ortho home unit limb cases 1

Ortho Home Unit Limbs 1: Fractures

RAH Radiology

Review: Limb x-ray interpretation

Follow the smooth cortical lines -Jagged or angular lines are pathological.

Soft tissue signs may help -Joint effusions, soft tissue swelling.

Describe the important features -Displacement, multi-part, joint involvement, blood supply, open.

Need for further imaging -orthogonal view, CT, MRI etc.

Diagnosis: Right femoral shaft fracture, half bone width medial displacement.

Diagnosis: Right femoral shaft fracture, full bone width posterior displacement.

Diagnosis: Multipart mid-shaft of clavicle fracture. Minimal displacement.

Diagnosis: One bone width posterior displacement.

Diagnosis: Distal radius fracture with proximal displacement / impaction.

Diagnosis: Half a bone width palmar displacement. Intra-articular.

Diagnosis: Glenohumeral dislocation. Look for fractures after reduction.

Diagnosis: Open fracture distal phalanx of thumb.

Diagnosis: Spiral fracture proximal femur. One cortical width medial displacement.

Diagnosis: Intra-articular distal tibial fracture. Needs a CT.

Diagnosis: Intra-articular distal tibial fracture. Impacted articular surface.

Diagnosis: Intra-capsular neck of femur fracture. Sclerosis at fracture ?old ?stress

Diagnosis: Proximal tibial fracture, edge of film. Needs proximal imaging.

Diagnosis: Left pubic ramus fractures. One cortical width inferior displacement.

Diagnosis: Left iliac wing fracture through growth plate. Pubic symphysis diastasis.

Diagnosis: Pubic symphysis and right sacro-iliac joint diastasis.

Diagnosis: Extra-capsular right neck of femur fracture.

Diagnosis: Intra-capsular left neck of femur fracture.

Diagnosis: Intra-capsular left neck of femur fracture.

Diagnosis: Subtle right distal fibular tip fracture. Joint effusion.

Diagnosis: Minimally displaced right base of 5th and shaft of 4th MT fractures.