Radiology MSK Flashcards
Xray
Projection of electrons through an object onto an image detector
White objects
Radiodense - absorb radiation
Thick
Advantages of Xray
Quick
Inexpensive
Disadvantages
Radiation
Not good for viewing soft tissues
Fracture
Complete or incomplete break in the continuity of the bone
Type of fractures
Transverse Oblique- displaced/ non displaced Linear Spiral Greenstick - common in children Comminuted
Compression fracture
Occurs in cancellous bone
Axial load compresses bone beyond its limits
Commonly in lumbar vertebrae
Greenstick fracture
Bone bends and cracks instead of breaking into separate pieces
Cortex on 1 SIDE fractures
occurs in children younger than 10 as bones are softer and more flexible
Epiphyseal separation fractures
A fracture occurs through the unfused epiphyseal growth plate
Separation of the epiphysis and metaphysis
e.g. slipped capital femoral epiphysis
Slipped capital femoral epiphysis seen commonly in…?
Overweight adolescent boys during rapid growth spurts
Hip pain and limp
Difference between children’s bones and adult’s bones
At birth:
Long bone shave separate ossification centres in the epiphyses and diaphyses
Epiphyseal growth plates
Carpal bines not ossified
Stages of fracture healing
- Haematoma formation
- Tissue death
- Inflammation and cellular proliferation
- Angiogenesis and formation of granulation tissue and PROCALLUS
- SOFT CALLUS - fibrocartilaginous
- Consolidation - HARD CALLUS
- Lamellar bone
- Remodelling
Inflammatory phases of fracture healing
Lasts hours to days
- Haematoma formation
- Tissue death
- Inflammation and cellular proliferation
(No callus formed)
Reparative phase of fracture healing
Days to weeks
- angiogenesis and granular tissue formation (Procallus)
- Fibrocartilaginous (soft) callus formation
- consolidation forming a hard callus
(mineralisation of callus can be seen)
- soft callus - fluffy
Remodelling phase of fracture healing
Months to years
Gradual replacement of hard callus with mature bone
Fracture line disappears