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29 Cards in this Set

  • Front
  • Back

When do we use musculoskeletal imagng

Lameness


Pain


Swelling


Localise masses


Known trauma


Screening - prepurchase

What does orthogonal mean

At right angles to

What are physis

Growth plates, open in young animal and evidence of physial scar remains upon closure

What soft tissue changes can we pick up on x ray

Swellings


Masses


Joint effusions


Calcified soft tissue


Wounds

What are bony changes

Response to bone insult


New bone, osteoscletosis, osteolysis, osteopaenia, fractures

What is osteophytosis

Extension of the joint surface, abnormal bone spurs


Increases stability to unstable joint

What is enthestiophytosis

New bone formation referring to ligament attachemtns increases strength


Indicates soft tissue disease

What is periosteal reaction

New bone formation due to stimulation from periosteum that takes 7-10 days to form

What can stimulate periosteal reaction

Trauma


Chronic irritation


Infection


Neoplasm

Types of new bone formation

Smooth


Lamellar


Palisading (enclosing)


Irregular


Spicular

What is hyperostosis

Excessive growth of bone

Examples of hyperostosis

Diffuse idiopathic skeletal hyperostosis


Calvarial hyperostosis - skull

What is osteosclerosis

Increase in bonse density without the change in shape


Leads to increased opacity on a radiograph


Response to increased loading

What is wolffs law

The bone of a healthy person or animal will adapt to the loads under which it is placed

Osteopetrosis

Defective osteoclastic resoption with loss of medullary cavity

What is panosteitis

Fibrous connective tissue in medulla

What is the difference between agressive and nonagressive osteolysis

Agressive has marked periostial reaction


Long zone of transition, loss of cortex


Nonagressive has cortical expansion and thinning and is well circumscribed

What is osteopenia

Reduction in bone mineral density, reduced opacity

What can cause osteopaenia

Post operative thinning of the cortices


Disuse of limb

What causes fracture

Trauma, pathological, fatigue

How do we classify fractures

Location


Type - Transverse, oblique, spiral


Complete/incomplete


Simple, comminuted (separates compartments), segmental


Open and closed


Displaced?

How doe we assess fracture healing>

Reduction, alignment, need for implants, soft tissue effects, bone healing


Comparisons

What is radiological evidence of joint disease

Osteophytosis


Alteration in subchondral bone


Osteochondrosis (dissecans)


Altered joint space


Subluxation/luxation


Periarticular structures/bodies

What is subluxatoin

Partial dislocation of a joint

What is nuclear scintigraph

Branch of nuclear medicine allows us to image the extent of disease process based on cellular function and physiology, images are formed by gamma radiation by a gamma camera

What is technetium 99

Easy to produce radionuclide with a 6h half life


What do we use for bone scanning

Tc methylene or Tc oxidronate

Why do we use bone scanning

Localising lamenes


Show remodelling due to osteoarthritis


Septic arthritis


Osteomyelitis - bone infection


Stress fracture


Metastatic bone lesions

What are the other uses of scintigraphy

Thyroid


Parathyroid


Portosystemic shunt


GI haemorrhage