Radiographic Presentation Of Pathologies Of The Hand And Wrist Flashcards
What are the things to consider when doing x-rays of the hand and wrist?
(4)
Clinical information
Past medical history
Mechanism of injury
Previous examinations
What does the ABCs approach stand for?
Adaquacy
Alignment
Bones
Cartilage
Soft tissues
What are the type of injuries that can happen in the hand and wrist?
(7)
Fracture
Dislocation/subluxation
Joint effusion
Ligamentous injuries
Foreign bodies
Bone lesions
Infection
Fill this in:
Where are the most common fractures in the hand?
(3)
Neck of the 4th and 5th metacarpals
Base and shaft of the metacarpals
Terminal tuft of the distal phalanges
Where are the most common fractures in the wrist?
(5)
Distal radius
Radial and ulnar styloid process
Scaphoid
Triquetrum
Hamate
What is a dislocation?
The malalignment of a joint with complete separation of 2 articulated bones
Which age group AREN’T dislocations very common in?
Children
What is subluxation?
The partial loss of articular congruity
Is subluxation always traumatic?
No- it can be non-traumatic
What are the common types/sites of dislocation/subluxation in the hand and wrist?
(5)
Interphalangeal joints
Distal radioulnar joint
Carpometacarpal joint
Lunate
Perilunate
What type of joint dislocation is this?
What type of joint dislocation is this?
What type of joint dislocation is this?
What type of dislocation is this?
What type of dislocation is this?
What is joint effusion?
When there’s an increased amount of fluid within the synovial compartment of a joint
What are the features of joint effusion?
(3)
It can be associated with soft tissue swelling
It can be caused by trauma, inflammation and infection
Most affected joints are elbow, wrist, knee and shoulder
What does joint effusion look like in the wrist?
What do ligamentous injuries look like in the hand?
What do foreign bodies look like in the hand?
What do bony lesions look like in the hand?
What do infections look like in the hand?
What does HI stand for?
Head injury
What does LOC stand for?
Loss of consciousness
