Lines Xray Flashcards
Basilar angle
Platybasia, basilar impression
McGregors line
> 8 males, >10 females, basilar impression
Chamberlain
Basilar impression
Macrae
Basilar impression
ADI
> 3mm adults, 5mm children, transverse lig rupture or instability due to trauma, downs, inflam arthritis
George’s
Discontinuation means anterolisthesis or retrolisthesis
Posterior cervical line, aka spinolaminar junction line
Antero/retrolisthesis
Stress lines cervical
Flx intersects c5/6
Ext intersects c4/5
Prevertebral soft tissue
Soft tissue mass:
Retropharyngeal: >7
Retrolaryngeal: >14
Retrotracheal: >22
Cobbs
Best for scoliosis
Risser-ferguson
Scoliosis, not as good as Cobb
Sacral inclination
Normal 30-72°
Average 46°
Lumbosacral angle
Normal 26-57°
Average 41°
Myerdings
Determines degree of anterolysthesis in a spondy
Ullman
L5 beyond perp line means spondy
Eisenstein , Sagittal canal
<15 mm means spinal canal stenosis
Canal body ratio
The higher the ratio the smaller the canal, stenosis
Lumbosacral disc angle
10-15° normal
Lumbar gravity line
Ant to sacrum is hyperlordosis
Post to sacrum is hypolordosis
Macnab
If one intersects the SAF of the vert below, ext malposition or facet imbrication
Hadley s curve
If interrupted facet imbrication
Kohler
Protrusion acetabuli
Shenton
If interrupted: dislocation, neck fracture, slipped cap fem epiph
Iliofemoral line
Bilateral asym: SFCE, disloc, frx, dysplasia
Femoral angle
<120 coxa Vera
>130 coxa valga
Skinner line
If fovea capitus falls below line, frx or coxa vara
Klein
Failure of fem head to intersect is SCFE
Patellar position
Patellar tendon and patella should be similar in length, or else patella alta
Heel pad measurement
> 25mm male or >23 female, acromegaly
Boehler angle
<28° calcaneal frx or dysplastic calcaneus