π Normal
TECHNIQUE / POSITIONING
1π Ankle mortise view obtained
2π Adequate internal rotation (mortise view)
3π Suboptimal positioning / rotation
MORTISE JOINT ASSESSMENT
4π Ankle mortise symmetric
5π Medial clear space widening
6π Tibiofibular clear space widening
MALLEOLI
7π No malleolar fracture
8π Medial malleolar fracture
9π Lateral malleolar fracture
10π Posterior malleolar fracture
SYNDESMOTIC ASSESSMENT
11π Syndesmosis intact
12π Syndesmotic injury suspected
TRAUMATIC PATTERNS
13π Isolated ankle sprain
14π Bimalleolar fracture
15π Trimalleolar fracture
DEGENERATIVE CHANGES
16π No degenerative change
17π Ankle osteoarthritis
POST-SURGICAL EVALUATION
18π Post-fixation alignment satisfactory
19π Hardware position assessment
IMPRESSION / SUMMARY
20π Normal ankle mortise
21π Ankle mortise incongruity detected
22π Fracture / instability – correlate clinically
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