UE

Question 1

Barton Fx

Answer 1

dorsal margin of distal radius best viewed laterally

Question 2

Reverse Barton Fx

Answer 2

volar margin of the distal radius best viewed laterally

Question 3

Hutchinson Fx

Answer 3

Radial margin of the distal radius best viewed with PA

Question 4

Smith Fx

Answer 4

Large fx of the distal radius that displaces volarly

MOI fall on back of hand or direct blow to dorsum of hand

Question 5

Galeazzi Fx

Answer 5

Fx of distal 1/3 of radius with proximal end displaced dorsally
MOI FOOSH or blow to dorsolateral wrist

Question 6

Best view of scaphoid bone

Answer 6

PA with ulnar deviation

MOI FOOSH

Question 7

Best view of pisiform and pisotriquetral joint

Answer 7

Supinated oblique

Question 8

Best view of triquetral bone and radial styloid

Answer 8

Pronated oblique

Question 9

Best view of hook of hammate, pisiform, and volar aspect of trapezium

Answer 9

Carpel tunnel view (full wrist extension)

Question 10

Bennet Fx

Answer 10

Fx of proximal end of the 1st metacarpal

Question 11

Boxers Fx

Answer 11

Fx of metacarpal neck (typically 5th) with volar angulation of distal fragment

Question 12

Gamekeepers Thumb

Answer 12

Fx of base of proximal phalanx

Question 13

Stener Lesion

Answer 13

Ruptured end of ulnar collateral ligament displaced superficially to the adductor pollicis aponeurosis

Question 14

Hulten Variance (ulnar variance)

Answer 14

radial styloid process normally exceeds the length of articular end of ulna by 9-12 mm
Negative variance ulna is more proximal (more than 12 mm)
Positive variance ulna is displaced distally and has less ulnar variance

Question 15

Radial angle

Answer 15

ulnar slant 15-25 degrees

Question 16

Palmar Inclination

Answer 16

Volar tilt of the articular surface of radius 10-25 degrees

Question 17

TFCC

Answer 17

Triangular Fibrocartilage Complex
Triangular fibrocartilage
Radioulnar ligament
Ulnocarpal ligament
Extensor Carpi Ulnaris tendon sheath
Meniscus homologue

Question 18

Normal Elbow carrying angle

Answer 18

approx 15 degrees

Question 19

CRITOE

Answer 19

Capitellum
Radial Head
Internal (Medial) Epicondyle
Trochlea
Olecranon
External (Lateral) Epicondyle

If you see only 3 fragments should be the first 3 on the list otherwise (they disappear with External epicondyle first)

Question 20

Elbow Lateral View

Answer 20

Best view for olecranon process, anterior radial head, humeroradial joint
Disad- poor view of posterior radial head and coronoid process

Question 21

Radial head Capitellum view

Answer 21

Radial head visible free of coranoid process, good view of capitellum, hueroradial and humeroulnar

Question 22

What position do most elbow fractures occur in?

Answer 22

extension

Question 23

Radial head fx Mason System

Answer 23

Type 1 - Undisplaced
Type 2 - Displaced
Type 3 - Comminuted (multiple fragments)
Type 4 - Fx with dislocation
MOI FOOSH

Question 24

Osteochondritis Dissecans

Answer 24

Panner Disease valgus strain of elbow leads to fllattening of capitellum

Question 25

Radial head articulates with what part of the humerus?

Answer 25

Capitellum

Question 26

Ulnar coronoid process articulates with what part of the humerus?

Answer 26

Trochlea

Question 27

Monteggia Fx

Answer 27

Fx of ulna and dislocation of radius | MOI: force pronating during fall or direct blow to posterior ulna

Question 28

Bado Classification

Answer 28

Type 1 Distal Ulna displaced posteriorly Type 2 Distal Ulna displaced anteriorly Type 3 Distal ulna displaced laterally Type IV Proximal fx of both radius and ulna

Question 29

Grashey View

Answer 29

Patient Rotated 40 toward side of suspected injury | Used to visualize glenoid in profile

Question 30

Axillary view

Answer 30

Shot from above with patient in abduction | Identifies A/P dislocation

Question 31

West point view

Answer 31

Patient lies prone in abduction, radiograph angled at 25 degrees to patients midline and 25 degrees to table surface Best for anterior inferior rim of glenoid

Question 32

Lawrence View

Answer 32

Patient supine with arm abducted | Demonstrates A/P view

Question 33

Transthoracic Lateral View

Answer 33

Valuable for determining degree of displacement or angulation of bony fragment of proximal humerus

Question 34

Bicipital View

Answer 34

pt leans forward with hand in supination | Used to visualize trauma to bicipital groove

Question 35

AC View

Answer 35

patient is erect with arm in neutral, beam is directed upward 15 degrees

Question 36

Acromial Morphology

Answer 36

Type 1 Flat Type 2 Smoothly curved Type 3 Hooked

Question 37

Transcapular (Y) View

Answer 37

pt is erect, rotated 20 degrees, beam directed at medial border of protruding scapula Demonstrates scapular fx

Question 38

Most common position of ant shoulder dislocation

Answer 38

ABD, EXT, ER | Diagnosed with AP and Y scapular view

Question 39

Bankart Fx

Answer 39

Inferior glenoid fossa fx

Question 40

Hills-Sach Lesion

Answer 40

Posterolateral Humeral head lesion from impact with anterior inferior glenoid fossa during anterior dislocation

Question 41

Posterior Shoulder Dislocation

Answer 41

Rare (2-3% of shoulder dislocations) Position Add, Flx, IR Caused by direct force or electric shock/siezure

Question 42

Post-traumatic Osteolysis

Answer 42

Reabsorption of distal acromial end of clavicle eventually resulting in marked widening of the AC Joint

Question 43

Ligaments involved in AC joint separation

Answer 43

Acromioclavicular ligament | Coracoclavicular ligament

Question 44

Signs of Chronic Cuff Tear

Answer 44

Eroded inferior aspect of acromion Narrowed Acromiohumeral joint space Flattening of the greater tuberosity

Question 45

A

Answer 45

Alignment | Size of bone, number of bones, shape and contour of bone, bone and joint position

Question 46

Shades of Gray Darkest to Brightest (6)

Answer 46

Air (black) --> Fat (gray/black)--> Water (Gray) --> Bone (white) --> Contrast media (bright white) --> Heavy metals (solid white)

Question 47

B

Answer 47

Bone Density

Question 48

C

Answer 48

Cartilage Space | Width and symmetry

Question 49

S

Answer 49

Soft Tissue | Swelling, Fat pad displacement

Question 50

Ulnar ring thing is associated with what joint

Answer 50

triquetrohamate

Question 51

Sites of Ulnar nerve entrapmet

Answer 51

Cubital tunnel, tunnel of guyon, flexor carpi ulnaris