Regularly overlooked injuries Talus : talar dome osteochondral lesion; neck of talus fracture; medial or lateral process fractures. Calcaneum : acute fracture; stress fracture. Syndesmotic widening (tear of tibiofibular membrane). Base of 5th metatarsal fracture. The standard radiographs Ankle :…
The standard radiographs AP and Lateral. Suspected patella fracture, but AP & lateral are equivocal: Skyline view . Occasionally, a Tunnel view to evaluate the intercondylar area. Regularly overlooked injuries ▪ Plateau fracture. ▪ Segond fracture. ▪ Small fragments in…
Regularly overlooked injuries ▪ Femoral neck fracture—minimally displaced. ▪ Femoral neck fracture—inadequate assessment of the lateral radiograph. ▪ Pubic ramus fracture. ▪ Apophyseal injuries in the young. The standard radiographs AP of whole pelvis. Lateral projection of the painful hip.…
Regularly overlooked injuries ▪ Undisplaced acetabular fracture. ▪ Detached acetabular fragment in a patient with a dislocated hip. ▪ Sacral fractures. ▪ Avulsed apophysis from the proximal femur or from the innominate bone. The standard radiograph AP view . Abbreviations…
Regularly overlooked injuries ▪ Transverse process fractures. The standard radiographs Lateral and AP views. Abbreviations AP, anterior-posterior; L1, the 1st lumbar vertebra; T6, the 6th thoracic vertebra. Normal anatomy Lateral view—thoracic and lumbar vertebrae ▪ The vertical contour of the…
Regularly overlooked injuries The most common causes of a missed C-spine abnormality are failure to adequately visualise the injured region and inadequate understanding of the C1/C2 anatomy. Therefore errors commonly relate to: ▪ C1/C2 fractures or subluxations. ▪ Low C-spine…
The standard radiographs Depends on site of injury: ▪ Injury to a metacarpal or several phalanges: PA of hand and oblique of entire hand and wrist . ▪ Injury to the thumb or to a single digit: PA and lateral…
Regularly overlooked injuries ▪ Undisplaced fracture of distal radius. ▪ Dislocation involving the lunate. ▪ Greenstick fracture. ▪ Triquetral fracture. The standard radiographs PA , Lateral , Scaphoid series . Abbreviations AVN, avascular necrosis; C, capitate; L, lunate; PA, posterior-anterior…
A child's developing skeleton is vulnerable to specific elbow injuries unlike those that affect an adult. Paediatric elbow injuries are dealt with separately in Chapter 7 . The standard radiographs ▪ AP view in full extension. ▪ Lateral with 90°…
Regularly overlooked injuries ▪ Undisplaced supracondylar fracture. ▪ Fracture, lateral condyle of humerus. ▪ Monteggia injury . The standard radiographs AP in full extension. Lateral with 90 degrees of flexion. Abbreviations CRITOL: C apitellum, R adial head, I nternal epicondyle,…