Ankle X-ray
Quick answer: An ankle X-ray takes pictures of the ankle bones and joint to show fractures, dislocations and joint changes. Doctors usually order it after an ankle twist or injury, or for ongoing ankle pain or swelling.
- SampleImaging (no sample)
- TakesAbout 10 minutes
- Before the testNo special preparation is usually needed, but remove metal items from the area and tell staff if you might be pregnant.
How the test is done
- 1You take off your shoe, sock and any anklet
- 2You sit or lie on the table with your leg straight and foot resting on the plate
- 3Your foot is turned slightly inwards for one view, and on its side for another
- 4You keep the ankle still for a moment while each picture is taken
What your results can mean
Reading your report
A radiologist reports on the images, and your doctor will explain what the findings mean for you.
If the result is outside the usual range
The X-ray can show a broken bone, a joint that has slipped out of place, small bone chips, or wear and arthritis in the joint. Ligament sprains do not show directly, so a normal X-ray does not rule out a sprain.
Who usually has this test
People who have twisted or injured an ankle and cannot put weight on it, or who have ongoing ankle pain or swelling.
Risks and aftercare
Moving a sore ankle into position can hurt for a moment, but the X-ray itself is not felt; the dose is low, and tell staff if you might be pregnant.
Names and options
Also called: X-ray ankle, ankle joint X-ray
Options
- Front view (AP)
- Side view (lateral)
- Front and side views (AP and lateral)
- Front and side views, both sides
- Ankle with foot, front view (AP)
Listed by the hospital as
- ANKLE WITH FOOT AP DIGITAL X-RAY
- ANKLE AP DIGITAL X-RAY
- ANKLE AP, LAT (BOTH) DIGITAL X-RAY
- ANKLE AP, LAT DIGITAL X-RAY
- ANKLE LAT DIGITAL X-RAY
Questions about this test
Do I need an X-ray for a twisted ankle?
Not always. Doctors usually advise an X-ray when you cannot take a few steps, or when there is tenderness over particular parts of the ankle bones, as these suggest a possible fracture.
Can an ankle X-ray show a ligament tear?
No, ligaments are soft tissue and do not show on X-ray. If a ligament injury is suspected, your doctor may suggest an ultrasound or MRI.
Why are several views of the ankle taken?
A thin crack can be hidden in one direction and only seen from another angle. Front, side and slightly turned views together give a fuller picture of the joint.
Related tests
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This page explains each test in general terms so you know what to expect. It is not medical advice: your doctor decides which tests you need and what your results mean. Reference ranges differ between laboratories. Updated 4 November 2026.