• Centre: Tibiotalar joint
• Shutter A: Open to include the distal 1/3 of the fibula and the proximal metatarsals
  
• Shutter B: Open to include the lateral skin margins
  

• Patient's leg fully extended
• Lower leg in AP position, dorsiflex foot
  
• Internally rotate entire leg and foot 15 degrees until the malleoli are equidistant to the IR, that is, they are parallel to the IR (this usually brings the little toe directly over the centre of the heel)
• 
  

• PACEMAN

• The correct positioning is evidenced by

1. The lateral and medial malleoli are shown in profile
2. There is some minor imposition of the distal fibula over the tibia
3. There lateral mortise space is open, as there is no superimposition of the talus over the fibula
4. The tibiotalar joint space is open

• Distal 1/3 of the fibula and tibia, lateral and medial malleoli, talus, proximal metatarsals, soft tissue and skin margins of the ankle
  

• Centre: Tibiotalar joint
• Shutter A: Open to include the distal 1/3 of the fibula and the proximal metatarsals
  
• Shutter B: Open to include the lateral skin margins
  

• Bony trabecular patterns and cortical outlines are sharply defined
• Soft tissues are visualised

• The lateral mortise will be closed
• The medial mortise will be open

• The image will look more like an Oblique Ankle view, that is
• The medial mortise will be closed
• The sinus tarsi will be shown