Rapid review areas

Question 1

Foot x-ray

Answer 1

BSR (Bones, Soft Tissue Review areas)

Review areas
▪ Freibergs infraction
▪ Stress # 2nd and 3rd MTs
▪ Lis franc
▪ Base 5th
▪ Ankle # s

Question 2

Knee x-ray

Answer 2

BSR (Bones, Soft Tissue Review areas)

Bones
▪ Osseous lesions (GCT, chondrosarcoma)

Review areas
▪ Tibial spine
▪ Plateau #
▪ Segond
▪ Osteochondral lesion
▪ Lipohaemarthrosis

Question 3

Skull x-ray

Answer 3

Asymmetry

Fracture

Review areas
- Osseous lesions (ie Pepperpot skull, Pagets)
- Pneumocranium
- Intraorbital gas
- Mandible fracture
- C-spine #
- Enlarged Sella
- Fluid within sphenoid sinus

Question 4

Facial bones x-ray

Answer 4

Review area
▪ Black eyebrow/Air in orbit
▪ Fluid level in the maxillary antra
▪ Inferior orbital wall #
▪ Zygomatic arch #
▪ Tripod #
▪ Mandible fracture/TMJ dislocation

Question 5

Pelvis x-ray

Answer 5

Asymmetry

Bones
- Pelvic lesions/metastasis
- Trace the femurs

Rings
- Pelvis inlet
- Pubic Rami

Lines
- Ilioischial
- Iliopectineal
- Shentons line

Avulsions and Joints
- Avulsions eg ASIS
- SIJ’s (widened, sclerosis, fused)

Paeds
▪ DDH, Perthes/AVN, Perthes

Question 6

Abdomen x-ray

Answer 6

ABDO

Air
- Riglers Sign
- Football Sign
- Falciform ligament visible

Bowel
- Bowel obstruction
- Colitis

Dense (bones)
- Pelvic lesion or #
- Lumbar spine, pedicles and tranverse process

Organs
- Panc calc, gallstones, renal stones
- Calcified aneurysm

Question 7

ANKLE x-ray

Answer 7

BSR (Bones, Soft Tissue Review areas)

Review areas
- Malleolus fracture (medial lateral posterior)
- Talus ostochondral defect
- Count the talus, calcaneus, navicular (AVN)
- Calcaneus #
- Base 5th MT
- Metatarsal joint dislocation

Question 8

Shoulder x-ray

Answer 8

Dislocation
▪ Anterior or posterior

Bones
▪ Humerus (greater tuberosity)
▪ Scapula
▪ Clavicle
▪ ACJ sublux/disloc

Lungs
▪ Pneumothorax
▪ Nodules
▪ Rib fractures

Question 9

C-spine x-ray

Answer 9

BSR (Bones, Soft Tissue Review areas)

Bones
▪ Skull fracture
▪ Alignment (anterior, middle, posterior columns)
▪ Fractures / subluxation
▪ Teardrop #’s
▪ Spinous process #’s

Soft tissues
▪ Prevertebral soft tissue widening

Review area
▪ Atlanto-axial subluxation

Question 10

AP Lumbar spine x-ray

Answer 10

Bones
▪ Pedicles
▪ Compression fractures
▪ SIJs (Sacroiliitis, widened SIJ)

Question 11

Wrist x-ray

Answer 11

BSR (Bones, Soft Tissue Review areas)

Review
▪ Scaphoid fracture
▪ Scapholunate dissociation
▪ Carpal AVN
▪ Lunate/Perilunate
dislocation
▪ 4th/5th MC dislocation
▪ Triquetral # (lateral view)

Question 12

Elbow x-ray

Answer 12

BSR (Bones, Soft Tissue Review areas)

Review
▪ Dislocations – radius
▪ Supracond #
▪ Radial head / neck #
▪ Humerat fat pads

Question 13

Thoracic spine

Answer 13

Bones
▪ Pedicles
▪ Compression fractures
▪ Definite dense bone
▪ Definite lytic bone

Review
▪ Lung lesion / collapse
▪ Paraspinal mass/haematoma

Question 14

Chest x-ray

Answer 14

Pulmonary nodules
Shoulder dislocation
Scapula fracture

▪ Hidden areas - check
Apices, Behind heart, Hilar regions, Below diaphragm
▪ Thyroid mass
▪ Lobar collapse
Check hila position
▪ Hilar nodes
▪ Pneumothorax
▪ Coarctation
▪ Pneumomediastinum
▪ Ribs
Deposits, Fractures
▪ Silhouette sign
▪ Fractures shoulder - clavicle, Scapula, Vertebra
▪ Free intraperitoneal air
▪ Paraspinal mass
▪ Mediastinal mass
▪ Paratracheal lymph nodes
▪ Density azygos region : aorta

Question 15

Lateral lumbar spine x-ray

Answer 15

▪ Alignment (Anterior, middle and posterior columns)
▪ Wedge #
▪ Spinous process #s
▪ Spondylolisthesis
▪ Pars Defect

Review
Soft tissue abdomen