skeletal trauma radiological approach

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Skeletal System- Diagnosing trauma lesions. Dr/Ahmed Bahnassy Consultant radiologist MBCHB-MD-FRCR

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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

Page 1: Skeletal trauma radiological approach

Skeletal System- Diagnosing trauma lesions.

Dr/Ahmed Bahnassy

Consultant radiologist

MBCHB-MD-FRCR

Page 2: Skeletal trauma radiological approach

1- Look For cortical discontinuity :Patterns of fractures

Page 3: Skeletal trauma radiological approach

2-Look for distortion :Epiphyseal injuries

Page 4: Skeletal trauma radiological approach

3-Look for displacement Shoulder Dislocation

Pre and post reduction

Normal

Page 5: Skeletal trauma radiological approach

4-Look for Displaced lines -supracondylar fracture

Page 6: Skeletal trauma radiological approach

5-Look for displaced fat pads -Sail sign

Page 7: Skeletal trauma radiological approach

6-Look for other injuries : 1 -Monteggia fracture

Page 8: Skeletal trauma radiological approach

2-Galeazzi fracture

Page 9: Skeletal trauma radiological approach

7-Look for complications=Scaphoid fracture causing perilunate dislocation

Page 10: Skeletal trauma radiological approach

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

Page 11: Skeletal trauma radiological approach

9-Look for bony alignment= Lis franc dislocation

Page 12: Skeletal trauma radiological approach

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

Page 13: Skeletal trauma radiological approach

11-Look for bone Trabeculae =Impacted fracture femoral neck

Page 14: Skeletal trauma radiological approach

12-Look for integrity of blood supply

Page 15: Skeletal trauma radiological approach

13-Look for possible visceral injuries = Malgaigne fracture

Page 16: Skeletal trauma radiological approach

Thank You