in. anterior to lateral malleolus
CR: ┴
SS: Anterior subtalar articulation
ISHERWOOD METHOD
LATEROMEDIAL OBLIQUE PROJECTION
Medial Rotation Foot
PP: Seated or semi-lateral recumbent (more comfortable); leg, foot & ankle rotated 30o medially; dorsiflex foot
RP: 1 in. distal & 1 in. anterior to lateral malleolus
CR: 10o cephalad
SS: Middle subtalar articulation & “end on” projection of sinus tarsi
ISHERWOOD METHOD
AP AXIAL OBLIQUE PROJECTION
Medial Rotation Ankle
PP: Supine/seated; leg, foot & ankle rotated 30o laterally; dorsiflex foot
RP: 1 in. distal medial malleolus
CR: 10o cephalad
SS: Posterior subtalar articulation
Lateral Rotation Ankle
PP: Supine; leg & foot rotated 45o medially; dorsiflex foot; foot rested against 45o foam wedge
RP: 2-3 cm to lateral malleolus
CR: 10o, 20o, 30oor 40o cephalad
SS: Posterior articulation
Anterior portion (40o)
Posterior portion (10o)
Talus & sustentaculum tali articulation (20-30o)
BRODEN METHOD
AP AXIAL OBLIQUE PROJECTION
Medial Rotation
PP: Supine; leg & foot rotated 45o laterally; dorsiflex foot; foot rested against 45o foam wedge
RP: 2 cm distal & 2 cm anterior to medial malleolus
CR: 15o cephalad
SS: Posterior articulation
ER: To determine the presence of joint involvement in cases of comminuted fx
Lateral Rotation