Bony injury (Tibia Fibula, Talus) suspected:

• Initial imaging -Xray
• Other imaging – CT for bone; MRI for ligament

Soft tissue injury suspected:

• MRI
• If not available – consider ultrasound

Ankle Xray tips

• Always have more than 1 view
• Check the Talar dome – there could be an osteochondral fracture
• If there is widening at distal talofibular syndesmosis this may indicate a fracture, these ligaments also take longer to heal than other ligaments – further imaging is needed

Lateral malleolus fractures:

• Associated with twisting, inversion injuries of the ankle
• Classified according to the location of the fracture in regards to the ankle joint line *Weber Classification