Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Interpretation of Musculoskeletal             X- rays          Jatinder S. Luthra
Skeletal condition•   Fractures•   Osteomyelitis•   Structural anomalies•   Degenerative joint conditions
Rule of Two• Two views - AP and Lateral• Two joints – joint above and below• Two occasions – repeat x- rays• Two limbs – C...
•   Patient details•   Date of exam.•   Side – Rt./Lt. – Marker•   Exposure•   Whole area covered – Joint above and below•...
• Bone            Regularity                  Break in intact                  Cortex• Joint           integrity –        ...
Description of fracture
Bone and joint alignment
Joint space
Bone Texture
Soft Tissue Anomaly
Bone Anatomy
Joint Anatomy
Cortical outline
Two views
Compare normal
Look for unexpected
Artefacts
Transverse fracture
Oblique
Spiral
Sagittal
Compare with old X- rays
Multidirectional
Comminuted
Butterfly Fragment
Segmental
Shortening
Angulation and Rotation
Distraction and impaction
Pathological fracture - Osteoporosis
Pathological fracture – Multiple           myeloma                              MOTH EATEN                              AP...
Pathological fracture – Benign lesion                                 GEOGRAPHICAL                                 MARGIN
Avulsion Farcture
Stress Fracture
Periprosthetic fracture
Fracture Mimics
Fracture Mimics
Fracture Mimics
Fracture Mimics- Vascular markings
Fracture Mimics
Foreign Body
Needle
Needle
Clavicle
Acromioclavicular Joint
Shoulder - Normal
Shoulder – Anterior Dislocation
Shoulder – Posterior Dislocation                            BULB SIGN
Scapula - Normal
Scapula - Fracture
Humerus Fracture
Elbow - Normal (10 year old)
Elbow - Normal (Lateral)
Elbow - Subtle Fracture
Elbow – Supracondylar fracture
Elbow - Dislocation
Wrist – Colle’s Fracture
Wrist – Smith’s Fracture
Wrist – Comminuted Fracture
Monteggia Fracture
Greenstick Fracture
Torus Fracture
Wrist - Normal
Scaphoid Fracture
Trapezium Fracture
Wrist normal view
Scapholunate dissociation
Wrist dislocation
Cervical spine – Lateral view
Cervical spine – Lateral view
Cervical spine – Lateral view
Cervical spine – AP view
Cervical spine – Open mouth view
Cervical spine – Open mouth view          ( Rotated view)
Cervical spine – Swimmer’sview
C1 Fracture
C2 – Odontoid Fracture
C2 – Odontoid Fracture
C2 – Hangman Fracture
C2 - Teardrop fracture
C2 - Teardrop fracture
Cervical Spine – Facet dislocation          (Lateral view)
Cervical Spine – Facet dislocation            (AP view)
Cervical spine – prevertebral space
Cervical spine – spinous fracture
Thoracic spine - Normal
Thoracic spine - Normal
Thoracic spine - Normal
Lumbar spine – Normal view
Lumbar spine – Normal view
Lumbar spine – Normal view
Lumbar spine – Normal view
Lumbar spine – Three Coloumn
Lumbar spine – Three Coloumn
Lumbar spine – Compression Fracture
Lumbar spine – Compression Fracture
Lumbar spine – Burst Fracture
Lumbar spine – Burst Fracture
Lumbar spine – Chance’s Fracture
Lumbar spine – Chance’s Fracture
Osteoporotic fracture
Osteoporotic fracture
Fracture transverse fracture
Spinous process fracture
Pelvis X-ray - Normal
Pelvis X-ray – Pubic ramus fracture
Pelvis X-ray – Acetabular fracture
Pelvis X-ray - Diastasis
Pelvis X-ray – ASIS avulsion
Sacrum- Normal
Sacral Fracture
Hip - Normal
Hip - Normal
Hip - Normal
Hip – Intracapsular fracture
Hip – Intertrochanter fracture
Hip – Subtrochanter fracture
Hip - Dislocation
Femur fracture
Pathological fracture
Knee - Normal
Knee - Normal
Knee - Normal
Fracture Tibial plateau
Fracture Tibial plateau
Patella Fracture
Patella Dislocation
Fabella
Bipartite Patella
Tibia and fibula fracture
Tibial Stress fracture
Toddler’s fracture
Ankle - Normal
Ankle - Normal
Ankle - Normal
Lateral malleolus fracture
Bimalleolar Fracture
Bimalleolar Fracture
Osteochondral fracture
Calcaneal fracture
Foot - Normal
Lisfranc Farcture
Fracture 5th metatarsal
Osteosarcoma
Aneurysmal bone cyst
Osteochondroma
Osteopetrosis
THANK YOU
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Interpretation of musculoskeletal x  rays
Upcoming SlideShare
Loading in …5
×

