Ankle (AP view)

Changed by Yuranga Weerakkody, 1 Nov 2015

Updates to Article Attributes

Status changed from pending review to published (public).
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Ankle AP view is a standard projection to assess the ankle joint, distal tibia and fibula, proximal talus, and proximal half of the metatarsals. 

Patient Positionposition

  • Patientpatient is supine on the table with the knee and ankle joint in contact with the table
  • Legleg is extended with slight dorsiflextion of the foot
  • Ensureensure the entire lower leg is not rotated 

X-ray beam features

Collimation 

  • Collimatecollimate to the skin boarders laterally 
  • Includeinclude the distal tibia and fibula and the proximal half of the metatarsals

Marker PlacementplacementAP, lateral and distal

Grid: no

SID: 100cm

Exposure factors: 60 kV 3 mAs

Please note: These are example exposures using a shimadzu CR system. These may vary depending on the CR or DR system used. Patient body habitus may also have an affect on the exposure factors used. 

Image Critiquecritique 

Collimation 

The distal tibia and fibula are visulised as described. More of the proximal metatarsals could have been included. 

Positioning 

There is slight medial rotation as the medial mortise joint is not open. 

Exposure

Good contrast between bone and soft tissue is seen, demonstrating appropriate exposure factors. 

  • -<p><strong>Ankle AP view</strong> is a standard projection to assess the ankle joint, distal tibia and fibula, proximal talus, and proximal half of the metatarsals. </p><h4>Patient Position</h4><ul>
  • -<li>Patient is supine on the table with the knee and ankle joint in contact with the table</li>
  • -<li>Leg is extended with slight dorsiflextion of the foot</li>
  • -<li>Ensure the entire lower leg is not rotated </li>
  • +<p><strong>Ankle AP view</strong> is a standard projection to assess the ankle joint, distal tibia and fibula, proximal talus, and proximal half of the metatarsals. </p><h4>Patient position</h4><ul>
  • +<li>patient is supine on the table with the knee and ankle joint in contact with the table</li>
  • +<li>leg is extended with slight dorsiflextion of the foot</li>
  • +<li>ensure the entire lower leg is not rotated </li>
  • -<li>Collimate to the skin boarders laterally </li>
  • -<li>Include the distal tibia and fibula and the proximal half of the metatarsals</li>
  • -</ul><p><strong>Marker Placement: </strong>AP, lateral and distal</p><p><strong>Grid: </strong>no</p><p><strong>SID: </strong>100cm</p><p><strong>Exposure factors: </strong>60 kV 3 mAs</p><p>Please note: These are example exposures using a shimadzu CR system. These may vary depending on the CR or DR system used. Patient body habitus may also have an affect on the exposure factors used. </p><h4>Image Critique </h4><h5>Collimation </h5><p>The distal tibia and fibula are visulised as described. More of the proximal metatarsals could have been included. </p><h5>Positioning </h5><p>There is slight medial rotation as the medial mortise joint is not open. </p><h5>Exposure</h5><p>Good contrast between bone and soft tissue is seen, demonstrating appropriate exposure factors. </p>
  • +<li>collimate to the skin boarders laterally </li>
  • +<li>include the distal tibia and fibula and the proximal half of the metatarsals</li>
  • +</ul><p><strong>Marker placement: </strong>AP, lateral and distal</p><p><strong>Grid: </strong>no</p><p><strong>SID: </strong>100cm</p><p><strong>Exposure factors: </strong>60 kV 3 mAs</p><p>Please note: These are example exposures using a shimadzu CR system. These may vary depending on the CR or DR system used. Patient body habitus may also have an affect on the exposure factors used. </p><h4>Image critique </h4><h5>Collimation </h5><p>The distal tibia and fibula are visulised as described. More of the proximal metatarsals could have been included. </p><h5>Positioning </h5><p>There is slight medial rotation as the medial mortise joint is not open. </p><h5>Exposure</h5><p>Good contrast between bone and soft tissue is seen, demonstrating appropriate exposure factors. </p>

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