Normal ankle radiograph on X‑ray: 4 real cases

Real, openly licensed radiographs showing normal ankle radiograph. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • A standard series is AP, mortise (about 15-20 degrees of internal rotation) and lateral; the lateral should include the 5th metatarsal base.
  • On the mortise view the medial clear space is not widened (about 4 mm or less, and equal to the superior clear space).
  • Trace the lateral, medial and posterior malleoli: no cortical break or step.

Learn: Ankle fractures

Quiz yourself on lower limb images

Cases

Other lower limb diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.