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14 Cards in this Set

  • Front
  • Back

How to evaluate elbow xray

Fat pads


Anterior humeral line intersects medial 1/3 capitellum


Radiographic teardrop on lateral view


Radial shaft intersects medial capitellum


CRITOL (1-3-5-7-9-11)

Approach to evaluating carpal bones

Alignment


- 3 carpal arches


- 4 c's of lunate articulations on lateral


- scapholunate angle (30-60)


- signs of scapholunate disruption (signet ring and terry thomas)


Bones


Cartilage


- Intercarpal spaces


Soft tissue


- pronator quadratus stripe displacement

Four stages of perilunate injury

(1) scapholunate dissociation/fracture


(2) perilunate dissociation


(3) peirlunate with triquetral injury


(4) Lunate dislocation

Shoulder dislocation not to reduce in ER on your own

Humeral fracture with humeral head dislocation

Interpreting mortise views

Uniform mortise joint space


Tibifibular joint space only slightly wider than mortise joint space (<5.5mm)


Tibiofibular overlap >1 mm

Evaluating syndesmosis on AP views of the ankle


Fibular clear space less than 5mm


Tubular fibular overlap > 10 mm

Evaluating for Tibial Plateau Fractures

Increased trabecular density on lateral tibial plateau



Displacement of the tibial plateau relative to the femoral condlye



Effusion



Lipohemarthrosis

Radiographic signs of a non-displaced femoral neck fracture

(1) Discontinuity/angulation of cortical bone


(2) Disruption of the normal cortical bone


(3) Altered bone density along the fracture line


(4) Foreshortening of the femoral neck due to impaction


(5) Abnormal angle between femoral neck and head

Classification of proximal femoral fractures

(1) Intracapsular


- Subcapital


- Trasncervical


- Basicervical



(2) Extracpsular


-Intertrochanteric


- Subtrochanteric

Radiographic teardrop on pelvic films

Illioischial line


Acetabular articular surface


Radiographic U = inferior lip of the anterior articular surface of the acetabulum

Anterior column of acetabulum

Anterior portion of acetabulum to the superior pubic ramus



Illipobuc line radiographically

Posterior column of acetabulum

Posterior portion of acetabulum to ischial ramus



Illioischial line

Knee Xray alignment

Line drawn at lateral margin of femur should have no more than 5mm of tibia outside of it



Length from tibial tubercle to inferior pole of patella should approximate the length of the patella

Midfoot alignment

On an AP view the medial margin of the 2nd MT is in line with the medial margin of the intermediate cuneiform



On an oblique view the medial margin of the 3rd MT is in line with the medial margin of the later cuneiform