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MRI of the left knee
4%
21/591
Arterial duplex of the left leg
2%
9/591
CT scan of the left ankle
93%
547/591
CT scan of the chest, abdomen, and pelvis
1%
3/591
CT scan of the cervical, thoracic, and lumbar spine
7/591
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Spiral distal tibia fractures are frequently associated with intra-articular fracture extension, usually involving the posterior malleolus. This may or may not be visible on the radiographs. A CT scan of the ankle is recommended to identify this associated injury. This is especially important when considering intramedullary nail fixation of the distal tibia fracture because a previously nondisplaced intra-articular fracture may become displaced as the nail is inserted to its final depth. Anteroposterior screw fixation prior to nailing may be useful in these cases. With the patient's history, there is no indication of thoracic, abdominal, pelvic, or spinal trauma. There are no signs of vascular injury and preoperative MRI is not indicated.
3.6
(11)
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