Imaging Skeletal Trauma

The Foot

Foot Checklists 1 Radiographic examination AP Oblique Lateral Axial view of calcaneus 2 Common sites of injury in adults Metatarsals Neck, base, shaft Fifth MT – tuberosity, Jones’ fracture Phalanges Metatarsal/tarsal fracture-dislocation (Lisfranc) Calcaneus – compression fracture Talus Neck Lateral…

The Ankle

Ankle Checklists 1 Radiographic examination AP view Lateral view Internal oblique view 2 Common sites of injury in adults Lateral malleolus fibula Medial malleolus tibia Posterior malleolus tibia Pilon fracture of the tibial plafond Fractures of tarsus and midfoot mimicking…

The Knee

Knee Checklists 1 Radiographic examination AP Obliques (internal and external) Cross-table lateral Sunrise view of patella 2 Hemarthrosis/lipohemarthrosis – distention of suprapatellar bursa Important clue to Underlying obscure fractures Cruciate and collateral ligament and meniscal injuries Most commonly ACL tear…

The Hip

Hip Checklists 1 Radiographic examination Hip AP pelvis AP hip Frog leg-view hip Groin lateral hip Femur AP hip AP femoral shaft and condyles Lateral femoral shaft and condyles Oblique femoral shaft 2 Common sites of injury in adults Elderly…

The Pelvis

Pelvis Checklists 1 Imaging assessment Radiographic examination AP Oblique views Internal oblique (obturator view) External oblique (iliac view) Inlet view Outlet view Computed tomography (CT) Axial Reformatted images Coronal Sagittal 3-D Volume-rendered semitransparent three-dimensional images to simulate radiographic views AP,…

The Thoracolumbar Spine

Thoracolumbar Spine Checklists 1 Imaging assessment Radiographic examination AP Lateral views Computed tomography (CT) Axial Reformatted images Coronal Sagittal 3-D 2 Anatomic features, biomechanics, and forces of injury Anatomy Biomechanics Denis three-column concept Forces of injury Flexion Extension Compression Distraction…

The Cervical Spine

Cervical Spine Checklists 1 Radiographic examination Minimum necessary views Lateral cervical spine to include T1 AP cervical spine AP open-mouth odontoid CT examination: minimum necessary Axial, sagittal, and coronal noncontrast images in bone algorithm Extending through at least the level…

The Hand

Hand Checklists 1 Radiographic examination PA Pronation oblique Lateral 2 Common sites of injury in adults Fractures Phalanges (55% of hand injuries) Distal (50+% of fractures of the phalanx) Ungual tuft, base, shaft, baseball finger avulsion Proximal (15% of fractures…

The Elbow

Elbow Checklists 1 Radiographic examination AP External oblique Lateral 2 Elbow joint effusions and the fat pad sign Visible posterior fat pad Elevation of the anterior fat pad, the sail sign 3 Common sites of injury in adults Radial head…

The Shoulder

Shoulder Checklists 1 Radiographic examination AP external rotation AP internal rotation Axillary view Y-view Grashey (posterior oblique) view 2 Common sites of injury in adults Fractures Midshaft of clavicle Avulsion of the greater tuberosity of the humerus Surgical neck of…