Test yourself: X-ankle

Case Study 1.

A construction worker (38 years) fell from a scaffolding. Examination reveals an abnormal position of the right ankle. In the trauma room, an AP image and lateral image of the ankle are made.

Figure 1. AP image and lateral image of the right ankle.

Findings?

Diagnosis?

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Case Study 2.

A 25-year-old woman sprains her ankle while playing hockey. She reports her “ankle twisted inward”. She can hardly use her foot anymore after the event. 
An x-ray is made (fig. 2).

Figure 2. Mortise and lateral image of the left ankle.

Findings?

Diagnosis?

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Case Study 3

An 8-year-old boy jumped from a wall (about 1-2 m high) and hurt his right leg. The right ankle is swollen significantly and the child no longer wants to stand on his right leg. 

Figure 3. Mortise and lateral image of the right ankle.

Findings?

Diagnosis?

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Case Study 4.

A 59-year-old man jumped from a ladder, a height of about 1.5 m.
He can no longer use his left foot.

Figure 4. Axial calcaneus, lateral image and AP image.

Findings?

Diagnosis?

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Case Study 5.

A 34-year-old man slips while jogging and falls. He reports his right ankle “doubled” on him; everything happened so quickly that the man does not know exactly what type of movement the ankle made.
The ankle can hardly bear any weight and particularly the lateral and posterior side of the ankle are painful upon examination.

An ankle x-ray is made.

Figure 5. Mortise image and lateral image of the right ankle.

Diagnosis?

Findings?

Show answer