Lower extremity trauma

Imaging of extremity trauma usually starts with conventional radiography, which is a cornerstone of orthopedic trauma workup. Standard AP and lateral views are usually diagnostically adequate for assessment of lower extremity trauma. However, superimposed bony structures in complex areas such as ankle and foot can make image interpretation difficult. Extensive bone and joint injuries, though visible on radiography, may also be challenging for accurate treatment planning. In this regard, multidetector computed tomography (MDCT) with multiplanar reformations (MPR) will provide a more accurate detection of occult bone and joint injuries and better depiction of complex fractures and dislocations.