Imaging Flashcards

1
Q

What is a Hill Sach deformity and Bankart lesion?

A

Anterior dislocation of gleno-humeral joint
→ impact injury of humeral head (Hill Sach deformity) against glenoid fossa (Bankart lesion)

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2
Q

What does a “light bulb” sign on a shoulder Xray indicate?

A

Posterior dislocation of glenohumeral joint

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3
Q

What are 2 causes of abnormal bony protuberance?

A

1) Exostosis
2) Osteochondroma

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4
Q

What is a possible physiological cause of a line of radiolucency within a adolescent’s bone on a radiograph.

A

Growth plate

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5
Q

What is a possible of easy fractures that show abnormal radiolucency of underlying bone?

A

Pathological fracture with cancerous replacement of bone matrix/material

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6
Q

What does a “fat pad” sign (presence of radiolucent shadows anterior and posterior to humerus) on an elbow xray indicate?

A

Elbow joint effusion

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7
Q

What is a “nightstick” fracture?

A

Fracture to ulnar shaft

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8
Q

What is a “Galeazzi fracture”.

A

Fracture @ distal 1/3 of radius
- a/w subluxation of distal radio-ulnar joint

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9
Q

What is “Colle’s fracture”?

A

Fracture of distal radius with dorsal displacement of wrist and hand
- presents with “Dinner fork deformity” of forearm

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10
Q

How does a scaphoid fracture lead to avascular necrosis?

A

Fracture → compression of radial artery → death of bone (avascular necrosis)
- chronic pain + l.o.f

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11
Q

What is the most commonly torn ligament in a rotator cuff tear?

A

Supraspinatus

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12
Q

How does a torn supraspinatus tendon differ from a normal one on ultrasound?

A

Normal tendon → hyperechoic

Tear → Fluid → Hypoechoic

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13
Q

What is a “Terry Thomas” sign?

A

Widening of Scaphoid-Lunate gap → Scapholunate ligament injury

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14
Q

What is an open mouth Xray used to assess?

A

C1 and 2 vertebrae

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15
Q

What is an EOS?

A

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

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16
Q

What are 4 common imaging modalities used for back pain?

A

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

17
Q

How is a T1-weighted MRI sequence differentiated from a T2-weighted MRI sequence?

A

T1: fluid is dark
T2: fluid is white

18
Q

What is a bone scan?

A

Radioisotope injected IV → tracer incorporated into bone

  • hot spots → ↑bone growth/repair
  • cold spots → decreased/no uptake
19
Q

When is imaging indicated for a suspected cervical spine trauma?

A

N - Neurological deficit
S - Spinal tenderness
A - Altered mental status
I - Intoxication
D - Distracting injury

20
Q

How does one discern if there is an unstable injury after a suspected cervical spine injury?

A

All 4 lines of the neck vertebrae are straight/smooth.

1) Anterior vertebral
2) Posterior vertebral
3) Spinolaminar
4) Posterior spinous

21
Q

Which imaging modality is most suited for a suspected cervical spine trauma?

22
Q

What are the 3 most common fractures of the thoracolumbar spine?

A

1) Compression
2) Burst
3) Chance

23
Q

What are 2 common degenerative conditions of the thoracolumbar spine?

A

1) Spondylosis
2) Disc disease

24
Q

What does an uneven iliopectineal or ilioischial line on a Xray pelvis indicated?

A

Hip fracture (relevant medial surface)

25
What is an "open book" fracture?
pelvic fracture is a specific type of open pelvic fracture where a person has: pelvic bones broken into two or more separate pieces.
26
What are the muscles visibile at the level of the anterior superior iliac spine?
Gluteal: 1) Gluteus maximus 2) Gluteus medius 3) Gluteus minimus Pelvic: 4) Iliacus 5) Psoas 6) Iliopsoas
27
Where is the highest level at which the 3 thigh compartments can be seen?
Hip joint at greater trochanter
28
What are the muscles visible at the level of the lesser trochanter?
Medial compartment: 1-3) Adductor group (longus, brevis, magnus 4) Gracilis 5) Obturator externus 6) Pectineus
29
What are the the muscles are visible at the level of the proximal femur?
Posterior compartment (Hamstrings): 1) Semimembranosus 2) Semitendinosus 3) Biceps femoris Anterior compartment: 4) Iliopsoas 5) Tensor fascia lata 6) Sartorius 7) Quadriceps femoris Medial compartment: 8-10) Adductor group (longus, brevis, magnus) 11) Gracilis 12) Obturator externus 13) Pectineus
30
What are the arrangements of the muscles of the knee from medial to lateral?
1) Sartorius tendon 2) Gracilis tendon 3) Semimembranosus 4) Semitendinosus tendon 5) Gastrocnemius (Medial then lateral) 6) Biceps femoris
31
What are the structures at the level of the ankle?
Anterior group: 1) Tibialis anterior 2) Extensor Hallucis Longus 3) Dorsalis pedis Artery 4) Deep peroneal nerve 5) Extensor Digitorum longus Posterior group: 6) Tibialis posterior 7) Flexor digitorum longus 8) Posterior tibial artery 9) Flexor Hallucis Longus
32
What are 4 imaging modalities that are used to visualise the lower limb arteries and veins?
1) US 2) CT angiogram 3) MR angiogram 4) Formal angiogram (invasive and allows intervention)
33
The sciatic nerve divides into the __________ at the ______________.
Common peroneal and tibial nerve at popliteal fossa
34
What are 2 imaging methods used to visualise the lower limb lymphatics?
1) PET 2) CT