MSK Radiographs Flashcards
Demographics
Name, DOB, hospital number, age, sex
Previous films
Other orientations (AP and another view eg. Lateral)
Radiograph detail
Date
Type
Area of body eg. RHS/LHS
Adequacy (above and below joint, rotation, penetration)
Interpretation mnemonic
ABCS
Briefly mention any abnormalities first
Alignment
Joints and bones- look for dislocation or subluxation
Bones
Cortex- trace around cortex to look for fractures
Bone fragments
Texture of bone between the cortex eg. evidence of lysis
Cartilage
Joint spaces
Disruption of joint contours
Signs of OA/RA/psoriatic/gout etc.
Soft tissues
Disruption
Swelling
Foreign bodies or calcification
To complete
Examine other films and take a history
Fracture description system
SOD
Site
Which bone
Intra or extraarticular fracture
Position eg. Proximal/middle/distal third
Obliquity
Completeness (complete or incomplete fracture)
Type of fracture (ie. spiral, comminuted etc.)
Skin penetration
Displacement
This is displacement of the distal fragment to the body
Anterior/posterior
Angulation- change in bone axis, ie. Dorsal/palmar, varus/valgus, radial/ulnar
Translation- have fractured bones moved away from one another
Glossary of terms
Impacted- ends of fracture are compressed together
Comminuted- more than 2 detached bone fragments
Stable- likely to stay in sound position during healing
Unstable- likely to change position
Osteoarthritis
LOSS
Loss of joint space
Osteophytes
Subchondral cysts
Subchondral sclerosis
Rheumatoid arthritis
Loss of joint space
Periarticular osteopenia
Juxtarticular erosions
Soft tissue swelling