261

Share

Download to read offline

Interpretation of musculoskeletal x rays

Download to read offline

Related Audiobooks

Free with a 30 day trial from Scribd

See all

Interpretation of musculoskeletal x rays

  1. 1. Interpretation of Musculoskeletal X- rays Jatinder S. Luthra
  2. 2. Skeletal condition• Fractures• Osteomyelitis• Structural anomalies• Degenerative joint conditions
  3. 3. Rule of Two• Two views - AP and Lateral• Two joints – joint above and below• Two occasions – repeat x- rays• Two limbs – Compare
  4. 4. • Patient details• Date of exam.• Side – Rt./Lt. – Marker• Exposure• Whole area covered – Joint above and below• Two views• Abnormalities
  5. 5. • Bone Regularity Break in intact Cortex• Joint integrity – Fractures Joint congruency Air• Soft tissue location, pattern, joint Fracture body Foreign extends into deformity. Damage/ degenreration Swelling Density
  6. 6. Description of fracture
  7. 7. Bone and joint alignment
  8. 8. Joint space
  9. 9. Bone Texture
  10. 10. Soft Tissue Anomaly
  11. 11. Bone Anatomy
  12. 12. Joint Anatomy
  13. 13. Cortical outline
  14. 14. Two views
  15. 15. Compare normal
  16. 16. Look for unexpected
  17. 17. Artefacts
  18. 18. Transverse fracture
  19. 19. Oblique
  20. 20. Spiral
  21. 21. Sagittal
  22. 22. Compare with old X- rays
  23. 23. Multidirectional
  24. 24. Comminuted
  25. 25. Butterfly Fragment
  26. 26. Segmental
  27. 27. Shortening
  28. 28. Angulation and Rotation
  29. 29. Distraction and impaction
  30. 30. Pathological fracture - Osteoporosis
  31. 31. Pathological fracture – Multiple myeloma MOTH EATEN APPEARANCE
  32. 32. Pathological fracture – Benign lesion GEOGRAPHICAL MARGIN
  33. 33. Avulsion Farcture
  34. 34. Stress Fracture
  35. 35. Periprosthetic fracture
  36. 36. Fracture Mimics
  37. 37. Fracture Mimics
  38. 38. Fracture Mimics
  39. 39. Fracture Mimics- Vascular markings
  40. 40. Fracture Mimics
  41. 41. Foreign Body
  42. 42. Needle
  43. 43. Needle
  44. 44. Clavicle
  45. 45. Acromioclavicular Joint
  46. 46. Shoulder - Normal
  47. 47. Shoulder – Anterior Dislocation
  48. 48. Shoulder – Posterior Dislocation BULB SIGN
  49. 49. Scapula - Normal
  50. 50. Scapula - Fracture
  51. 51. Humerus Fracture
  52. 52. Elbow - Normal (10 year old)
  53. 53. Elbow - Normal (Lateral)
  54. 54. Elbow - Subtle Fracture
  55. 55. Elbow – Supracondylar fracture
  56. 56. Elbow - Dislocation
  57. 57. Wrist – Colle’s Fracture
  58. 58. Wrist – Smith’s Fracture
  59. 59. Wrist – Comminuted Fracture
  60. 60. Monteggia Fracture
  61. 61. Greenstick Fracture
  62. 62. Torus Fracture
  63. 63. Wrist - Normal
  64. 64. Scaphoid Fracture
  65. 65. Trapezium Fracture
  66. 66. Wrist normal view
  67. 67. Scapholunate dissociation
  68. 68. Wrist dislocation
  69. 69. Cervical spine – Lateral view
  70. 70. Cervical spine – Lateral view
  71. 71. Cervical spine – Lateral view
  72. 72. Cervical spine – AP view
  73. 73. Cervical spine – Open mouth view
  74. 74. Cervical spine – Open mouth view ( Rotated view)
  75. 75. Cervical spine – Swimmer’sview
  76. 76. C1 Fracture
  77. 77. C2 – Odontoid Fracture
  78. 78. C2 – Odontoid Fracture
  79. 79. C2 – Hangman Fracture
  80. 80. C2 - Teardrop fracture
