NR Medical conducts regular courses on x-rays and ultrasound. This is indicative of calcaneo-fibular ligament tear. There is a small loose body (arrow) indicating an avulsion injury. Ankle views showed grossly swollen soft tissue over lateral malleolus. These are avulsion fractures of the medial ankle ligaments. Multiple loose bodies are seen just below medial malleolus. Case 2 – still painful after 2 weeksĦ5 year old man, had a fall 2 weeks ago. In this case, the avulsion involves the peroneal retinaculum, which is a fibrous retaining band that binds down the tendons of the peroneus longus and brevis as they run across the side of the ankle. Most avulsion fractures heal very well without surgical intervention. Treatment of an avulsion fracture typically includes resting and icing the affected area. In addition, an x-ray can also help diagnose sprains, dislocations. The most common is to check for possible fractures in the bones of the ankle joint, including the medial and lateral malleoli (the bony bumps on either side of the ankle), the distal tibia, and the fibula. The AP or 'mortise' view is not a true Anterior-Posterior projection but rather at an angle to optimise visualisation of the ankle joint without being overlapped by the fibula.

Occasionally the articular surface of the talus can be injured.

Ankle fractures are usually bony injuries involving the distal tibia (medial malleolus) or distal fibula (lateral malleolus). Avulsion fractures can occur on any part of the body, but they are most common in the ankles, hips, and elbows.Īnyone can suffer an avulsion fracture of the ankle, but athletes and children are more prone to them than the rest of us. There are various reasons why a doctor may recommend an ankle x-ray. Three bones form the ankle joint - tibia, fibula and talus. This is consistent with an avulsion fracture involving the superior peroneal retinaculum.Īn avulsion fracture occurs when a muscle or tendon is pulled so hard at the spot where it attaches to the bone that it tears a small piece of bone away. X-ray showed a small loose body at the tip of lateral malleolus. He c/o pain and swelling over his left ankle. This young boy allegedly twisted his left ankle 3 days ago. Case 1 – Avulsion Fracture of the Superior Peroneal Retinaculum

Ankle xray