interpretation of musculoskeletal x-ray
TRANSCRIPT
INTERPRETATION OF
MUSCULOSKELETAL X- RAYS
Jayatheeswaran. Vijayakumar
SKELETAL CONDITION Fractures Osteomyelitis Structural anomalies Degenerative joint conditions
RULE OF TWO Two views - AP and Lateral Two joints – joint above and below
Two occasions – repeat x- rays Two limbs – Compare
Patient details Date of exam. Side – Rt./Lt. – Marker Exposure Whole area covered – Joint above and below Two views Abnormalities
Bone
Joint
Soft tissue
RegularityCortex intactFractures – location, pattern, deformity.DensityJoint congruencyFracture extends into jointDamage/ DegenerationBreak in integrityAirForeign bodySwelling
DESCRIPTION OF FRACTURE
BONE AND JOINT ALIGNMENT
JOINT SPACE
BONE TEXTURE
SOFT TISSUE ANOMALY
BONE ANATOMY
JOINT ANATOMY
CORTICAL OUTLINE
TWO VIEWS
COMPARE NORMAL
LOOK FOR UNEXPECTED
ARTEFACTS
TRANSVERSE FRACTURE
OBLIQUE
SPIRAL
SAGITTAL
COMPARE WITH OLD X- RAYS
MULTIDIRECTIONAL
COMMINUTED
BUTTERFLY FRAGMENT
SEGMENTAL
SHORTENING
ANGULATION AND ROTATION
DISTRACTION AND IMPACTION
PATHOLOGICAL FRACTURE - OSTEOPOROSIS
PATHOLOGICAL FRACTURE – MULTIPLE MYELOMA
MOTH EATEN APPEARANCE
PATHOLOGICAL FRACTURE – BENIGN LESION
GEOGRAPHICAL MARGIN
AVULSION FARCTURE
STRESS FRACTURE
PERIPROSTHETIC FRACTURE
FRACTURE MIMICS
FRACTURE MIMICS
FRACTURE MIMICS
FRACTURE MIMICS- VASCULAR MARKINGS
FRACTURE MIMICS
FOREIGN BODY
NEEDLE
NEEDLE
CLAVICLE
ACROMIOCLAVICULAR JOINT
SHOULDER - NORMAL
SHOULDER – ANTERIOR DISLOCATION
SHOULDER – POSTERIOR DISLOCATION BULB
SIGN
SCAPULA - NORMAL
SCAPULA - FRACTURE
HUMERUS FRACTURE
ELBOW - NORMAL (10 YEAR OLD)
ELBOW - NORMAL (LATERAL)
ELBOW - SUBTLE FRACTURE
ELBOW – SUPRACONDYLAR FRACTURE
ELBOW - DISLOCATION
WRIST – COLLE’S FRACTURE
WRIST – SMITH’S FRACTURE
WRIST – COMMINUTED FRACTURE
MONTEGGIA FRACTURE
GREENSTICK FRACTURE
TORUS FRACTURE
WRIST - NORMAL
SCAPHOID FRACTURE
TRAPEZIUM FRACTURE
WRIST NORMAL VIEW
SCAPHOLUNATE DISSOCIATION
WRIST DISLOCATION
CERVICAL SPINE – LATERAL VIEW
CERVICAL SPINE – LATERAL VIEW
CERVICAL SPINE – LATERAL VIEW
CERVICAL SPINE – AP VIEW
CERVICAL SPINE – OPEN MOUTH VIEW
CERVICAL SPINE – OPEN MOUTH VIEW ( ROTATED VIEW)
CERVICAL SPINE – SWIMMER’SVIEW
C1 FRACTURE
C2 – ODONTOID FRACTURE
C2 – ODONTOID FRACTURE
C2 – HANGMAN FRACTURE
C2 - TEARDROP FRACTURE
C2 - TEARDROP FRACTURE
CERVICAL SPINE – FACET DISLOCATION (LATERAL VIEW)
CERVICAL SPINE – FACET DISLOCATION (AP VIEW)
CERVICAL SPINE – PREVERTEBRAL SPACE
CERVICAL SPINE – SPINOUS FRACTURE
THORACIC SPINE - NORMAL
THORACIC SPINE - NORMAL
THORACIC SPINE - NORMAL
LUMBAR SPINE – NORMAL VIEW
LUMBAR SPINE – NORMAL VIEW
LUMBAR SPINE – NORMAL VIEW
LUMBAR SPINE – NORMAL VIEW
LUMBAR SPINE – THREE COLOUMN
LUMBAR SPINE – THREE COLOUMN
LUMBAR SPINE – COMPRESSION FRACTURE
LUMBAR SPINE – COMPRESSION FRACTURE
LUMBAR SPINE – BURST FRACTURE
LUMBAR SPINE – BURST FRACTURE
LUMBAR SPINE – CHANCE’S FRACTURE
LUMBAR SPINE – CHANCE’S FRACTURE
OSTEOPOROTIC FRACTURE
OSTEOPOROTIC FRACTURE
FRACTURE TRANSVERSE FRACTURE
SPINOUS PROCESS FRACTURE
PELVIS X-RAY - NORMAL
PELVIS X-RAY – PUBIC RAMUS FRACTURE
PELVIS X-RAY – ACETABULAR FRACTURE
PELVIS X-RAY - DIASTASIS
PELVIS X-RAY – ASIS AVULSION
SACRUM- NORMAL
SACRAL FRACTURE
HIP - NORMAL
HIP - NORMAL
HIP - NORMAL
HIP – INTRACAPSULAR FRACTURE
HIP – INTERTROCHANTER FRACTURE
HIP – SUBTROCHANTER FRACTURE
HIP - DISLOCATION
FEMUR FRACTURE
PATHOLOGICAL FRACTURE
KNEE - NORMAL
KNEE - NORMAL
KNEE - NORMAL
FRACTURE TIBIAL PLATEAU
FRACTURE TIBIAL PLATEAU
PATELLA FRACTURE
PATELLA DISLOCATION
FABELLA
BIPARTITE PATELLA
TIBIA AND FIBULA FRACTURE
TIBIAL STRESS FRACTURE
TODDLER’S FRACTURE
ANKLE - NORMAL
ANKLE - NORMAL
ANKLE - NORMAL
LATERAL MALLEOLUS FRACTURE
BIMALLEOLAR FRACTURE
BIMALLEOLAR FRACTURE
OSTEOCHONDRAL FRACTURE
CALCANEAL FRACTURE
FOOT - NORMAL
LISFRANC FARCTURE
FRACTURE 5TH METATARSAL
OSTEOSARCOMA
ANEURYSMAL BONE CYST
OSTEOCHONDROMA
OSTEOPETROSIS
THANK YOU