Radiology Flashcards
Angle of gait: definition and normal values
amount foot deviates from line of progression
-7 to 10 degrees
Base of gait: definition and normal value
- Distance between medial malleoli
- 1 inch
Ap radiographic: position of beam
- beam 15 degrees from perpendicular in cephalad direction
- aim for MTJ (base of 3rd)
Lateral radiograph: position of beam
-foot parallel to film
Medial Oblique radiograph: position of beam and what can you see
- tube at 45 degrees
- can view the cuboid, navicular, lateral foot
Hindfoot alignment view: position of beam and what is measured
- beam at 10 degrees
- to measure RF coronal plane axis
Calcaneal axial view: to view what
posterior calcaneus to visualize calcaneal trauma
Harris Beath view : to view what
views medial and posterior STJ facets
-great for coalitions
Broden view: position of foot and beam
- Ankle is dorsiflexed, with leg internally rotated 30 degrees
- X-ray beam is cephalic tilt of 10-40 degrees
Ankle mortise view: position of the leg
AP view with 15 degrees of internal rotation
Cyma line: pronation vs supination
- Anterior break (pronated)- TN joint over CC
- Posterior break (supinated)-TN joint posterior to CC
Kirby’s sign
- posterior facet of talus abuts calcaneal floor and occludes sinus tarsi
- sign of maximum pronation
- opposite of bullet hole sinus tarsi
Seiberg’s index
- used to diagnose MPE
- relationship of the sagittal plane of 1st MT neck
Critical components needed to read Xray (4)
- Labelled (name, age) Marker R/L
- Views
- WB/ NWB
- Quality
Soft tissue descriptors to look on X Ray (7)
density
foreign body
calcifications
contour
gas/ emphysema
defects
tumors/mass
Bone descriptors to look for on Xray (9)
cortex integrity
thickness of cortex
density
periosteal reaction
erosions
bone tumor/masses
fractures
subchondral sclerosis
physeal plates
Joint descriptors to look for on X-ray (6)
subchondral sclerosis
width
congruency
position
loose bodies/joint mice
coalition
Biomechanical descriptors to look for on X-ray
ONLY FOR WEIGHTBEARING
- joint deformities
- angles
General rules for angles changing in flatfoot and cavus foot
All angles decrease in cavus and all angles increase in planus EXCEPT:
- talar head uncovering
- 1st MT head declination
- 1st MT calc angle
- navicular height