Which views should be included in an ankle trauma series?

• A. AP, lateral and Judet views
• B. AP and cross table lateral
• C. AP, sunrise and Y views
• D. AP, lateral and mortise views

Answer: (D)

The inclusion of the AP (anterior-posterior), lateral, and mortise views in an ankle trauma series is essential for a comprehensive evaluation of the ankle joint.

The AP view provides a straightforward depiction of the tibia and fibula, assisting in identifying any fractures or dislocations that may be present in those areas. The lateral view showcases the alignment of the various anatomical structures of the ankle, helping to visualize posterior and anterior displacement of any fractures that could occur during trauma.

The mortise view is particularly critical in ankle assessments because it allows for a clearer perspective of the tibiotalar joint and the relationship of the talus within the mortise formed by the tibia and fibula. This view is essential for detecting subtle fractures or joint dislocations that might not be apparent in the other views. Additionally, it helps visualize the condition of the ankle syndesmosis, which is important in trauma cases to assess for injury to the ligaments that stabilize the joint.

This combination of views provides a thorough understanding of the injuries sustained, guiding appropriate management and treatment plans.