Imaging Flashcards
What is a Hill Sach deformity and Bankart lesion?
Anterior dislocation of gleno-humeral joint
→ impact injury of humeral head (Hill Sach deformity) against glenoid fossa (Bankart lesion)
What does a “light bulb” sign on a shoulder Xray indicate?
Posterior dislocation of glenohumeral joint
What are 2 causes of abnormal bony protuberance?
1) Exostosis
2) Osteochondroma
What is a possible physiological cause of a line of radiolucency within a adolescent’s bone on a radiograph.
Growth plate
What is a possible of easy fractures that show abnormal radiolucency of underlying bone?
Pathological fracture with cancerous replacement of bone matrix/material
What does a “fat pad” sign (presence of radiolucent shadows anterior and posterior to humerus) on an elbow xray indicate?
Elbow joint effusion
What is a “nightstick” fracture?
Fracture to ulnar shaft
What is a “Galeazzi fracture”.
Fracture @ distal 1/3 of radius
- a/w subluxation of distal radio-ulnar joint
What is “Colle’s fracture”?
Fracture of distal radius with dorsal displacement of wrist and hand
- presents with “Dinner fork deformity” of forearm
How does a scaphoid fracture lead to avascular necrosis?
Fracture → compression of radial artery → death of bone (avascular necrosis)
- chronic pain + l.o.f
What is the most commonly torn ligament in a rotator cuff tear?
Supraspinatus
How does a torn supraspinatus tendon differ from a normal one on ultrasound?
Normal tendon → hyperechoic
Tear → Fluid → Hypoechoic
What is a “Terry Thomas” sign?
Widening of Scaphoid-Lunate gap → Scapholunate ligament injury
What is an open mouth Xray used to assess?
C1 and 2 vertebrae
What is an EOS?
Low-dose, weight bearing X-ray
- can take whole body frontal and lateral images
- less radiation than conventional xray
- can produce both 2D and 3D images
- poor demonstration of bony features
What are 4 common imaging modalities used for back pain?
1) Radiograph
- good for 1st line
2) MRI
- good for soft tissue
3) CT
- goof for bony details
4) Nuclear medicine - bone scan
- good for bone metastasis
How is a T1-weighted MRI sequence differentiated from a T2-weighted MRI sequence?
T1: fluid is dark
T2: fluid is white
What is a bone scan?
Radioisotope injected IV → tracer incorporated into bone
- hot spots → ↑bone growth/repair
- cold spots → decreased/no uptake
When is imaging indicated for a suspected cervical spine trauma?
N - Neurological deficit
S - Spinal tenderness
A - Altered mental status
I - Intoxication
D - Distracting injury
How does one discern if there is an unstable injury after a suspected cervical spine injury?
All 4 lines of the neck vertebrae are straight/smooth.
1) Anterior vertebral
2) Posterior vertebral
3) Spinolaminar
4) Posterior spinous
Which imaging modality is most suited for a suspected cervical spine trauma?
CT
What are the 3 most common fractures of the thoracolumbar spine?
1) Compression
2) Burst
3) Chance
What are 2 common degenerative conditions of the thoracolumbar spine?
1) Spondylosis
2) Disc disease
What does an uneven iliopectineal or ilioischial line on a Xray pelvis indicated?
Hip fracture (relevant medial surface)