Download Dx Imaging 3 review

Dx Imaging 3 review
Trauma
-Casey Foster
Cervical Spine
• Atlas fractures
– Jefferson’s fracture
– Posterior arch fracture of atlas
– Anterior arch fracture of the atlas
– Lateral mass fracture of the atlas
– Rupture of the transverse lig.
• Pneumonic=LAP JR
Jefferson’s Fracture
Posterior Arch Fracture
Anterior Arch Facture
Lateral mass fracture of the Atlas
Rupture of Transverse lig.
Cervical Spine
• Axis Fractures
– Hangman’s fracture
– Teardrop fracture
– Odontoid fracture
Pneumonic=Odin sheds a tear for the hangman
Hangman’s Fracture
Teardrop fracture of the Atlas
Odontoid process fracture
Cervical Spine
• Lower Cervical fractures
– Wedge fracture
– Burst fracture
– Teardrop fracture
– Pillar fracture
– Clayshoveler’s fracture
– Lamina fracture
– TP fracture
Wedge fracture
Burst fracture
Teardrop fracture
Pillar fracture
Clayshoveler’s fracture
Lamina fracture
TP fracture
Cervical Spine
• Cervical dislocations
– Atlanto-occipital dislocation
– Atlantoaxial dislocation
– Bilateral interfacet dislocation
– Unilateral interfacetal dislocation
Atlanto-occipital dislocation
Atlantoaxial dislocation
Bilateral interfacet dislocation
Unilateral interfacetal dislocation
Thoracic Spine
• Thoracic fractures
– Compression fracture
– Fracture-dislocation
Compression
fracture
Fracture-dislocation
Lumbar Spine
• Lumbar fractures
– Compression fracture
– Burst fracture
– Posterior Apophyseal Ring fracture
– Kümmel's Disease
– TP fracture
– Pars Interarticularis fracture
– Chance (Lap Seat Belt) fracture
Compression fracture
Burst fracture
Posterior Apophyseal Ring fracture
Kümmel's Disease
Post traumatic
compression
fracture (weeks to
months
afterwards)
TP fracture
Pars Interarticularis fracture
Chance (Lap Seat Belt) fracture
Pelvis
• Fractures of the Pelvis
– Bucket-handle fracture Dashboard fracture
– Duverney’s fracture
Explosion fracture
– Matgaigne’s fracture
Prussian's disease
– Rider’s bone
– Sprung pelvis (Open book fracture)
– Straddle fracture
Suicidal jumper’s
fracture
Bucket-handle fracture
• Superior and inferior
pubic ramus fracture
w/ fracture or
separation of
contralateral SI joint
Dashboard fracture
• Posterior acetabular
rim fracture
Duverney’s fracture
• Iliac wing fracture
Explosion fracture
• Central acetabular
fracture
Matgaigne’s fracture
• Superior and inferior pubic rami fracture w/
fracture near or separating the ipsilateral SI
joint
Prussian's disease
• Myositis officans of
adductor muscles
from riding
horseback
Rider’s bone
• Avulsion for
secondary growth
center of the ischium
(united and
enlargement)
Sprung pelvis
• Separation of the
pubic symphysis and
both SI joints
Straddle fracture
• Bilateral superior and
inferior pubic ramus
fractures
Suicidal jumper’s fracture
• Horizontal fracture
through the S1 or S2
segments associated
w/ falls from a height
Knee
• Fractures
– Bumper/fender fracture
– Flake fracture
– Floating knee
– Lipohemoarthrosis
– Segond’s fracture
– Trampoline fracture
Bumper/fender fracture
• Medial or lateral
tibial plateau fracture
from a severe varus
or valgus stress
Flake fracture
• Osteochondral
fragment
separated from
the medial facet
of the femoral
surface of the
patella after
dislocation
Floating knee
• Suprachondylar
femur fracture w/
proximal tibia
fracture
Lipohemoarthrosis
• Fat and blood in a joint owing to an intraarticular fracture
Segond’s fracture
• Avulsion of the lateral
tibia at the insertion
of the TFL
Trampoline fracture
• Proximal tibial
metaphysis in
children 2-10
Ankle
• Fractures of the ankle
– BB fracture
– Bimalleolar fracture
– Boot top fracture
– Dupuytren’s fracture
– Maissoneuve’s fracture
– Pott’s fracture
– Tillaux’s fracture
– Toddler’s fracture
BB (Both Bones) fracture
• Both bones of leg or
forearm are fractured
together
Bimallolar fracture
• Medial and lateral
malleolar fractures
Boot-top/Skier’s fracture
