Rapid review areas Flashcards
Foot x-ray
▪ Lis franc
▪ Tricky phalanx #
▪ Stress # 2nd and 3rd MTs
▪ Base 5th
▪ Ankle # s
▪ Freibergs infraction
Knee x-ray
▪ Plateau #
▪ Osteochondral lesion
▪ Segond
▪ Lipohaemarthrosis
▪ Tibial spine
Skull x-ray
▪ Fracture
▪ Pneumocranium
▪ C-spine #
▪ Mandible #
▪ Pepperpot skull
▪ Deposits
▪ Paget’s
▪ Enlarged Sella
Facial bones x-ray
▪ Fluid level
▪ Tripod #
▪ Black eyebrow
▪ Air in orbit
▪ Mandible fracture
▪ Dislocation TMJ
Pelvis x-ray
▪ Subtle rami #s
▪ Avulsions eg ASIS
▪ SIJs
- widened
- fused
▪ Osteomalacia
▪ SCFE
▪ DDH
▪ Perthes
▪ AVN
Abdomen x-ray
▪ Pneumoperitoneum
- Falciform visible
- RUQ lucency
- Rigler’s sign
▪ Psoas widened
▪ Colitis
▪ Rib #
▪ Pelvic # / deposit
▪ Renal stones/Gall stones
▪ Bowel obstruction
▪ Calcified aneurysm
ANKLE x-ray
▪ Hidden fibula #
▪ Talar dome #
▪ Talar neck #
▪ Base 5th MT
▪ Tarsal dislocation
▪ Joint widening
▪ Brodie’s abscess
▪ Toddler’s fracture
▪ Calcaneal #
▪ Bohler’s angle
Shoulder x-ray
▪ Ant. dislocation
▪ Post. dislocation
▪ # greater tuberosity
▪ Rib #s
▪ ACJ sublux / disloc
▪ Conoid lig rupture
▪ Erosions
▪ Pneumothorax
C-spine x-ray
C-SPINE
▪ Fractures / subluxation
▪ Soft tissue widening
▪ Vertebral erosion
▪ Apex of lung lesion on AP
view
▪ Skull fracture (occiput)
▪ Atlanto-axial subluxation
Lumbar spine x-ray
L-SPINE
▪ Absent pedicle
▪ Widened psoas
▪ Lung basal collapse
▪ Sacroiliitis
▪ Widened SIJ
▪ Bone deposit(s)
▪ Spondylolisthesis
▪ Wedge #
▪ Osteomyelitis
▪ Pars defect
Wrist x-ray
▪ Distal radius # – smooth as
baby’s bottom!
▪ Torus / greenstick #
▪ Radio-ulnar dislocation
▪ Terry Thomas / Madonna
▪ #s of carpals
▪ Triquetral # - lateral view
▪ 4th/5th MC dislocation
▪ Lunate/Perilunate
dislocation
▪ Erosions!
Elbow x-ray
▪ Supracond #
▪ Radial head / neck #
▪ Dislocations – radius
▪ Lat epicondyle #
▪ Avulsed epicondyle
Hand x-ray
HAND
▪ See WRIST
▪ Bases of 4th + 5th MCs disloc
▪ Subtle spiral metacarpal #
▪ IPJ dislocation
Thoracic spine
T- SPINE
▪ Wedge #s
▪ Lung lesion / collapse
▪ Absent pedicle
▪ Paraspinal mass/haematoma
▪ Definite dense bone
▪ Definite lytic bone
▪ Check cortices
Chest x-ray
CHEST
▪ 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