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Sep 12 2011, 1:13 AM EDT
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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
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Sep 12 2011, 12:53 AM EDT
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Change: The Flexor Hallucis Longus: Tenographic Technique and Correlation of Imaging Findings with Surgery in 39 Ankleshttp://radiology.rsna.org/content/236/3/974/F11.expansion.html Further detail of ankle anatomy shown below This is a cross-table lateral ankle projection. Note the abnormal fascial plane contour
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Jan 2 2011, 7:03 PM EST
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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
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Sep 18 2010, 8:11 AM EDT
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Change: The magnified image demonstrates the step in the fibular cortex (white arrow) supporting the diagnosis of distal fibular fracture. There is a poorly demonstrated lucent fracture line (not marked). The diagnosis is also supported by soft tissue swelling over the lateral malleolus.DiscussionThis fibular fracture was identified and red
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Sep 18 2010, 7:55 AM EDT
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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....
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Sep 18 2010, 7:40 AM EDT
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Change: This image demonstrates a fracture of the lateral malleolus (distal fibula) of the ankle. Note that the difference in positioning is minimally different from the original projection but sufficient to demonstrate the fracturesuccessfully clearly.(left). Discussion This is a good example of the advantages of using a clinical approach
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Sep 18 2010, 7:32 AM EDT
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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
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Feb 8 2010, 6:36 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 6:36 AM EST
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Dec 18 2009, 2:59 AM EST
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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
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Dec 18 2009, 2:57 AM EST
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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
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Dec 8 2009, 6:38 AM EST
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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
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Dec 8 2009, 6:25 AM EST
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Change: This patient presented to the Emergency Department following a fall from a ladder. Note that Kager's fat pad is abnormal showing increased density and indistinct
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Jul 28 2009, 12:32 AM EDT
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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
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Jul 28 2009, 12:27 AM EDT
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Change: Health professionals with expertise in plain film image interpretation will approach anAn equivocal fracture by critically examining theshould bonybe featuresconsidered in the context of other information such as Patient history Clinical presentation Soft tissue signs This page will examine the soft
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Mar 25 2009, 7:45 PM EDT
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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
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Mar 25 2009, 7:35 PM EDT
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Change: It's not the thickness of soft tissue overlying the malleolus that counts per se, its the symmetricality. i.e. an obese patient may have very a great thickness of soft tissue over the malleoli, but if it is the same on both sides, it would be considered normal.This patient
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Mar 25 2009, 8:30 AM EDT
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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
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Mar 25 2009, 8:29 AM EDT
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Change: Soft tissue swelling over the lateral malleolus is relatively common because inversion injuries of the ankle are relatively common. An extreme amount of soft tissue
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Mar 25 2009, 7:46 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Mar 24 2009, 7:50 AM EDT
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Change: marked. Note that it is difficult to be sure of the exact contour of the posterior ankle joint recess. Richard Towbin1, J. Scott Dunbar1, Jeffrey Towbin2, Robert Clark3. Teardrop Sign: Plain Film Recognition of Ankle Effusion. AJR:134, May 1980 This is an ankle arthrogram
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