EWH Eval Flashcards
general indications for CT of elbow
severe trauma
assessing fx alignment/displacement
identifying loose bodies in elbow joint
if MRI contrainidicated - identifying osteochondral lesions & other health conditions
general indications for MRI of elbow
ligament disorders
tendinopathy
muscle/myotendinous disorders
synovial disorders / sympathetic plicae
bursitis
peripheral nerve disorders
occult fx
marrow abnormalities
jt surface abnormalities/loose bodies
jt effusion/inflammatory arthropathy
infxn
neoplasm
congenital
clinical scenarios for MRI of elbow
chronic / unexplained elbow pain
acute trauma
instability
mechanical symptoms
limited / painful ROM
swelling / mass / atrophy
planned arthroscopy
residual symptoms follow Sx
chronic elbow pain
initial imaging -
x-ray
chronic elbow pain
w/ mechanical symptoms or limited ROM
suspect intra-articular abnormality
radiograph normal or nonspecific
next imaging -
MR arthrography
MRI
CT arthrography
CT
chronic elbow pain
suspect occult stress fx or other bone abnormality
radiograph normal or nonspecific
next imaging -
MRI
CT**
chronic elbow pain
suspect chronic epicondyalgia or tendon tear
radiograph normal
next imaging -
US
MRI
chronic elbow pain
suspect collateral ligament tear
radiograph normal
next imaging -
US
MR arthrography
MRI
CT arthrography
chronic elbow pain
nerve abnormality
radiography normal
next imaging -
US
MRI
indications for CT of wrist & hand
severe trauma
suspected fx w/ normal radiographs
surgical planning
osteochondral lesions
CT arthrography
indications for MRI wrist and hand
TFCC/ligament damage
occult scaphoid fx & scaphoid fx complications
osteochondral/articular cartilage abnormalities
chronic pain
distal radius fx
AVN
MR arthrography
chronic wrist pain
w/ or w/o injury
initial image -
x-ray
chronic wrist pain
radiograph normal
persistent symptoms
next study -
MRI
chronic wrist pain
radiograph normal
CTS possible
next study -
maybe US or MRI
*nerve conduction
acute hand & wrist blunt trauma
initial image -
radiograph
