Ankle Trauma 4

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Introduction

These cases are intended to be used as education materials. There are intentionally no answers. The objective is to provide teaching and test cases where the radiographers cannot "look up the answers on the Internet ". This case can be answered at different levels from student radiographer to advanced radiographer practitioner or reporting radiographer.



Level of Difficulty

This case is relatively easy case suitable for student radiographers


Presentation

This 51 year old lady has presented to the Emergency Department. She has been referred for ankle radiography with the following clinical information


"cerebellar spinal ataxia
frequent falls
twisted/fell on right ankle
uncontrolled increase in pain both malleolus
"




Imaging
ankle trauma 4 ap











Is there any evidence of fracture(s)

Are there any soft tissue signs?





ankle trauma 4 obl









Is there any evidence of fractures?

Are there any soft tissue signs?





ankle trauma 4 lat









Is there any evidence of fractures?

Comment on any soft tissue signs, artifacts and normal variants

Is the anatomy distorted? If so, how and why did this occur?







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