Part 8 images Flashcards
Name the fracture. Be specific. What features make you know this?
Salter Type I of the distal tibia
complete shear injury of the physis
Name the fracture. Be specific. What is the sign associated with this fracture? What are the features that make you know this fracture?
Salter Type II of the distal tibia
Thurston-Holland sign
fracture through the physis and metaphysis
Name the fracture. Be specific. What features make it so?
Salter Type III of the distal radius
fracture throught the physis and epiphysis
Name the fracture. Be specific. What features are associated with this type of fracture?
Salter Type IV of the distal tibia
fracture through the metaphysis, physis and epiphysis
Name the fracture. Be specific. How do you know it’s this fracture?
Salter Type V of the distal fibula
sclerotic band around the distal diaphysis of the fibula, compression fracture of the physis
Patient comes in with pain and they point to their AC joint. They say they were hit in the shoulder during football practice. You take this Xray. What is the diagnosis? What would you do for this patient?
Type I AC separation
Ice, sling, modify activities until pain free (7-10 days)
Diagnosis?
Type II AC separation
Diagnosis?
Type III AC separation
Diagnosis? What is the name for the deformity?
Transverse mid clavicular fracture
Overriding/bayonet deformity
Diagnosis?
Incomplete lateral clavicular fracture
Diagnosis?
FLAP fracture
Diagnosis?
Anterior shoulder dislocation
This person just had their shoulder reduced. What is the name of this deformity?
Hill Sach’s deformity
Diagnosis?
Bankart lesion
Diagnosis? What is the sign?
Posterior shoulder dislocation
Trough sign
Diagnosis? What is the sign?
posteiror shoulder dislocation
rim sign
Diagnosis? What is the sign?
Posterior shoulder dislocation
lightbulb sign
Diagnosis?
chronic rotator cuff arthropathy with shoulder impingement
Diagnosis? Where specifically do these usually occur? Why?
Rotator cuff tear
critical zone of the supraspinatus tendon, place of least vascularity
Diagnosis? What line is used to prove this? What signs are visible in this xray?
supracondylar fracture
anterior humeral line
elevated anterior fat pad, posterior fat pad
Diagnosis? What line proves this?
radial head fracture
proximal radial line
Diagnosis?
chisel fracture of the radial head
Diagnosis?
lateral condyle fracture of the humerus
Diagnosis?
posterior elbow dislocation
Diagnosis?
medial condyle fracture of the humerus
Diagnosis?
posterolateral elbow dislocation
Diagnosis?
both bones dislocation
Diagnosis? Describe the fracture
Nightstick fracture
minimally displaced oblique fracture of the distal ulnar shaft
Diagnosis? Describe the fracture.
Galeazzi’s fracture
oblique spirallike fracture of the distal radius
slight dislocation of the distal radial ulnar articulation
Diagnosis? Describe it.
Monteggia fracture
oblique fracture of the shaft of the ulna. Radial head is dislocated anteriorly
Diagnosis? Describe it.
Green stick fracture
partial disruption of the cortex with angular change of the radius and ulna (in this case, can be just one or the other)
Diagnosis? Describe it.
torus fracture
outward bulging of the cortex (subtle fracture)
Diagnosis? Describe it.
Colles’ fracture
fracture of the radius about an inch and a half above the carpals with posterior displacement of the distal fragment
Diagnosis? Describe it.
Smith’s/Reverse Colles’ fracture
fracture of the radius one and a half inches from the carpals with anterior angulation of the distal fragment
Diagnosis? Describe it.
Barton’s fracture
fracture of the posterior rim of the radius with accompanying carpal dislocation
Diagnosis? Describe it.
Hutchinson’s fracture
fracture of the radiostyloid process
Diagnosis? Be specific
scaphoid fracture at the waist
Diagnosis? Be specific.
Scaphoid fracture with avascular necrosis
Diagnosis?
Triquetral fracture
Diagnosis?
hamate fracture
Diagnosis?
