- See: Radiographs of the Ankle
- Discussion:
- tibiotalar articular surface usually has slight lateral tilt, avg 3 deg;
- empirical axis is in sl varus position, as indicated by talocrural ang;
- Mortise View:
- talocrual anlge is formed by:
- line drawn parallel to articular surface of distal tibia
- line connecting tips of both malleoli (intermallellar line);
- this angle is normally 8 - 15 degrees;
- alternative method:
- angle formed by perpendicular totibial articular surface & intermallellar line;
- this angle is normally between 75 and 87 degrees;
- Shortening:
- by either method this angle shoud be within 2 - 5 deg of opposite side;
- difference of greater than this indicates fibular shortening;
- displacements of lateral malleolus may be overestimated on x-ray compared w/ those on the computed tomography scans