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ankle fracture radiography

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ACR Appropriateness Criteria acute trauma to the ankle radiography Ottawa ankle rules

This is a single frontal ankle radiograph. It appears to show a fracture of the distal fibula (lateral malleolus), with an oblique fracture line just above the ankle joint. On this photo it looks only mildly displaced, but a definitive assessment needs the full radiographic series, particularly mortise and lateral views, plus the official radiology report.
I cannot reliably exclude an associated injury to the medial malleolus, posterior malleolus, growth plate, syndesmosis, or ankle-joint alignment from this one image.
Until reviewed in person: avoid weight-bearing, keep the ankle supported/immobilized, elevate it, and arrange urgent orthopaedic or emergency assessment. Go to emergency care immediately if the foot is numb, cold/pale, increasingly swollen, severely painful, visibly deformed, or if there is an open wound.
For acute ankle trauma, standard multi-view ankle radiographs are the recommended initial imaging when clinical criteria indicate imaging, per the ACR ankle-trauma criteria.
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