Change: occurrence and unworthy of consideration over and above being quaint and quirky?occurrence? ---- Case 2 ----Patient History This child has presented to the Emergency Department following an unwitnessed fall. The patient is assessed and ankle X-ray imaging is requestedImages The radiographer has performed   View changes from previous version. (Word count: 331)

Change:  malleolus malleolus fracture.Discussion The over-rolled ankle positioning error is particularly risky in terms of posterior malleolus fractures. It would be reasonable to ask if this is simply a freak occurrence and unworthy of consideration over and above being quaint and quirky? ---- Case 2 ----Patient History This   View changes from previous version. (Word count: 333)

Change: iswas unknown. The referring doctor has requested an ankle x-ray examination to rule out any bony injury.Images The radiographer has performed AP and lateral ankle views as shown belowImage Evaluation There is no apparent bony injury. An ankle effusion cannot be seen but the lateral   View changes from previous version. (Word count: 333)

Change: There were only format changes (bold, italics, etc.) in this version. See this version for details. (Word count: 330)

Change:  and and swollen ankle. The mechanism of injury is unknown. The referring doctor doctor has requested an ankle x-ray examination to rule out any bony injury. Images The radiographer has performed AP and lateral ankle views as shown below Image Evaluation There is no apparent   View changes from previous version. (Word count: 330)

Change:  The repeat image is shown below. This lateral ankle is in a good position and reveals a Salter-Harris 2II fracture of the posterior distal tibia. Discussion It is worth considering the risks of obscuring a posterior malleolus fracture   View changes from previous version. (Word count: 330)

Change: Created by M.J.Fuller Feb 11 2008, 1:00 AM EST for: no reason given