Traumatic Fx Expansion Flashcards
what is the most common MOI for requiring imaging
traumatic MOI
goals of radiology
dx & evaluate characteristics
compare w/ clinical hx/reported MOI
assess/monitor for response to tx, healing & complications
primary trauma survey
imaging initially administered in ED - screen & prioritize injuries
secondary trauma survey
f/u imaging necessary once pt is clinically stable
what are the radiograph procedures for high velocity injuries
cross-table lateral of the c-spine
AP chest
AP pelvis
what are potential additions for high velocity injuries
focused abdominal ultrasound for trauma (FAST)
CT head, c-spine, thorax, abdomen, pelvis
lateral T/L spine radiograph
extremity radiographs
cortical bone healing
callus formation
cancellous bone
more direct osteoblastic activity
surgically compressed bone
more direct osteoblastic activity
elusive fx common sites in the spine
C1/C2
C6/C7
osteoporotic compression fx of T/L spine
elusive fx common sites in the UE
scaphoid
radial head
triquetrum
fx-dislocation injuries of the forearm & wrist
elusice fx common sites in the LE
femoral neck
tibial plateau
lateral tibial plateau avulsion x
subtle patella fx
calcaneus -> lumbar compression fx