Ankle - 'Pilon' fracture - AP

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Ankle - 'Pilon' fracture - AP

  • A 'pilon' fracture is any fracture of the distal tibia which involves the articular surface of the tibia - also known as the 'tibial plafond'

Ankle - 'Pilon' fracture - Lateral

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Ankle - 'Pilon' fracture - Lateral

  • The lateral image demonstrates a step in the tibial plafond

Ankle - Osteochondral fracture - AP

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Ankle - Osteochondral fracture - AP

  • Irregularity or depression of the talar dome surface may represent a significant defect of the bone (osteo) and cartilage (chondro)
  • The talar dome surface is an important review area which should be assessed on all ankle X-rays

Ankle - Salter-Harris fracture - Lateral

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Ankle - Salter-Harris fracture - Lateral

  • A distal tibial fracture passes to the growth plate
  • Note the normal unfused calcaneal apophysis which should not be mistaken for a fracture