skeletal trauma radiological approach

Post on 07-May-2015

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this lecture is for A&E physicians ,orthopaedic residents and GPs,to outline a radiological approach to trauma of appendicular skeleton.

TRANSCRIPT

Skeletal System- Diagnosing trauma lesions.

Dr/Ahmed Bahnassy

Consultant radiologist

MBCHB-MD-FRCR

1- Look For cortical discontinuity :Patterns of fractures

2-Look for distortion :Epiphyseal injuries

3-Look for displacement Shoulder Dislocation

Pre and post reduction

Normal

4-Look for Displaced lines -supracondylar fracture

5-Look for displaced fat pads -Sail sign

6-Look for other injuries : 1 -Monteggia fracture

2-Galeazzi fracture

7-Look for complications=Scaphoid fracture causing perilunate dislocation

8-Look for disturbed angles =Bohler angle in calcaneal fracture

9-Look for bony alignment= Lis franc dislocation

10-Look for normal variants =Jones fracture Vs ossification center

11-Look for bone Trabeculae =Impacted fracture femoral neck

12-Look for integrity of blood supply

13-Look for possible visceral injuries = Malgaigne fracture

Thank You

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