A digital system for evaluating foot and ankle radiographs having the advantage of providing accurate measurement information based on selected landmarks on the radiograph. The system includes a computing device, a coordinate generating digitizing device operatively connected to the computing device for generating coordinate data for the selected landmarks on the radiograph, and software for converting the coordinate data into descriptive measurement information. The present invention also includes a new method of analyzing foot and ankle radiographs that includes selecting a medical condition for evaluation, selecting a radiograph of the patient for the medical condition, determining landmarks to be located on the radiograph for evaluation of the medical condition, digitizing points in the landmark as coordinate data, and converting coordinate data into clinical measurement information. Another aspect of the invention includes the steps of defining and identifying a plurality of landmarks for a particular medical condition or evaluation.