  81. 81. C2 - Teardrop fracture
  82. 82. Cervical Spine – Facet dislocation (Lateral view)
  83. 83. Cervical Spine – Facet dislocation (AP view)
  84. 84. Cervical spine – prevertebral space
  85. 85. Cervical spine – spinous fracture
  86. 86. Thoracic spine - Normal
  87. 87. Thoracic spine - Normal
  88. 88. Thoracic spine - Normal
  89. 89. Lumbar spine – Normal view
  90. 90. Lumbar spine – Normal view
  91. 91. Lumbar spine – Normal view
  92. 92. Lumbar spine – Normal view
  93. 93. Lumbar spine – Three Coloumn
  94. 94. Lumbar spine – Three Coloumn
  95. 95. Lumbar spine – Compression Fracture
  96. 96. Lumbar spine – Compression Fracture
  97. 97. Lumbar spine – Burst Fracture
  98. 98. Lumbar spine – Burst Fracture
  99. 99. Lumbar spine – Chance’s Fracture
  100. 100. Lumbar spine – Chance’s Fracture
  101. 101. Osteoporotic fracture
  102. 102. Osteoporotic fracture
  103. 103. Fracture transverse fracture
  104. 104. Spinous process fracture
  105. 105. Pelvis X-ray - Normal
  106. 106. Pelvis X-ray – Pubic ramus fracture
  107. 107. Pelvis X-ray – Acetabular fracture
  108. 108. Pelvis X-ray - Diastasis
  109. 109. Pelvis X-ray – ASIS avulsion
  110. 110. Sacrum- Normal
  111. 111. Sacral Fracture
  112. 112. Hip - Normal
  113. 113. Hip - Normal
  114. 114. Hip - Normal
  115. 115. Hip – Intracapsular fracture
  116. 116. Hip – Intertrochanter fracture
  117. 117. Hip – Subtrochanter fracture
  118. 118. Hip - Dislocation
  119. 119. Femur fracture
  120. 120. Pathological fracture
  121. 121. Knee - Normal
  122. 122. Knee - Normal
  123. 123. Knee - Normal
  124. 124. Fracture Tibial plateau
  125. 125. Fracture Tibial plateau
  126. 126. Patella Fracture
  127. 127. Patella Dislocation
  128. 128. Fabella
  129. 129. Bipartite Patella
  130. 130. Tibia and fibula fracture
  131. 131. Tibial Stress fracture
  132. 132. Toddler’s fracture
  133. 133. Ankle - Normal
  134. 134. Ankle - Normal
  135. 135. Ankle - Normal
  136. 136. Lateral malleolus fracture
  137. 137. Bimalleolar Fracture
  138. 138. Bimalleolar Fracture
  139. 139. Osteochondral fracture
  140. 140. Calcaneal fracture
  141. 141. Foot - Normal
  142. 142. Lisfranc Farcture
  143. 143. Fracture 5th metatarsal
  144. 144. Osteosarcoma
  145. 145. Aneurysmal bone cyst
  146. 146. Osteochondroma
  147. 147. Osteopetrosis
  148. 148. THANK YOU
  • WilliamSoneka

    Sep. 18, 2021
  • SuhaAli8

    Aug. 9, 2021
  • KaungNyanWin1

    Jul. 27, 2021
  • LloydChris1

    Jul. 21, 2021
  • SahibWazir

    Jun. 30, 2021
  • dawitatinafu

    Mar. 26, 2021
  • SantoshPatil252

    Mar. 22, 2021
  • CngNguyn512

    Mar. 6, 2021
  • MohamedYasseen3

    Feb. 23, 2021
  • ghufranfadel1

    Feb. 21, 2021
  • palomavela

    Feb. 20, 2021
  • luckieu161

    Jan. 12, 2021
  • ShrijaShetty

    Jan. 5, 2021
  • TejaKomma1

    Oct. 27, 2020
  • ShiroMargaretrose

    Oct. 27, 2020
  • RyanTDonahueMPASPAC

    Aug. 13, 2020
  • RiyaShah67

    Jun. 22, 2020
  • vinodbhorale

    Jun. 11, 2020
  • SnehalRane11

    May. 29, 2020
  • MelissaShukla1

    May. 4, 2020

Views

Total views

58,786

On Slideshare

0

From embeds

0

Number of embeds

743

Actions

Downloads

4,274

Shares

0

Comments

0

Likes

261

×