• Distal diaphyseal or
metaphyseal spiral
fracture of tibia and
fibular in adults
Dupuytren’s fracture
• Distal fibular fracture
(7 cm above
malleolus) disrupted
distal tibiofibular
ligament, diastasis,
lateral talus
dislocation
• Up and out foot
displacement
Maissoneuve’s fracture
• Proximal fibula
fracture owing to
inversion and
external rotation of
ankle
Pott’s fracture
• Distal fibular fracture
(7 cm above
malleolus) w/
disruption of the
distal tibiofibular
ligament
Tillaux’s fracture
• Fractures of the
medial malleolus,
anterior tibial
tubercle, and lateral
malleolus (7 cm from
tip)
Toddler’s fracture
• Distal diaphyseal or
metaphyseal spiral
fracture in the tibia
of an infant
Foot
• Fractures of the foot
– Aviators fracture-neck of talus
– Beak fracture-posterior calcaneal tubercle
– Bedroom fracture-stubbed toe
– Chopart’s dislocation-b/t talonavicular and
calcaneonavicular joints
– Jones’/Dancer’s fracture-avulsion of styliod on5th
metatarsal
– Lisfranc’s fracture-metatarsal bases
– March fracture-2/3rd metatarsal
Lisfranc’s fracture
• Metatarsal base fracture
Jones’ fracture
• Fracture of styloid
process of 5th
metatarsal
Shoulder
• Bankart’s-avulsion of triceps insertion
• Drooping shoulder-inferior subluxation of
humerus
• Flap fracture-avulsion of greater tuberosity of
humerus
• Hill-Sachs defect-fracture of humeral head
from anterior dislocation
• Separated shoulder=AC dislocation
• Subluxio erecta-inferior subluxation humerus
w/ arm up in air
Bankhart’s fracture
• Avulsion of
triceps
insertion
Flap fracture
• Avulsion of greater
tuberosity of
humerus
Hill-Sack’s fracture
• Fracture of
humeral head
from anterior
dislocation
Elbow/Forearm
• Chisel fracture-vertical crack in radial head
• Essex-Lopresti fracture-radial head w/ distal
radioulnar dislocation
• Galeazzi’s fracture-at junction of distal and
middle 1/3 of radial shaft (w/ dislocation of
the inferior radioulnar joint)
• Kocher’s fracture-fracture of capitulum
• Continued…
Elbow/Forearm cntd
• Little leaguer’s elbow-avulsion of medial
epicondyle
• Monteggia’s fracture-proximal ulnar shaft w/
dislocation of radial head
• Nightstick fracture-due to direct blow
• Pulled elbow-radial head separation from
annular ligament
• Sideswipe-arm out window (radius, ulna,
humerus fracture)
Essex-Lopresti fracture
• Radial head fracture
w/ radioulnar
dislocation
Galeazzi’s fracture
• Fracture-at junction of distal and middle 1/3
of radial shaft (w/ dislocation of the inferior
radioulnar joint)
Little Leaguer’s fracture
• Avulsion of the
medial epicondyle of
the humerus
Monteggia’s fracture
• Ulnar shaft fracture w/ radial dislocation
Sideswipe fracture
• Combination radius,
ulna, humerus
fractures
Wrist fractures
•
•
•
•
Barton’s fx-post. Rim fx distal radius
Chauffeur’s fx-radial styloid
Colle’s fx-radial fx w/ posterior angulation
deQuervain’s fx-ant. Dislocation lunate w/
part of fx scaphoid
• Fisher’s fx-dorsal avulsion of triquetrum
• Moore’s fx-colle w/ fx ulnar styloid process
and dislocation
• Smith’s fx-radial fx w/ anterior angulation
Barton’s fracture
• Fracture of the
posterior rim of the
radius
Chauffeur's fracture
• Fracture of radial
styloid process
Smith fracture
• Radial fracture w/
Anterior angulation
Fisher’s fracture
• Avulsion from dorsal portion of triquetrum
Colle’s fracture
• Distal radius fracture
with posterior
angulation
Hand fractures
• Bar room fx-fx of 4/5th metacarpal neck w/
ant displacement
• Bennett’s fx-thru base of 1st metacarpal
(dorsal and radial displacement)
• Boxer’s fx-2nd/3rdmetacarpal neck w/ ant
displacement
• Rolando’s fx-base of 1st metcarpal
• Volar plate-disruption of ant articular at base
of middle phalanx
Bar-room fracture
• Transverse
fracture through
the 4th or 5th
metacarpal
Bennett fracture
• Fracture of 1st
metacarpal head w/
anterior
displacement
Rolando fracture
• Fracture at base of 1st metacarpal