6- Film ID

• Lateral Foot:

  a.tibia

  b. Calcaneus

  c.Calcaneal tuberosity

  d. Cuboid

  e. Tuberosity of base of 5thmetatarsal

  f. Superimposed cuneiforms

  g. Navicular

  h. Subtalar joint

  i.  talus

  
• AP Oblique Foot:

  A.interphalangeal joint of 1st digit of rt foot

  B.Proximal phalanx of 1st digit

  C.1st Metatarsophalangeal joint 

  D.Head of 1st metatarsal

  E.Shaft (body)of 1st metatarsal

  F.Base of 1st metatarsal

  G.2nd cuneiform

  H.Navicular

  I.Talus

  J.Tuberosity of calcaneus

  K.3rd or lateral cuneiform

  L.Cuboid

  M.Tuberosity of Base of 5th metatarsal

  N.5th metatarsophalangeal joint

  O. Proximal phalanx of 5th digit of RT foot

  
• Mortise Ankle:

  A.Fibula 

  B. Lateral malleolus 

  C. “Open” mortise joint of ankle 

  D. Talus 

  E. Medial malleolus 

  F. Tibial epiphyseal plate (epiphyseal fusion site)

  
• Lateral Ankle:

  A.Body of Fibula

  B.Calcaneus

  C.cuboid

  D.Tuberosity of base of 5th metatarsal

  E.Navicular

  F.Talus

  G.Subtalar joint

  H.Anterior tubercle of tibia

  I.Body of tibia

  
• Critique AP Foot:

  • The joint space between medial and intermediate cuneiforms is closed, there is lateral rotation. Also, the posterior half of the foot is cut off.

  
• Critique Oblique Foot:

  • 3rd-5th MT joint spaces are closed.  Cuboid still slightly superimposed (should be open on all four sides). 
  • The sinus tarsi is faintly evident. 
  • The foot is not rotated medially enough. Toes are clipped.

  
• Critique Lateral Foot:

  • Lower leg and long axis of foot do not form 90 degree angle.  The foot was not dorsiflexed.  Small amount of rotation in foot also.

  
• Critique AP Ankle:

  • The ankle was not placed in AP.  The fibula is not superimposed on talus and very minimally on tibia.  The ankle was internally rotated.

  
• Critique Mortise Ankle:

  • The lateral and medial mortises are closed, the fibula is demonstrated without tibial superimposition, and the tarsi is faintly evident (should not be).  The patient’s leg and ankle were internally rotated more than 15-20 degrees.

  
• Critique Lateral Ankle:

  • Leg is under rotated toward table causing the distal fibula to be on anterior portion of tibia. The toes are elevated and heel depressed (medially rotated), foot not lateral and parallel to IR.
  • Fibula should be on posterior half of tibia.