• Centre: Midway between the malleoli at the level of the 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, toes pointing up
• Internally rotate entire leg and foot until the long axis of the foot is 45° to the IR

• 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 tibia and fiblua, proximal metatarsals, ankle joint, lateral and medial malleoli

• Centre: Midway between the malleoli, in line with the medial malleolus
• 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 image will look more like a Mortise Ankle view, that is
• The malleoli will be shown in profile
• The lateral mortise will be open
  

• The medial mortise will be closed
• The lateral mortise will be closed
  
• The sinus tarsi will be shown
• The fibula will have virtually no talar superimposition