radiology terms Flashcards

1
Q

capital fracture:

A

through femoral head

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2
Q

subcapital fracture:

A

between femoral head and neck

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3
Q

transcervical fracture:

A

through neck

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4
Q

intertrochanteric fracture:

A

between lesser and greater trochanters, along intertrochanteric line

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5
Q

subtrochanteric fracture:

A

under intertrochanteric line, near shaft

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6
Q

why is the lesser trochanter fragment typically displaced in intertrochanteric fractures?

A

because it is an attachment for iliopsoas

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7
Q

what are sesmoid bones?

A

small, rounded masses that are embedded in tendons and are usually around joint surfaces.

fx: minimize friction, modify pressure, and alter the direction of a muscle pull

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8
Q

what is the fabella?

A

sesmoid bone in posterior knee area
attaches to lateral head of gastrocnemius

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9
Q

what surfaces form the patellar-femoral junction?

A

medial/lateral patellar facets and the medial/lateral trochlear facets of the femur

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10
Q

what is a multipartite patella?

A

a patella where the ossification center failed to fuse, appearing to be multiple pieces.

NOT to confuse with a fracture

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11
Q

what is the most common type of tibial plateau fracture?

A

lateral plateau fracture since the lateral plateau is smaller than the medial and is less resistant to axial loading

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12
Q

most severe type of tibial plateau fracture?

A

type VI
medial plateau fracture and a fracture line between the metaphysis and diaphysis so that they are detached from one another

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13
Q

naming system for tibial plateau fractures:

A

Schatzker classification
Type I through Type VI

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14
Q

what is a lipohemarthrosis?

A

bleeding from a fracture

layering in suprapatellar recess of the joint

top layer - fat
bottom layer - blood

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15
Q

what is an osteophyte?

A

bony lumps (bone spurs) that grow on the bones of the spine or around the joints.

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16
Q

difference between ACL and PCL tears?

A

don’t see as big as an “explosion” on PCL tears, usually more of a partial tear, only some fibers disrupted

17
Q

mechanism of a PCL tear?

A

dashboard injury, force that causes posterior force, tibia displaces posteriorly in relation to femur

18
Q

how is an achilles tear visualized on MRI?

A

bright white signal that indicates fluid accumulation around the tear

19
Q

what are the ABCs of trauma resusscitation?

A

airway
-check for obstructions

breathing
-any chest deformities (e.g. PTX) that can interfere with breathing

circulation
-check for major fractures (i.e. pelvis/femur) that could be causing major blood loss

disability (neuro)
-brief neuro exam, assess consciousness
-glasgow coma scale - measures degree of consciousness

exposure/environment
-patient is kept warm, etc.

20
Q

ATLS trauma protocol:

A
  1. primary survey
  2. adjuncts - address issues
  3. secondary survey
  4. further surveys
21
Q

what causes compartment syndrome?

A

arterial supply normal but venous blood return is blocked

increased pressure in compartment, can lead to necrosis and death

22
Q

primary bone healing

A

-precise approximation of fracture fragments
-rigid immobilization of fracture (cast)
-surgical plates and screws
-NO CALLUS formation

23
Q

secondary bone healing

A

-hematoma produced, mechanical scaffold
-progenitor mesenchymal cells recruited from periosteum to differentiate into bone
-CALLUS FORMATION

24
Q

cast vs splint

A

cast - circumferential

splint - non-circumferential, allows for swelling

25
Q

ORIF (surgical term)

A

open reduction internal fixation

26
Q

AO technique

A

surgical references?

27
Q

complications of fractures/fracture surgeries:

A

DVT/PE
fat emboli syndrome
compartment syndrome

28
Q

risk of internal and external fixation:

A

osteomyelitis