tspine ribs Flashcards
General indics t-spine and ribs
-trauma
-pain radiating around chest wall
-ROM limits
-pre/post op
-malignancies
-OP/ compression frx
-arthropathy
-health conditions w/ spinal abnorm
-eval scoliosis and kyphosis
-suspect congenital abnorm
-monitor known abnorm
-suspected instability
Lateral view
smooth lines: A/P bodies, spinolaminar line, articular pillars
disc heights
pedicles
open lateral foramina
partial view some z-joints
bodies box like
Posterior Oblique (RAO)
based on central ray: sternum or SC joint
A/P ribs
lungs
manubrium and sternal body
sternal angle
sternal body/ xiphoid process
sternocostal joints
T-spine views
AP
lateral
swimmer’s lateral view
oblique (z-joints)
TCL coned views
sternum views
RAO for sternum (posterior oblique)
RAO and LAO for SC joints
lateral
indics for t-spine CT
-acute trauma
-degen conditions
-post op assess
-infection
-image guided intervention procedures
-neoplasm
-inflam lesions
-congential/develop conditions
-cord syrinxes/masses (MRI contra)
MRI spine indics
-acute trauma w/ suspect cord encroachment
-DDD
-Neoplasm (dx and intervention f/u)
-intrinsic sc patho
-cord masses
-congenital/develop conditions
-pre/post op assess
-meningeal abnorms
-infec (disc space, epidural abscess)
16+, acute t/l blunt trauma in high-risk OR unexaminable pt, initial
CT
16+ acute c/t/l spine blunt trauma. suspected or confirmed lig, sc, nerve root injury w/ or w.o trauma on CT. next
MRI
Child, suspect trauma, initial
radiography
radiologic exam shoulder indics
-trauma
-bone involvement w/ metabolic diseases/systemic/nutritional
-neoplasm
-infection
-arthropathy
-pre/post op
-suspect congenital/develop abnorms
-vascular lesions
-foreign body/ ST lesion
-pain
-correlation w/ other studies
shoulder when to do radiograph, CT, MRI
radio: first study w/ suspected bone and soft tissue injury
CT: complex frx and assist w/ sx decisions
MRI: results anticipated to effect tx decisions
shoulder indics CT
-severe trauma
-assess frx alignment/displacement
-identify loose bodies in GHJ
-if MRI contra, RTC patho and other conditions where MRI typically indic
MRI shoulder indic
-RTC lesion
-long head biceps lesion
-subacromial ST structures
-labral tears
-joint surface abnorms
-muscle disorders
-synovial disorders
-marrow abnorms
-neoplasm
-infec
-intra-articular bodies
-congenital/developmental conditions
-vascular conditions
-neuro conditions
staging/monitoring certain health conditions
MRI clinical scenarios
-chronic/unexplained shoulder pain
-acute trauma
-GHJ instability
-impingement syndromes
-mechanical sxs (click, pop)
-limited/ pain ROM
-swell/mass/atrophy
-planned arthroscopy
-residual sxs following sx
