Diagnostic Testing and imaging Flashcards
OA
Plain film
Diminish joint space, decreased height of articular cartilage, presence of osteophytes
RA
Plain film
Symmetrical involvement within joints
Osteoporosis
CT scan for bone density
Osteomalacia
Plain film
Bone scan
Tendonosis
Possibly MRI
Muscle strains
MRI if necessary
Myositis ossificans
Plain films
CT
MRI
Paget’s (osteitis deformans)
Plain film for bony changes
Glenohumeral subluxation and dislocation
Plain film
CT
MRI
Labral tears
MRI
Thoracic outlet syndrome
Plain film- bony anatomy
MRI- abnormal soft tissue
Electrodiagnostic- nerve dysfunction
AC and SC joint dysfunction
Plain film
Rotator cuff tendonosis
MRI but not great
Impingement syndrome
Arthrogram
MRI
Bicipital tendonosis
MRI but not great
Proximal humoral fractures
Plain film imaging
distal humeral fractures
Plain film imaging
Osteochondrosis of humeral capitellum
Plain film
UCL injury
MRI
Nerve entrapment
Electrodiagnostic test
Elbow dislocation
Plain film
Carpal tunnel syndrome
Electrodiagnostic test
de Quervain’s
MRI but not necessary
Colles’ fracture
Plain film imaging
Smith’s fracture
Plain film imaging
Scaphoid fracture
Plain film imaging
Swan neck deformity
Plain film imaging not necessary
Ape hand deformity
Electrodiagnostic testing
Mallet finger
Possibly MRI
Gamekeeper’s thumb
Possibly MRI
Boxers fracture
Plain film imaging
Avascular necrosis
Plain film
Bone scan
CT
MRI
Coxa vara and valga
Plain film
Piriformis syndrome
Possibly electrodiagnostic tests for sciatic n
Knee Ligament sprain
MRI
Difficult to visualize ACL on MRI
Meniscal injuries
MRI not always sensitive enough
Abnormal patella positions
Plain film imaging with sunrise view
Patellofemoral pain syndrome
MRI to rule out other dysfunction
Knee joint fracture
Plain film
Complex fracture: CT
Stress fracture
Plain film
Bone scan
Ankle ligament sprains
MRI if necessary
Fracture of foot and ankle
Plain film imaging
Tarsal Tunnel Syndrome
Electrodiagnostic tests
Charcot Marie Tooth
Electrodiagnostic testing
Spinal or intervertebral stenosis
Plain film
MRI
CT
Occasionally myelography
Internal disc disruption
CT discogram
MRI
Posterolateral disc bulge/ herniation
MRI
Central posterior bulge/ herniation
MRI
DJD
Plain film
Whiplash
Plain film
CT
MRI
Hypermobile spine segment
Plain film, dynamic flexion/ extension views
SI joint conditions
Plain film
possibly MRI
Bone tumors
Plain film
CT
MRI
TMJ dysfunction
Plain film
MRI
Hip dysplasia
Radio graphs infants 4-6 weeks
Ultra sound screening after 4 weeks
Transient synovitis
Ultrasonography that shows effusion causing bulging of anterior joint capsule
Legg Calvè Perthes disease
MRI showing bony crescent sign
Slipped capital femoral epiphysis
Plain film imaging shows positive displacement of upper femoral epiphysis
Osgood Schlatter Disease
Plain film demonstrate irregularities of the epiphyseal line
Sever’s disease / calcaneal apophysitis
Plain film imaging
Sinding Larsen Johannson’s disease
Plain film
Osteochondritis dissecans
Plain film
CT
Panner’s disease
Plain film
CT
Scoliosis
Plain film imaging- full length Cobb’s method
CT and MRI to rule out other dx
Arthrogryposis multiplex congenita
Plain film
Osteogenesis imperfecta
Bone scan
Plain film to show old fractures and deformities
Spondylolysis
Plain film- oblique view with Scotty dog
Spondylolysthesis
Plain film- lateral view to see slippage
DVT
Doppler US
Lymphedema
CT/ MRI for honeycomb pattern in soft tissue
Pediatric TBI
CT
MRI
EEG
MS
CT
MRI
Myelogram
EEG
Myasthenia gravis
EMG
Peripheral nerve injury
NCV- slowed or blocked
EMG- denervation, atrophy, signs of renervation
Post polio
EMG for anterior horn cell disease