Pisiform fracture
Diagnosis?
Posterior Perilunate dislocation
Diagnosis? What sign is associated with this?
lunate dislocation
pie sign
Diagnosis? What sign is associated with this?
rotatory subluxation of the scaphoid
ring sign, Terry Thomas sign
Diagnosis? Describe it.
Boxer’s fracture
fracture of the neck of the 5th metacarpal (sometimes 4th)
Diagnosis? Describe it.
Mallet finger
avulsion of the extensor tendon at its insertion on the dorsal surface of the base of the distal phalynx
Diagnosis? Describe it.
Bennett’s fracture
oblique fracture of the base of the first metacarpal associated with dorsal subluxation of the first metacarpal
Diagnosis? Describe it
Rolando’s fracture
intraarticular comminuted fracture at the base of the 1st metacarpal with radial displaement
Diagnosis? Describe it.
Gamekeeper’s thumb
partial or complete disruption of the ulnar collateral ligament of the 1st MCP articulation
Diagnosis?
dorsal dislocation of the PIP
Diagnosis?
Anterior dislocation at the PIP
Diagnosis?
posterior hip dislocation
Diagnosis?
Anterior hip dislocation
Diagnosis?
Congenital hip dysplasia
Putti’s tria: small epiphysis, shallow acetabulum, lateral displacement of the femur
Diagnosis?
subcapital fracture of the proximal femur
Diagnosis?
transcervical fracture of the proximal femur
Diagnosis?
basicervical fracture of the proximal femur
Diagnosis?
Intertrochanteric fracure of the femur
Diagnosis?
subtrochanteric fracture of the femur
Diagnosis? What is this most likely due to?
fracture of the midshaft of the femur
most likely due to abuse/trauma
Diagnosis?
supracondylar fracture of the femur
Diagnosis?
intracondylar fracture of the femur
What sign is this? What does it mean?
FBI sign
fat is separating from blood, which means there was a trauma to the area
Diagnosis? Describe what it affects in children and adults.
Avulsion fracture of the anterior tibial spine
adults usually have soft tissue injury associated with this, children are most likely to get this fracture
Diagnosis?
transvserse fracture of the patella
Diagnosis?
ACL tear
Diagnosis? What is the other thing associated with this?
ACL tear with bowing of the PCL and kissing contusions of the lateral femoral condyle and the lateral tibial plateau
Diagnosis?
PCL tear
Diagnosis?
hoizontal oblique type tear of the posteior 1/3 of the medial meniscus
Diagnosis?
LCL tear
Diagnosis?
Anterior knee dislocation
Diagnosis?
Segond’s fracture
Diagnosis?
Toddler fracture
Diagnosis? Mechanism of injury?
avulsion fracture of the medial malleolus
eversion injury
Diagnosis? Mechanism of injury?
Avulsion fracture of the lateral malleolus
Inversion injury
Diagnosis? Describe it. What is the mechanism of injury?
Maisonneuve fracture
widening of syndesmosis, spiral fracture of the proximal 1/3 of the fibula
eversion mechanism
Diagnosis?
Calcaneal fracture
Diagnosis?
Talus fracture
Diagnosis?
Achilles tendon rupture
Diagnosis? Describe it. Where is the pain sometimes located?
Jones/Dancer’s fracture
a transverse fracture at the base of the 5th metatarsal
pain can be at the ankle, so be careful
Diagnosis?
stress fracture of the second metatarso-phalangeal joint
Diagnosis?
Chopart’s dislocation
Diagnosis? Describe it. Who might it occur in?
Lisfranc dislocation
tarsometatarsal dislocation
diabetics without drauma
Diagnosis? Describe it.
Bimalleolar fracture
fracture of the medial malleolus and oblique fracture of the distal fibula
Diagnosis? Describe it.
trimalleolar fracture
fracture of the medial malleolus, oblique fracture of the fibula, fracture of the posterior malleolus
Diagnosis?
avulsion fracture of the talus
