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Trauma to the foot and ankle accounts for a large number of Accident & Emergency (A&E) attendances each year, with lateral ankle sprains accounting for five per cent of these. Plain radiographs form an integral part of the diagnosis and management of these patients, as they are often the first-line investigation. A complete radiographic series is one of the most important aspects for correct interpretation of the traumatized foot and ankle. However, without prior knowledge of normal radiographic anatomy fractures may well be missed. There is a deficiency in the knowledge and application of radiographic anatomy across both A&E and Orthopaedic trainees. This could potentially be addressed with extra teaching sessions aimed at junior trainees involved in interpreting these films.
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