Ankle X-ray results following fall


Q: Can you please explain to me what this means on an x-ray report? The radiologist wrote "There is no fracture or dislocation. The ankle mortis is intact. There is bony enthesopathy at the Achilles insertion on the posterior calcaneus. There is mild degenerative bony spurring at the inferior tip of the lateral malleolus." I was told by the ordering doctor's office that the xray was negative, but after a few Google searches it does not seem that the xray report and a bruised/swollen/painful ankle indicate negative results so I would love some explanation.

Symptoms:  Swelling, bruising, pain...lasting longer than a week

A:   Hello
Thanks for posting your query on ATD
X ray usually show only bony counters. it may not show soft tissue,tendon or cartilage injury.
Your x ray suggestive of no evidence of fracture.
There is thickening at the insertion of achilles tendon and bony spur at lateral malleolus.
These findings can be correlated with your previous surgeries at same site.
It also denotes hardening or stiffening of joint and setting up of early osteoarthritis.
When xray is reported negative that usually means that there is no bony ailments.
But it does not always rule out possibility of soft tissue swelling or injury.
Streching exercises help to relieve the stiffness.
Applying compression stockings is also helpful.
For further management you are advised to consult your doctor

Related Q&A

Q: Hi doc , i did my first boxing class today i am a 35 years old female , fit after i finished my class i felt some pai...

Q: I fell off the bed trying to step on the night stand to hang a picture. It all happened so quickly, i fell with the ...

Q: I was playing beach soccer, and my big toe popped out of the socket. I rested for a month, then I slowly started run...

Q: Got kicked in the shin bone with studs/cleats during a soccer game and now is very painful when pressure is released ...

Q: Can my hamstring be surgically fixed. while playing soccer I ripped the insertion of my bicep Femoris from the knee.


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon