ACR AC Portal

Home Acute Trauma to the Ankle

Variants

Adult or child 5 years of age or older. Acute trauma to the ankle. Radiographs negative for osseous injury and physical examination or radiographs demonstrate alignment abnormality suggesting syndesmotic/ligamentous injury or dislocation. Next study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Ankle trauma, osseous injury negative on radiography, alignment abnormality on radiography or physical exam, dislocation suspected, next imaging study

3191924

Radiography ankle stress views

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

Radiography leg

<0.1 mSv
☢

Usually appropriate

MRI ankle without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

CT ankle without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually appropriate

US ankle

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI ankle without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT ankle with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Bone scan ankle

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate