Ankle achilles ossification

 
Radiological Report : XR Ankle Lt :

Ossification is seen within the achilles tendon. The

fracture of the base of the 5th metatarsal has previously
been noted. No new injury. 
   Ankle - Calcaneal spur

  Radiological Report : XR Calcaneum Rt :

There is a substantial calcaneal spur with some ill definition

of its inferior aspect which may reflect plantar fasciitis.
   Ankle Exuberant osteophytosis

 
Radiological Report : XR Ankles : Exuberant osteophytosis below left medial
malleolus and above left and right talonavicular joint. Minor osteophytosis medially on
the right.
 

 
  Ankle Calcaneum fracture
  
 XR Calcanei :

On the right there is a comminuted fracture of the calcaneum

with marked flattening of Boehler's angle. No left sided calcaneal
fracture identified.

CT Calcaneum Rt :

There is a comminuted fracture of the calcaneum involving the

mid and posterior portions of the subtalar joint. There is reasonable
apposition of fragments with no loose bodies visible in the joint.

 
  Ankle fracture calcaneum 2
  
Radiological Report : XR Foot Lt :

There is an undisplaced fracture of the anterior processus of

the calcaneum. No other significant abnormality is seen. 
  Ankle Fracture calcaneun CT
  
Radiological Report : XR Ankle Lt : There is a comminuted fracture of the
calcaneum with the fracture line extending to the posterior
subtalar joint.

Radiological Report : CT Ankle Lt :

A comminuted fracture of the calcaneum is seen extending to

the articular surface of the mid and posterior subtalar
joint. Comminuted fracture of the posterior process of the
talus is also noted.

Anterior to the fracture within the calcaneum, a small

multilobulated low density lesion is noted within the
calcaneum which has partly sclerotic walls indicating that
it is longstanding. It shows a density ranging between -20
and 37HU. It is rather irregular and hence approximately
measures 1.5 x 2.0cm. No fluid- fluid level is seen within
it. It has a mixed density of fat and fluid; and could
represent a small lipoma with myxoid degeneration.

Osteoarthritis of the tibiotalar joint is seen. No fracture

is seen in the visualised distal portions of the tibia and
fibula. New bone formation is noted along the inferior
portion of the lateral malleolus.
 

  Ankle Fracture dislocation complex

  
Radiological Report : XR Ankle Lt :

There is a complex fracture dislocation of the ankle involving

the tibial epiphysis and the fibula distal diaphysis with comminuted
fragments. 
  Ankle Fracture displaced tib fib

 
Radiological Report : XR Ankle Rt :

There are laterally displaced fractures of the distal tibia and fibula, the tibial fracture
involving the epiphysial plate.
Radiological Report : XR Ankle Rt :

Fractured lower tibia and fibula. Reasonable alignment in POP.

  Ankle Fracture fibula plus plate
Radiological Report : XR Ankle Rt :

There is a fracture of the fibula several centimetres above the

ankle joint with valgus tilting of the talus and lateral talar
shift. The posterior malleolus looks intact. A tiny flake of
bone has been avulsed from the medial malleolus.

Radiological Report : XR Ankle Rt :

The position of the talus is now reduced to normal following

manipulation. The lateral view is slightly rotated but does
suggest there may be a posterior malleolar fracture of the tibia.

 
   Ankle fracture fibula spiral

 
Radiological Report : XR Ankle Rt :

There is a spiral fracture of the distal fibula, with minimal displacement.

 

  Ankle - Fracture maisonneuve

Fracture of the proximal third of the fibula, rupture of the distal tibiofibular
syndesmosis associated with: fracture of the tibia, rupture of the deltoid ligament
caused by an abduction and external rotation force applied to the ankle which forces
the talus laterally against the fibula
 
  Ankle fracture medial malleolus Plain and CT
Radiological Report : XR Ankle Lt :

There is a fracture of the medial malleolus which extends into

a fracture of the anterior surface of the tibia. Irregularity
is noted at the ankle joint as a result. No fibula fracture is
shown.

 
 
Radiological Report : CT Ankle Lt :
Comminuted fracture of the distal left tibia is demonstrated.
Please see films for alignment of the multiple fragments.

  Ankle - Fracture Salter Harris 2

 
  
Radiological Report : XR Ankle Lt :
There is a Salter-Harris Type II injury to the distal tibia involving
the posterior malleolus.

 
  Salter-Harris Type I: fracture through the physis without involvement of the bone of
the epiphysis or metaphysis (3).

