Chiro Essentials- Radiological Summary Findings (2 of 2) Flashcards
Dystrophic calcification in muscle; brachilais, quadriceps, thigh adductors
Myositis ossificans
Solitary oval radiolucent defect; thin cortex, bunch of grapes appearance
Non-ossifying fibroma
Subluxation of the proximal radio-ulnar joint in a child, soft tissue swelling
Nursemaid’s elbow
Anteiror surface irregularities of the tibial tuberosity in teens, soft tissue swelling
Osgood Schlatter’s
Triangular sclerosis of the lower ilium near sacroiliac joint, bilateral symmetric
Osteitis condensans Ilii
Joint space narrowing, subchondral sclerosis (eburnation), osteophytes
Osteoarthritis
Multiple small rounded radiopacities in the ends of long bones (normal variant)
Osteopoikilosis
Eccentric, lytic lesion in the metaphysis or diaphysis or in the neural arch
Osteoblastoma
AVN, medial femoral epicondyle, ankle, hip and elbow, arc-like left fragment
Osteochondritis dessicans
Broad-based bone outgrowth-cauliflower (mushroom-like) or coat-hanger look
Osteochondroma
Metaphyseal fractures at different healing stages, pencil-thin cortices
Osteogenesis imperfecta
Lucent lesion
Osteoid osteoma
Dense sclerotic well-circumscribed lesion rarely > 2 cm, in the skull or sinuses
Osteoma
Pseudofractures in long bones, decreased bone density, coarsened trabeculae
Osteomalacia
Soft tissue swelling, periosteal elevation, Brodie’s abscess, invoucrum
Osteomyelitis
General demineralization, thin cortex, few but coarsened trabeculae
Osteoporosis
Blastic metaphyseal permeative lesion, Codman triangle, sunburst appearance
Osteosarcoma
Cotton wool skull, mixed blastic/lytic lesions, pelvic brim and candle flame sign
Paget’s disease
Ossification of the medial knee collateral ligament, traumatic
Pelligrini-Stieda disease
AVN, sclerosis and fragmentation of the proximal pole of the scaphoid
Preiser
Cup and pencil deformity of DIP joints, mouse ears, sausage digits
Psoriatic arthritis
Soft tissue swelling, intra-articular erosions, ulnar deviation of MCP joints
Rheumatoid Arthritis
Widened growth (plate) metaphyseal cupping, pain brush appearance in a child
Rickets
Anterior wedging, schmorl’s nodes, decreased disc height in 3+ ventricles
Scheuermann’s
Ice cream sliding off the cone sign, disrupted Klein’s line and Shenton’s line
SCFE
Soft tissue retraction, calcinosis cutis and acro-osteolysis
Scleroderma
Frankl’s line, Pelken’s spur and Wimberger’s ring
Scurvy
AVN, fragmented irregular sclerosis of the calcaneal apophysis
Sever
Hair-on-end Skull, undertubulation of long bones, cod-fish vertebrae
Sickle Cell Disease
Slippage of one vertebra on the other, most common at L5/S1, pars fracture
Spondylolisthesis
Expansile geographic defect in proximal humerus or femur, fallen fragment sign
Simple bone cyst
Small elevated scapula, omovertebral bone (30%) and Klippel Feil syndrome
Sprengel’s Deformity
Soft tissue swelling, perarticular osteoporosis, reducible ulnar deviation
SLE
Apical cavitation, unilateral or bilateral hilar lymphadenopahty, tracheal shift
Tuberculosis