Which projection demonstrates the distal tibia over the distal fibula?

Which projection demonstrates the distal tibia over the distal fibula?

• A. Medial malleolus
• B. Lateral malleolus
• C. Calcaneus
• D. Talus

Answer: (A)

This question focuses on how the distal tibia sits relative to the distal fibula on an ankle radiograph. A projection that centers on the medial malleolus shows the distal tibia over the distal fibula, making the tibiofibular relationship clear and allowing assessment of proper overlap and ankle mortise alignment. The lateral malleolus view would highlight the fibula rather than demonstrate the tibia lying over it, and calcaneus or talus are not the structures used to reveal this specific tibia–fibula relationship.

This question focuses on how the distal tibia sits relative to the distal fibula on an ankle radiograph. A projection that centers on the medial malleolus shows the distal tibia over the distal fibula, making the tibiofibular relationship clear and allowing assessment of proper overlap and ankle mortise alignment. The lateral malleolus view would highlight the fibula rather than demonstrate the tibia lying over it, and calcaneus or talus are not the structures used to reveal this specific tibia–fibula relationship.