PMID: 2503288Jul 1, 1989Paper

Are three views necessary to examine acute ankle injuries?

Clinical Radiology
M G Wallis

Abstract

In a retrospective review of the radiographs of 945 patients whose ankles were X-rayed for acute trauma over a 6 month period 95.3% of the 128 fractures identified were seen on anteroposterior and lateral films. The identification of six additional minor fractures by means of the 15 degrees internal oblique radiograph did not alter the management of individual patients and it is concluded that the routine use of oblique views is not justified. Radiological evidence of soft tissue swelling was present in 125 of the 128 fractures. The three patients in whom it was not seen had clinical evidence of local swelling and bruising. These findings indicate that fractures are highly unlikely to be present in the absence of local soft tissue swelling.

References

Feb 21, 1981·British Medical Journal·S C BrooksJ B Rainey

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Citations

Sep 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M C PlewaP Mattevi
Apr 13, 2012·Journal of Orthopaedic Trauma·Gregory D DikosTimothy G Weber
Jun 14, 2000·AJR. American Journal of Roentgenology·E A BrandserW A Clark
Apr 1, 1994·Foot & Ankle International·C T VangsnessE Newton
Sep 5, 1998·Foot & Ankle International·M E BrageA Toledano
Oct 20, 2001·Foot & Ankle International·M TakaoK Kawasaki

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