Proceedings of the Foot and Ankle meeting, Leiden, 25.03.2011

Acute ankle distortion trauma is very frequent, it accounts for about 10% of emergency room admissions. In the acute setting, the Ottawa foot and ankle clinical decision rules are widely used to decide whether or not radiographic evaluation is needed. Although radiographs easily detect displaced fractures, occult fractures may occur. Also, sprains and peroneal tendon dislocation may go undetected using plain radiography. It is the purpose of this overview to briefly discuss ankle distortion related lesions with emphasis on failed radiographic diagnosis