Name of the Procedure:

Radiologic Examination, Ankle; 2 Views
Common name(s): Ankle X-ray, Diagnostic Radiograph of the Ankle

Summary

An ankle X-ray is a non-invasive imaging test that uses X-rays to capture detailed images of the bones and joints in the ankle from two different angles to help diagnose injuries or conditions.

Purpose

The procedure is used to identify fractures, dislocations, arthritis, infections, or other abnormalities in the ankle. The goal is to provide a clear image of the ankle structures to aid in accurate diagnosis and treatment planning.

Indications

• Severe pain in the ankle
• Swelling or deformity following an injury
• Inability to bear weight on the ankle
• Suspected fractures or bone injuries
• Chronic ankle instability or arthritis symptoms

Preparation

• Generally, no special preparation is required
• Remove any jewelry or metal objects around the ankle area
• Inform the radiologist of any previous ankle injuries or surgeries
• Pregnant women should notify their healthcare provider before the procedure

Procedure Description

1. The patient is positioned on the X-ray table, with the ankle placed as required for the front (AP) and side (lateral) views.
2. A lead apron may be used to protect other parts of the body from radiation.
3. The radiologic technologist aligns the X-ray machine and takes two images of the ankle.
4. The patient might need to hold still or change positions slightly between views.

Duration

The procedure typically takes about 10-15 minutes.

Setting

An ankle X-ray is performed in a radiology department, outpatient clinic, or hospital.

Personnel

• Radiologic Technologist (to perform the X-ray)
• Radiologist (to interpret the images)

Risks and Complications

• Minimal radiation exposure; generally considered safe
• Rare risk of allergic reaction to contrast material if used (not typically required for a standard ankle X-ray)

Benefits

• Provides a quick and clear diagnosis of bone injuries or conditions
• Non-invasive and painless
• Immediate results facilitate timely treatment

Recovery

• No recovery time is needed
• Patients can resume normal activities immediately after the procedure
• Follow-up appointments if treatment for a diagnosed condition is necessary

Alternatives

• MRI or CT scans for more detailed images of soft tissues and complex injuries
• Ultrasound for evaluating soft tissues and fluid collections
• Each alternative has different indications, benefits, and limitations

Patient Experience

• The patient might feel minimal discomfort from holding still or changing positions
• No pain is associated with the X-ray itself
• Any discomfort from the ankle pain or injury should be communicated to the technologist for adjustments

Pain management and comfort measures can include applying ice, elevating the ankle, or using over-the-counter pain relief after the procedure, if necessary.