FinalQuizlet Flashcards
Infection of skin, subcutaneous fat, or CT (tendons/ligs/muscles)
cellulitis
infection of bone (marrow spaces)
osteomyelitis
infection of joint (synovial tissue or articular surfaces)
septic arthritis
Drug addicts are MORE PRONE to __ joint infections?
S (sacroiliac, sternoclavicular, symphysis pubis, spine, etc.)
The MC infectious organism
staphylococcus aureus
MC route of dissemination for an infection
hematogenous
growth plates INHIBIT only __ spread of infections?
hematogenous
MC location for an infection in the body?
KNEE
two major categories of musculoskeletal infection
- suppurative (pus) caused by staphylococcus aureus
2. non-supporative (Tb)
Which stage has s/s present for 1-10 days before it can actually be seen on a radiograph?
latent (hidden) stage
during LATE stage -chalky white area of isolated dead bone?
sequestrum
Brodie’s abscess formation:
- caused by what infection?
- localized pain that’s worse at night Pain is relieved by NSAID. Mimics what tumor?
osteomyelitis (bone marrow)
osteoid osteoma
Ddx for infection vs. tumor
infection no respect for GP or jt space
Early radiographic finding of infection at hips would be an increased __ of greater than __ mm?
teardrop distance: 11mm
___ have sacroilitis/SI joint infections MC than any other?
Intravenous drug users
MC spinal site for spinal infection
lumbar spine
t/f, plain films are NOT sensitive exams to things like tumors or infections?
TRUE
OM MRI Findings
decreased signal on T1 increasead on T2
radiographic latency period is __ days long ?
10
MC cause of infection-related death ww is (king of disease) ?
tuberculosis
Tb (nonsuppurative osteomyelitis) is aka ___?
pott’s disease
Primary Tb location
Secondary Tb MC in
lungs, spine multi level
- paraspinal cold abcessesw/Ca
- gibbus formation
- s/s include fever, chills, night sweats, weight loss
Tb
Phemister’s triad is made up of what 3 components? “phemister’s JaMS!!!!”
- juxtarticular osteoporosis
- marginal erosion
- slow joint space loss
MC location for AVN; AVN has epiphyseal predisposition especially for __
HIP, femur and humeral head
Causes of AVN? (plastic rags)
pancreatitis/pregnancy Legg-calve-perthes/Lupus Alcoholism/atherosclerosis Steroids Trauma Idiopathic/infection Caisson disease/collagen disease RA/radiation tx Amyloid Gaucher disease Sickle cell disease
4 stages of AVN?
- avascular
- revascularization
- repair
- deformity
Results from medullary bone falling away from the cortex, leaving a radiolucent line between the medullary cavity and the cortex?
Cresecent/Rim sign
AVN of a child’s femoral head
legg-calve-perthes disease
AVN in an adult femoral head
Chandler’s disease
BIG 4 radiographic signs of AVN?
- snow cap sign
- crescent/rim sign
- mushroom deformity
- hanging rope sign
-List 3 signs you’ll see on a radiograph ?
ANSWERS:
- small epiphysis
- ST swelling (inc. TDD >11mm)
- lateral displacement of ossification center
Radiographic signs of Legg-Calve-Perthes disease
adolescent males, MC knee medial femoral condyle, joint mouse rad finding
Osteochondrosis dessicans
AVN of the knee, associated with medial meniscal lesions
SONK spontaneous osteonecrosis of the knee
Fragmentation of tibial tuberosity apophysis
Osgood Schlatters
AVN of 2nd metatarsal head, females
Friebergs disease
AVN of lunate, males 20-40, ulnar variance
Keinbocks disease
AVN or normal anatomy of tarsal navicular
Koehler’s disease
- Not a necrosis
- increased kyphosis
- 5degree anterior body wedging in 3 or more contiguous vertebrae
- Schmorl’s nodes present
Scheuermann’s disease/Juvenile discogenic disease
sclerosis and fragmentation of calcaneal apophysis
Sever’s disease
Serpiginous like regions of calcification within the bone medulla
calcified medullary infarct
MC in AAs
- pain and swelling hands & feet
- salmonella OM predisposition
- infarct of bowel following obstruction of mesenteric arteries
sickle cell anemia
sickle cell anemia rad Findings
- H shaped vertebrae
- hair on end skull
- long bone underturbulation
Thalassemia has what type of trabeculation pattern ?
honeycomb
what two diseases have hair on end skull and which is MORE predominate?
Sickle Cell Anemaia and Thalassemia *more predominate
MC hemolytic anemia?
sickle cell anemia
Hemophilia two distinct radiographic features
- square femoral condyles
2. widened intercondylar notch
bony collar where pus lifts periosteum and causes new bone formation?
involucrum
ulcerative channel/sinus in bone?
cloca