1. Affects young childhood.  

2. Growth plate is thick.
3. Large hypertrophying chondrocytes.  
4. Weak zone provisional calcification.
5. Mechanism: shear or fracture lines follow growth
plate, separating epiphysis from metaphysis.
6. Unless the periosteum is torn, displacement usually
does not cannot occur (many locations do not have
periosteum).
7. Without displacement radiographs appear normal.
8. Healing is rapid, usually within 2-3 weeks.
9. Complications are rare.

 Salter-Harris Type II: fracture involving part of the metaphysis and extending to the
physis (3).

1. Occurs after age 10.  

2. Mechanism: shear or avulsion with angular force.
3. Cartilage failure on the tension side.
4. Metaphyseal failure on the compression side.
5. With type II fractures, there is a division between
epiphysis and metaphysis except for a flake of
metaphyseal bone carried with epiphysis (Thurston
Holland sign).
6. Healing is rapid, and growth is rarely disturbed.
7. Note: Type II fracture of distal femur and tibia may
result in growth deformity.

 
Salter-Harris Type III: fracture involving the epiphysis and extending to the physis (3).

1. Usually occurs after 10 years.

2. This type of fracture generally occurs when the
growth plate is partially fused.
3. Prognosis is poor unless there is early accurate
reduction.
4. Type III physeal injuries involve separations of
portion of epiphysis and its associated growth plate
from the rest of the epiphysis.

 Salter-Harris Type IV: fracture involving epiphysis, metaphysis, and extending to

the physis (3).

1. Rare in the hand. Most common sites include the  

lateral condyle of the distal humerus in patients
under 10 years of age and the distal tibia in those
over the age of 10.
2. Type IV fractures potentially interfere with
normal growth.
3. Fracture line crosses physis, separating a portion
of metaphysis-physis-epiphysis from the
remaining metaphysis-physis-epiphysis.
4. If fracture is displaced, open reduction and
internal fixation is indicated.
5. Even with perfect reduction, growth is affected
and prognosis is guarded.

 Salter-Harris Type V: fracture involving only the physis (3). This type of fracture
results in a compressive deformity of the growth plate. This can cause growth
retardation of the involved bone and it has a very poor prognosis (4).

1. Type V growth plate injuries are due to severe axial

loading.
2. Some or all of the physis is so severely compressed
that growth potential is destroyed.
3. Angulation and limb length inequality may be long
term complications.
  Ankle - Fractured Talus Plain and CT 002
Radiological Report : CT Ankle Lt :

Fine axial sections were taken and reconstructed in coronal

and sagittal planes. There is an undisplaced and slightly
comminuted fracture of the lateral process of the talus
extending into the posterior facet of the subtalar joint.
The main articular surface fragment is separated by 2mm but
no step is seen in the articular surface. No other bony
injury seen.

IMPRESSION: Undisplaced comminuted intra-articular fracture

of the lateral talar process.
 
  Ankle fracture Webber A
  
Radiological Report : XR Ankle Lt :

There is a transverse fracture through the lower fibula (undisplaced).

Ankle mortice intact.

The classification scheme is simple to use and widely used in primary care and treatment.

Type A fractures are horizontal avulsion fractures below the mortise. They respond to treatment by closed reduction
and casting unless accompanied by a displaced medial malleolus fracture.

Type B fracture is a spiral fibular fracture commencing at the mortise. This type of fracture occurs secondary to
external rotational forces.

Type C fracture is above the level of the mortise and disrupts the ligamentous attachment between the fibula and the
tibia distal to the fracture. These fractures require surgery for pins to be inserted.  
  Ankle - Fracture Weber B
Radiological Report : XR Ankle Lt :

Fracture distal fibula extending into ankle and tibio-fibular

joint.

Danis-Weber Classification (http://www.drpribut.com/sports/laugehansen.html)

The Danis-Weber classification system uses the position of the level of the fibular fracture in its
relationship to its height at the ankle joint.

Type A: fracture below the ankle joint

Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact
Type C: fracture above the joint level which tears the syndesmotic ligaments.
 
  Ankle Lytic lesion
  
Radiological Report : XR Ankle Lt :

The lytic process in the distal tibia adjacent to the

internal fixation is progressing in keeping either with
aggressive neoplastic or infective process. No change in
position of the fixation device. 
   Ankle Osteomyelitis old

 
Radiological Report : XR Ankle Rt :

Comparison is made with 28.7.05. The appearances are essentially unchanged from
that time with continued marked deformity of the hind foot and marked degenerative
change within the ankle and the subtalar joints. The appearance would be in keeping
with previous osteomyelitis and secondary degenerative change. No new bony
destruction is seen to suggest more recent infection, although naturally given this
degree of bony deformity, it would be difficult to demonstrate early change.