Right knee and ankle pain after being struck by a car 3 views of the right ankle show no acute fracture. There is mild deformity of the distal tibia as well as an ossicle dorsal to the talonavicular joint which may represent sequelae of old trauma. There is mild osteoarthritis of the tibiotalar and talonavicular joints.4 nonweightbearing views of the right knee show no acute fracture. Mild osteoarthritis affects the knee. The distal quadriceps tendon appears slightly thickened with a small focus of intrasubstance ossification as well as prominent enthesophyte along the superior aspect of the patella. These findings suggest chronic tendinosis. If there is high clinical concern for an acute quadriceps injury MRI can be considered.
Ankle: Osteoarthritis of the ankle and findings suggestive of old trauma without acute fracture.Knee: Mild osteoarthritis and quadriceps tendinopathy without evidence of acute fracture. If there is clinical concern for acute quadriceps injury MRI can be considered.