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  • AP, mortice, lateral views.
  • Hind-foot: lateral projection, tangential projection.

A. Alignment: lateral view

  • Flattening of Boehler’s angle = calcaneal fracture.
  • Identify avulsion fractures.

A. Alignment: AP view

  • Weber fractures involving the distal fibula.
  • Bimalleolar and trimalleolar fractures.
  • Talar osteochondral fractures: usually occur at the medial talar dome, associated with inversion injury.

B. Bones: AP view

  • Talar osteochondral fractures.
  • Talar lateral process fractures.
  • Cuboid fractures.

B. Bones: lateral view

  • Talar neck fractures.

S. Soft tissue: AP view

  • Look for swelling of the soft tissue which can indicate pathology.


1. Goodman, L. and Felson, B. (2015). Felson's principles of chest roentgenology. 3rd ed. Philadelphia, PA: Elsevier, Saunders.
2. Dähnert W. Radiology Review Manual. LWW. (2011) ISBN:1609139437. Read it at Google Books - Find it at Amazon
3. Elizabeth Puddy, Catherine Hill; Interpretation of the chest radiograph, Continuing Education in Anaesthesia Critical Care & Pain, Volume 7, Issue 3, 1 June 2007, Pages 71–75, https://doi.org/10.1093/bjaceaccp/mkm014

Ⓒ A. Manickam 2018

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