Test 2: 15 Flashcards
bone will have a high or low Z
high due to Ca and P
Z=atomic number
what is a stress projection
try to show instability of a joint by stressing/pushing on a joint while getting an xray
what to include in xray if looking at bone
joint above and below
2 views
what to include in xray for joint
1/2 of bones above and below joint
joint centered on image
— is an ossification center of a bony outgrowth such as a tuberosity
apophysis
what is cut back zone
normal growth of bones
looks like loss of bone
diffuse bone issues are caused by —
metabolic disease: juvenile osteofibrosis
nutritional disease
monostotic lesions are caused by
trauma
infection
primary neoplasia
polyostotic lesions are caused by —
cancer (metastatic or round cell)
infections
what are the characteristics of aggressiveness of osseous lesions
is a sunburst lesion more or less aggressive than an onion skin lesion?
is geographic osteolysis more or less aggressive then permeative osteolysis
geographic- localized can be a cyst
moth eaten and permeative: usually from neoplasia
what kind of osteolysis
geographic
localized to one area
what kind of osteolysis
moth eaten
what kind of osteolysis
permeative
secondary to osteosarcoma
describe transitional zone of this lesion
short well defined: less aggressive
has geographic osteolysis- cyst but normal bone is clear and close by
describe the transitional zone of this lesion
long and poorly defined= more aggressive
can’t tell will healthy bone ends and sick bone starts
yellow= articular space
blue= sub chondral bone
red= peri-articular bone
can not see articular cartilage in plain xray
how to see cartilage on xray
use contrast
can see outline of cartilage
an aggressive joint lesion will have — bone destruction and — bone production.
subchondral
Irregular, heterogeneous, interrupted intra- or peri-articular bone production