Describe findings of physical examination.
Assess concomitant injuries (e.g., soft tissue injury)
Assess range of motion
Assess for neurovascular compromise (e.g., nerve integrity, distal pulses, capillary refill) and compartment syndrome
Describe imaging.
Plain x-ray series
AP, lateral, and mortise views of the ankle
AP, lateral, and oblique views of the foot
Canale view: used when there is a high suspicion of talar neck fractures or if CT imaging is unavailable
CT scan (confirmatory test): used to assess articular involvement and characterize fracture
MRI
If symptoms persist after 4–6 weeks
High clinical suspicion despite negative x-ray
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