Tibia and fibula series

Changed by Andrew Murphy, 4 Jul 2017

Updates to Article Attributes

Body was changed:

The tibia/fibula is comprised of an anteroposterior (AP), and lateral radiograph. The series is often used in emergency departments to evaluate the entirety of the tibia and fibula after trauma. 

Indications

The tibia/fibula radiographs are performed for a variety of indications including:

  • trauma
  • obvious deformity following major midshaft impaction 
  • suspected foreign body 
  • inability to weight bear
  • osteomyelitis 

Projections

Standard projections
  • AP
    • demonstrates the lower limb in the natural anatomical position
  • lateral
    • projection 90° to the AP  view
    • must include bothe the knee and ankle joint
Modified trauma projections
  • horizontal beam lateral 
    • a modified projection 90° to the AP  view
    • demonstrates lower limb in a lateral profile 
    • must include bothe the knee and ankle joint
Additional projections

dedicatedDedicated joint views should be performed if there is suspicion of an occult knee or ankle injury.

  • -</li></ul><h5>Additional projections</h5><p>dedicated joint views should be performed if there is suspicion of an occult knee or ankle injury.</p>
  • +</li></ul><h5>Additional projections</h5><p>Dedicated joint views should be performed if there is suspicion of an occult knee or ankle injury.</p>

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