Here we go. Foot xrays. There are alot of details that could be discussed here. This is a good starting point.
Commonly in three views. AP, oblique and lateral. Shown below in order.
Remember:
Say what views you are seeing.
Look for open growth plates and say whether the image is skeletally mature or immature
Describe the most correct and straight to the point pathology you are seeing
From our experience it is better if you don’t offer up too much detailed information
Start with straightforward and simple, yet thorough and accurate.
First, scan the whole image and find what you can.
Then work systematically.
Start proximally and work distally
The lateral view is particularly good at viewing the more proximal joint spaces, talus, and calcaneus
Look at tibiotalar joint
Subtalar joint
Talonavicular joint
Outline the cortices of the talus, calcaneus, and navicular bones
For each view: AP, lateral, and oblique work proximal to distal
Outline the tarsal bone cortices and joints
Outline the Metatarsal bone cortices and joints
Phalange cortices and joints
On all views check the area of the Lis Franc Ligament
The Lis Franc Ligament attaches the Medial cuneiform and base of 2nd metatarsal
It has a dorsal aspect (weakest portion), interosseous (Strongest portion), and plantar aspect
Then check for your specific lines if an injury is not obvious
On AP view
Look for widening between the 1st and 2nd ray (1st and 2nd metatarsal)
Check that medial border of 2nd metatarsal and medial border of intermediate cuneiform should line up
Look for fleck sign: Bone fragment in 1st intermetatarsal space
Credit: Orthobullets
On Oblique View:
Medial borders of 3rd metatarsal and lateral cuneiform should line up on the oblique view
Medial side of base of 4th metatarsal with medial side of cuboid
Lateral view
Look for dorsal displacement of proximal base of the 1st or 2nd metatarsal
The base of 1st and 2nd metatarsal should line up with the dorsal aspect of the carpal bones
Credit: Orthobullets
