Change: Department of Physical TherapyHuman Anatomy Review Sitehttp://www.ithaca.edu/faculty/lahr/LE2000/LE_ankle.html Further detail of ankle anatomy shown below This is a cross-table lateral ankle projection. Note the abnormal fascial plane contour (anterior border of Kager's   View changes from previous version. (Word count: 1670)

Change: This patient has soft tissue swelling over the lateral malleolus. This is likely to be associated with a ligamentous injury- the bony injury is to the distal tibial metaphysis.Soft Tissue Swelling over the Lateral MalleolusSoft tissue swelling over the lateral malleolus   View changes from previous version. (Word count: 1620)

Change: The lateral ankle image identifies no convincing bony injury. Kagers fatpad is abnormal. On close examination, there is a suggestion of a fracture of the distal fibula (see below)The distal fibular fracture (white arrows) is unconvincing. The Kagers fatpad sign (black arrow) does suggest a significant ankle injury....   View changes from previous version. (Word count: 1505)

Change: The orientation of the possible fibula fracture demonstrated on the lateral projection image suggested that an AP ankle postion with cephalic tube angulation mightalign the X-ray beam with the plane of the fracture. The strategy was successful demonstrating the disal fibular fracture successfully. This image demonstrates a   View changes from previous version. (Word count: 1462)

Change: The lateral ankle image shows soft tissue swelling around the ankle joint. The anterior and posterior recesses of the ankle joint maintain a fat-like density suggesting that there is no ankle joint effusion. Richard Towbin1, J. Scott Dunbar1, Jeffrey Towbin2, Robert Clark3. Teardrop Sign: Plain Film Recognition of Ankle   View changes from previous version. (Word count: 1426)

Change: ladder. Note that Kager's fatboggy pad is abnormal showinginfected increasedarea densityof andskin indistinctover margins.her ThereAchilles alsotendon. appearsThe topatient bewas areferred largefor ankle effusion. These soft tissue signsradiography shouldwith leada youview to undertake   View changes from previous version. (Word count: 1354)

Change: seversevere sprain injuries (tendon/ligament injuries). In equivocal cases where you are suspecting a lateral malleolus fracture and there is little or no soft tissue swelling laterally, you would lean towards a diagnosis of no fracture.NormalMild SwellingModerately Severe SwellingSevere SwellingNormal Ankle Soft   View changes from previous version. (Word count: 1274)

Change: The Ankle Ankle Effusion- The Teardrop Sign An ankle effusion suggests a significant injury to the ankle joint. The anterior and posterior juxta-capsular region of a normal ankle joint   View changes from previous version. (Word count: 1282)

Change: severe amount of soft tissue swelling over the lateral malleolusSevere amount of soft tissue swelling over the lateral malleolus Achille's Tendon Rupture This patient has a ruptured achille's tendon (white arrow). Note the changes in Kager's Fat Pad (black arrow) Normalish lateral ankle. Note normal   View changes from previous version. (Word count: 1213)

Change: There were only format changes (bold, italics, etc.) in this version. See this version for details. (Word count: 1064)