What is a mortise view?

noun. A radiograph of the ankle taken with the malleoli parallel to the film, so as to examine the tibia, fibula, and talus without superimposition.

What is mortise view in xray?

AP mortise view. The AP mortise view is done with the leg internally rotated 15-20o so that the x-ray beam is perpendicular to the inter-malleolar line. This view permits examination of the articular space (clear space).

When do you use mortise view?

The most common indication is a trauma to the ankle in the setting of suspected ankle fractures and/or dislocations including talar fractures. Other indications include: assessment of fragment position and implants in postoperative follow up. evaluation of fracture healing.

How do you get mortise view?

Patient position

  1. the patient may be supine or sitting upright with the leg straightened on the table.
  2. the leg must be rotated internally 15° to 20°, thus aligning the intermalleolar line parallel to the detector. …
  3. internal rotation must be from the hip; isolated rotation of the ankle will result in a non-diagnostic image.

What is mortise in ankle?

The ankle joint is made up of two joints: the true ankle joint, which moves the foot up and down, and the subtalar joint, which moves the foot from side to side. The ankle mortise is the “hinge” that connects the ends of the tibia and fibula to the talus.

What is ankle mortise widening?


So this is a wide and ankle mortise this is a surgical repair or treatment this is a very unstable ankle on the left you can see how this is widen. Here this is shifted over right.

What is a push off fracture?

Pull-off or Push-off fractures. The shape of a fracture indicates which forces were involved. An oblique or vertically oriented fracture indicates ‘push-off’. A transverse or horizontal fracture is the result of a ‘pull-off’.

Why is mortise view done?

The mortise view is key to assessing the structural integrity of the ankle. The entire mortise joint space adjacent to the talar dome should be of uniform width. The distal tibiofibular joint space should be only slightly wider than the mortise joint space.

What does mortise mean in anatomy?

A depression, groove, or hole

A depression, groove, or hole into which another anatomical structure fits.

What is another name for the ankle mortise?

The tibial plafond, lateral malleolus, and medial malleolus form a mortise, a socket in which the talus sits (Figure 2).

What is a mortise fracture?

Disruption of the medial deltoid ligament also causes instability. The proximal fibula may also be fractured (called a Maisonneuve fracture) when the medial malleolus is fractured, the ankle mortise (the joint between the tibia and the talus) is open, and the distal fibula is not fractured.

Can doctors miss an ankle fracture?

“When someone with a sprained ankle hobbles into the emergency room, the attending staff focuses on the obvious problem and frequently will miss a Jones fracture because standard ankle x-rays don’t show it,” said Douglas Stoker, DPM, FACFAS, a podiatric surgeon in Salt Lake City whose practice includes professional

What bones make up the ankle mortise?

The ankle joint is a hinged synovial joint that is formed by the articulation of the talus, tibia, and fibula bones. Together, the three borders (listed below) form the ankle mortise. The superior portion of the ankle joint forms from the inferior articular surface of the tibia and the superior margin of the talus.

Is it possible to miss an ankle fracture?

Common situations in which talus fractures are missed:



Patients who injured their ankle in a boot/skate. Patients in an MVC with distracting injuries. Older patients with osteoporosis. Patients diagnosed with ankle sprain returning weeks later with ongoing pain.

What is the most common ankle fracture?

The most common fracture is to the bony bump on the outside of the ankle, the lateral malleolus. The lateral malleolus is the bottom of the fibula, the smaller lower leg bone. The bump on the inside of your ankle, the medial malleolus, is less commonly fractured.

Can you move your toes with a broken ankle?

Most believe that if they can wiggle their toes or move the ankle around that an ankle fracture has not occurred. The reason this is not true is because the nerves and muscles that allow the movement of the ankle have not been affected by the fracture.

Can you walk on a hairline fracture ankle?

Many people continue their regular day-to-day schedules with a stress fracture because the pain isn’t unbearable like it is with other fractures. For instance, a hairline fracture in your foot may cause difficulty walking, but not so much so that it alerts you to see Dr. Scheffel.

What is worse a fracture or a break?

Some people assume that fractured bones are more serious than broken bones, while others assume it’s the other way around. But the truth is that these terms are used interchangeably, and they have the same meaning to medical professionals.

Do I need a cast for a hairline fracture?

Hairline Wrist Fracture Cast or Splint



Immobilization may require a custom splint or a cast. For workers or athletes who need to continue their activity while healing, an ActivArmor cast may be an option.