Ultrasound as an aid to detect ankle and foot fractures

...when other modalities cannot provide a definitive answer

Although simple radiographs are used as a first approach in diagnosing fractures, avulsion fractures and occult fractures are easy to overlook.

Also, normal variants such as the growth plate in immature bones, accessory ossicles, secondary ossification centers, and canals or grooves for nutrient vessels are delineated as discontinuity of the bony surface and can mimic a fracture.

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