diagnostic images Flashcards

1
Q
A

os trigonum /nutcracker

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2
Q

when does the secondary center appear in the calcaneus

A

6-8 years old

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3
Q
A

MT4, MT 5, calcaneus, lateral cuneiform, navicular

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4
Q
A

accesory navicular, os tibiale externum

MC, N, Talus _ top bottom - calcaneus and cuboid

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5
Q
A

bipartite medial cuneiform, posterior is navicular, ant MT1

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6
Q

when does the cuboid ossify

A

birth- 6 months

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7
Q

When does the navicular ossify

A

3 years, last tarsal to ossify

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8
Q

When do the lateral, medial, and intm cuneiforms ossify?

A

Lateral- 1 medial- 2 intm-3 1,2,3, look mom, upside down !

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9
Q

By what time are all the epiphyses present for the metatarsals?

A

3-4 years

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10
Q

What age does fusion of the shaft of metatarsals occur

A

age 17-20 yrs old

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11
Q
A

first proximal phalanx, medial and lateral sesamoids of flexor hallucis brevis

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12
Q

when do these sesamoids ossify

A

lateral and medial sesamoid of FHB 10-12 years old

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13
Q

This sesamoid bone is embedded in what tendon?

A

Fibularis longus Os peroneum sesamoid, on the cuboid bone

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14
Q
A

medial and intermediate cuneiforms on the left , Navicular on the right ON THE DORSUM OF THE FOOT, between the MC and IC in front of navicular Os intercuneiforme

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15
Q
A

os intermetatarsal surrounded by MT1, MT2, and MC DORSUM OF THE FOOT

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16
Q

What accessory bone is on the dorsum of the foot and found at the junction of all four tarsals?

A

Secondary calcaneus/ Os calcaneus secondarius Lies just anterior to the sustentaculum tali

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17
Q

What accessory bone is on the lateral side of the foot

A

Os vesalianum

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18
Q

What accessory bone is on the Medial side of the foot

A

Os Sustentaculi- located on the posterior aspect of the sustentaculum tali

19
Q

What is the likely age of this person, What is missing, what is present?

A

Missing- distal epiphysis for fibula 9-22 months, talus-6 months, cuboid- birth-6months, lateral cuneiform -1year

NO MC 2 yrs, IC 3 yrs, or navicular, NO secondary centers in forefoot (2-8yrs)

1 year

20
Q

What is the age of this patient? What do they have?

A

Calcaneus = 3-5 miu

Talus = 6 miu

Cuboid = birth-6 m

Formation of Intermediate Cuneiform = 3 yrs (also see navicular forming)

MT 1 base = 3 yrs (heads of lateral MTs appear btw 3 & 4 yrs)

2nd MP base = 2-8 yrs (same time as all other phalangeal bases) AGE- 3 years

21
Q

what is the age of this patient

A

Are the distal epiphyses of the fibula and tibia present? By 22 months

Are all tarsals present? By 3 yrs

Are all epiphyses of MTs present? By 4 years

Are all epiphyses of the phalanges present? By 8 years

What evidence is present or not present that indicates the patient is younger than 8 yrs old?

What second center of ossification appears by 8 years?

Calcaneal tuberosity (6-8 yrs).

22
Q
A
  1. patella 2 . medial femoral condyles 3. tibia 4. quadriceps tendon 5. infrapatella fat pad 6. gastrocnemius 7. popliteus
23
Q
A

Q - adductor magnus tendon B - sartorius F - gracilis, L- semitendinosous J- Semimembranosus S- tibial nerve, R- Common fibular nerve O- popliteal artery P- popliteal vein

24
Q
A

O- popliteal artery P- popliteal vein F- gracilis L- semitendinosus J- semimembranosus S- tibial nerve R- common fibular nerve

25
Q
A

F- popliteus A- medial head of gastroc B- lateral head of gastroc G- soleus

26
Q
A

Right leg

27
Q
A

C- Tibialis anterior D- Extensor Digitorum longus

28
Q
A

C- Tibialis anterior D- Extensor Digitorum longus J- Ant tibial vessels and deep fibular nerve, 0- extensor hallucis longus

29
Q
A

R- medial malleolus C- tibialis anterior O-Extensor Hallucis longus D- Extensor Digitorum longus and fibularis tertius

30
Q
A
31
Q
A
32
Q
A
33
Q
A
34
Q
A
35
Q
A

c tibialis anterior D extensor digitorum longus E - fibularis longus

36
Q
A
37
Q
A
38
Q
A
39
Q
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40
Q
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41
Q
A
42
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43
Q
A
44
Q
A

1st and 2nd dorsal interossei