Ankle fusion

Nonunion tibial fracture

Patient broke ankle over 2 years ago. Patient is also a heavy smoker.
This is why you shouldn't smoke, it delays bone growth!

Stress test

After a much needed week long vacation I am back to the real world. I haven't seen anything too interesting today.
Here is a stress test exam done on a young child. I believe the test was positive due to the differences in the gap between the lateral malleolus and the talus.
A stress view is when the doctor comes in and puts stress both joints (like ankles or fingers) in one at a time. This is to see if there is joint instability or ligament tears. They are also used when testing for non union fractures.
For ankle stress films the patient is supine with both legs outstretched. There is then pressure applied on the lateral aspect of the foot, adducting the heel and forcing the foot into a varus position. 


Source: boneandspine.com/musculoskeletal-radiology/understanding-stress-views-for-orthopaedics-xrays/

Diabetic foot

This patient came in for check up on their diabetic foot. I came in casted to below the knee with a window cut out of the medial side due to an ulcer. It was not fun unearthing the leg. As soon as I removed the window the ulcer stench hit my nose.
Thank goodness for gloves.
The first view is the AP shot. As you can see the foot is greatly deformed out to the lateral aspect. This could be due to neuropathuc arthropathy also known as "Charcot foot". That refers to the break joint of a weightbearing joint i.e. the ankle. This looked like one of the more severe cases.
The second view was a lateral attempt.
The patient stated that the leg itself was pretty numb so any pain wasn't noted.



Information found on the diabetic foot was found on wikipedia.