Investigation Flashcards
things to consider before imagine bone?
flat/long?
diaphysis/metaphysis/ epiphysis?
medulla/cortex / trabecular?
diffuse/local?
diffuse bone disease?
brittle bones- osteoporosis
soft bones- rickets/ osteomalacia, paget’s
local bone disease?
trauma, neoplastic, inflammatory, degenerative
a bone scan is…
a map of osteoblastic activity
3 spinal deviations from normal?
lordosis- cervical deviation
kyphosis- thoracic deviation
lordosis- lumbar deviation
a normal vertebrae (C3-L5) is made up of?
vertebral body with posterior arch (have 2 pedicles), laminae, 1 spinous process and 2 transverses processes
neural foramen
facet joints superiorly and inferiorly
what are 2 abnormal vertebrae?
C1 and C2
how does C1 differ from the normal vertebra?
has no vertebral body- only anterior and posterior arches
how does C2 differ from the normal vertebra?
has an odontoid process that projects superiorly into C1
what mode of imaging is used for fractures?
CT
what mode of imaging is used for ligamental damage?
MRI- ligament damage appears light
what is a diagnostic MRI findings to indicate spinal ligament damage?
abnormal vertebral alignment
explain the use of different imaging techniques for the identification of bone tumours?
Xray & CT: shows bone sclerosis
MRI: shows bone marrow infiltration, extradural mass and spinal cord compression
what are intra-vertebral discs?
they cushion the vertebras
what imaging is used for IV disc disease e.g. disc prolapse or herniation?
MRI- disc prolapses