radiology 1st unit
TRANSCRIPT
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Radiology Unit 1
Shoulder, Elbow, Wrist, Hand,Spine
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AP View of the Shoulder Girdle
1. Clavicle
2. Acromioclavicular
joint
3. Acromion
4. Greater tubercle of
humerus5. Head of humerus
6. Lesser tubercle of
humerus
7. Surgical neck of
humerus
8. Coracoid process9. Glenoid fossa
10. Shoulder joint
11. Lateral border of
scapula
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AP Shoulder²External Rotation View
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AP Shoulder²External Rotation
View
Source: http://uwmsk.org/Rad Anat/ExtRotLabelled.html
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AP Shoulder²Internal Rotation
View(compare this to the ER View)
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AP Shoulder²Internal Rotation View(compare this to the ER View)
Source: http://uwmsk.org/Rad Anat/IntRotLabelled.html
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AP SHOULDER View ER
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AP View SHOULDER IR
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Y View
SHOULDER
The x-ray beam is
aligned with theplane of the scapula
Note the ³Y´ created
by the spine of the
scapula, coracoidprocess and body of
the scapula
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AXILLAR Y SHOULDER VIEW
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Axillary Shoulder View
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Axillary Shoulder View
Source: http://uwmsk.org/Rad Anat/ AxillaryLabelled.html
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Acromioclavicular joints
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Sternoclavicular Joints
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MRI SHOULDER
HINTS:
T1 contrasting gives better anatomical detail (highresolution) while T2 shows a better distinction betweensolid and cystic structures
Water appears bright on a T2 weighted image and darkon a T1 weighted image
Fat appears dark in a T2 weighted image and bright in a
T1 weighted image
Muscle appears gray
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CORONAL Shoulder MRI T1
Acromion
Supraspinatus
Glenoid
Trapezius
Teres Major
Latissimus Dorsi
Deltoid
Subscapularis
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SAGITTAL SECTION Shoulder MRI T1
Acromion
SupraspinatusM
&T
Infraspinatus M & T
Teres Minor M & T
Deltoid
Subscapularis M & T
Deltoid
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AXIAL Shoulder T2 MRI w/ Arthrogram
Identify the following:
Deltoid Muscle
Coracoid process
Glenoid fossa
Spine of scapula
Subscapularis
Arthrogram: injection of radiologically opaque dye into the joint (the joint is bright white in this MRI)
long head of
biceps tendon
Clavicle
Glenoid labrum
ANTERIOR
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R ADIOLOGY OF THE ELBOW
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A/P View ELBOW
Source: http://uwmsk.org/Rad Anat/Elbow.html
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Lateral View Elbow
Source: http://uwmsk.org/Rad Anat/Elbow.html
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AP VIEW LATERAL VIEW
Identify the following:
1. humerus
2. medial epicondyle ( AP view)
3. lateral epicondyle ( AP view)
4. head of radius5. capitulum
6. coronoid process
7. trochlea / trochlear notch
8. olecranon (lateral view)
9. radial tuberosity
10. distal radius / styloid process11. head of ulna / styloid process
FOREARM
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THE FORE ARM (Lateral View)
Source: http://uwmsk.org/Rad Anat/Elbow.html
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THE FORE ARM ( AP View)
Source: http://uwmsk.org/Rad Anat/Elbow.html
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RADIOLOG Y OF THE WRIST &
HAND
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PA HAND
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PA OBLIQUE
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Lateral View of the Wrist
Source: http://uwmsk.org/Rad Anat/Elbow.html
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SCAPHOID VIEW (the wrist is positioned in ulnar deviation)
Identify all the
carpal bones
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5th Metacarpal
Hamate
Triquetrium
Lunate
Ulna:
Radius
Scaphoid
Trapezium
Trapezoid
1st Metacarpal
Capitate
CORONAL WRIST MRI T2
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CORONAL WRIST MRI T2
Identify the following:
1. ulna
2. radius
3. scaphoid
4. lunate
5. triquetrum
6. trapezium
7. trapezoid
8. capitate
9. hamate
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CORONAL SECTION (SUPERFICIAL TO PREVIOUS IMAGE)
Identify the following:
1. head of ulna
2. distal radius
3. scaphoid4. lunate
5. triquetrum
6. trapezium
7. trapezoid
8. capitate
9. hamate10. base of first metacarpal bone
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CORONAL WRIST MRI T2
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CORONAL WRIST MRI T2 (more superficial than the previous image)
Lunate
Pisiform
Scaphoid
Trapezium
Capitate
Hamulus of the
Hamate
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RADIOLOG Y OF THE SPINE
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PA VIEW LUMBOSACRAL
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AP View: Lumbar Spine
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LATERAL VIEW LUMBAR
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Sacral hiatus
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CT AXIAL VIEW: LUMBAR SPINE
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MRI LUMBAR T1 WEIGHTED ,T2
WEIGHTED SAGITTAL VIEW
T2 WEIGHTEDT1 WEIGHTED
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MRI SAGITTAL, T1, T2 THORACO-LUMBAR
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CT AXIAL THORACIC
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EXAMPLES OF CT SCAN AXIAL IMAGES T12- SACRUM
T12
S1