Talar Dome Alignment

Question 1

•medial talar dome is demonstrated anterior to the lateral talar dome
•anterior fibula is posterior to the mid-tibia

Answer 1

External rotation
(Toes down, heel up)

Question 2

•the medial talar dome is demonstrated posterior to the lateral talar dome
•the anterior fibula is demonstrated anterior to the mid-tibia

Answer 2

Internal rotation
(Toes up, heel down)

Question 3

•lateral talar dome is seen proximal to the medial talar dome**
•talo-calcaneal joint is closed**
•less than .5” of the cuboid is seen posteriorly
•distal fibula is less than .25” distal to the distal medial tibia

Answer 3

Elevated proximal lower leg

Question 4

•lateral talar dome is seen distal to the medial talar dome**
•talocalcaneal joint is open**
•more than .5” of the cuboid is seen psiteriorly
•distal fibula is greater than .25” distal to the distal medial tibia

Answer 4

Elevated distal lower leg