Overview
The oblique foot radiograph rotates the foot to separate metatarsal heads and reveal fracture lines. This projection improves visualization of the cuboid and navicular bones. It is routinely obtained with AP and lateral views for complete assessment.
Technique
Rotate the foot approximately 30 to 45 degrees and center the detector to the mid foot. Use tight collimation and a small focal spot for optimal detail. Immobilize the foot and ensure consistent rotation for follow up comparisons.
Clinical Indications
Oblique foot views are indicated for trauma and suspected occult fractures. They help visualize the tarsometatarsal joints and lateral column. Correlate with clinical findings and consider CT for complex injuries.
Image Assessment
Inspect cortical continuity and joint alignment and evaluate for small intra articular fragments. Assess the cuboid navicular and cuneiform bones for injury. Report findings relevant to orthopedic or podiatric management.