[Lower leg, ankle and foot]

Bipedal locomotion means high mechanical stress on the lower extremities and susceptibility to fractures. On the one hand, these can be the result of a one-time traumatic stress in the context of high speed traumas or falls, but can also result from repetitive microtraumas with subsequent stress fractures.

For all fracture entities and localizations, X‑ray diagnostics is the basic modality.

For optimal surgical reconstruction of intra-articular fractures or in complex fracture configurations, computed tomography should be generously used to improve postoperative outcome.

The classification of the individual fractures should enable standardised further therapy planning, especially with regard to conventional or surgical treatment.

The combination of X‑ray, magnetic resonance imaging and computed tomography makes a reliable diagnosis regarding foot fractures possible.

Important for the use of individual classification systems is always, in addition to clinical relevance, the safe and equal understanding of the individual types and degrees by the radiologist and the referring colleague.