Flashcards in Diagnostic Imaging Deck (134):
What is TACBS?
Which part of TACBS is key for trauma?
What are the 4 Ds?
What is VINDICATE?
Option for follow up?
Prognosis of care
Associations and compilations
Referral (BE SPECIFIC)
What type of advanced imaging for chest?
What type of advanced imaging for gut?
U/S then CT
What type of advanced imaging for acute head?
What type of advanced imaging for everything other than chest, gut, and acute head?
What are the 3 parts of a long bone?
What structure is between the Epiphysis and Metaphysis?
Named Skull and Facial Fractures
Tripod Fracture (MC)
What is a Ping-Pong Fracture?
Depressed skull fx
MOI: Broad deep depression
What is a Tripod Fracture?
Zygomatic arch, orbital, and maxillary process fx
MOI: Blow over malar eminence
What is a Le Fort Fracture?
Le Fort I - Maxilla and pterygoid plate
Le Fort II - Ethmoidal, maxillary orbit, and lateral maxilla
Le Fort III - Separated facial skeleton from skull
Named Cx Spine Fractures
Clay Shoveler's Fracture
What is a Jefferson Fracture?
Burst of C1
MOI: Axial compression
What is a Hangman's Fracture?
What is a Teardrop Fracture?
Avulsion of a triangular shaped fragment from the anteroinferior corner
MOI: Acute hyperextension
What is a Clay Shoveler's Fracture?
SP fracture C6-T2
Named Lumbar Fractures
Chance/Lap seat belt
What is a Chance/Lap belt Fracture?
Horizontal splitting of the spine and neural arch
MOST COMMON in upper lumbar
MOI: Auto accident
Named AVN of the spine
What is Kummel Disease?
AVN of the vertebral body
Named Rib/Sternum/SC Fractures
Passion/Bear Hug Fracture
What is Tietze Syndrome?
Bening and Self limiting
Painful enlargement of the upper costal cartilage
MOI: after minor trauma
What is a Golfer's Fracture?
Lateral margin rib fracture
MOI: Striking the ground instead of the ball
What is a Passion Fracture?
MOI: Bear hugs
Named Pelvic Fractures
Bucket Handle Fracture
What is a Straddle Fracture?
Double vertical fracture of the ischiopubic ring
or dislocation of the pubis
What is a Malgaigne's Fracture?
Double vertical fracture of one hemipelvis, superior pubic ramus and ischiopubic ramus
MOI: Vertical shearing force
What is a Bucket Handle Fracture?
Through the superior pubic ramus and ischiopubic junction
MOI: Oblique force impact to pelvis
Named AVN of the pelvis
AVN of the Iliac Crest
AVN of the Ischial Apophysis
AVN of the Symphysis Pubis
Van Neck-Odelberg AVN
AVN of the Ischiopubic Synchondrosis
What is a SCFE?
Slipped Capital Femoral Epiphysis
MOI: >50% are non-trauma
Injury to the Growth Plate
Type 1 Salter-Harris
Fx Through the Growth Plate
Type 2 Salter-Harris
Fx Through Growth Plate and Metaphysis
Type 3 Salter-Harris
Fx Through Growth Plate and Epiphysis
Type 4 Salter-Harris
Fx Through all 3 Elements
Type 5 Salter-Harris
Crush Injury of the Growth Plate
Named Fracture Classification Systems of the Hip
What is the Garden System of Femur Fracture?
Type I - Incomplete/Impacted
Type II - Complete w/o Bone Displacement
Type III - Complete w/ partial Bone Displacement
Type IV - Complete w/ full Bone Displacement
What is the Evans System of Femur Fracture?
Type I - Stable w/o displacement
Type II - Unstable w/ displacement
What is the Seinsheimer System of Femur Fracture?
Type I - Non-displaced
Type II - Two Part Fx
Type III - Three Part Fx
Type IV - Communited Fx (4+)
Named AVN of Hip
AVN of the Femoral Head
AVN of the Greater Trochanter
Named Fractures of the Knee
What is a Segond Fracture?
Avulsion of the proximal tibia at the lateral joint capsule
MOI: Internal tibial rotation and knee flexion
What is a Osgood-Schlatter Fracture?
Avulsion of the tibial tubercle
MOI: Acute/Chronic Repetitive Trauma
What is a Sinding-Larson-Johansson Fracture?
Avulsion of the inferior patellar pole
MOI: Traction Apophysitis or Posttraumatic Osteonecrosis
What is a Bumper/Fender Fracture?
Fx of the tibial plateau
MOI: Femoral condyles forced into the tibial plateau
What is a Trampoline Fracture?
Fx of the tibial plateau through the metaphysis
MOI: Child jumping on trampoline with a larger person
Named AVN of the knee
What is Ahlback Disease?
AVN of the medial femoral condyle (SONK)
What is a SONK?
Spontaneous Osteonecrosis of the knee (Ahlback)
What is Caffrey Disease?
AVN of intercondylar spine of the tibia
What is Kohler Disease in adults?
AVN of the Patella (Navicular in children)
Named tibial fractures
What is a Tillaux Fracture?
Fx through the medial malleolus and diastasis of the distal tib-fib joint
What is a Toddler's Fracture?
Undisplaced spiral fx of the tibial
MOI: Child's leg is caught in the slats of the crib then rolls over
Named fibular fractures
What is a Maisonneuve Fracture?
Fx of the proximal fibula
MOI: Inversion and external rotation of the ankle
What is a Pott's Fracture?
Partial dislocation of the ankle with fib fx
What is a Dupuytren's Fracture?
Fx of distal fibula with widened ankle mortise and medial tibial displacement
Named fractures of the ankle
SER - 60%
SAD - 20%
PER - 10%
PAB - 10%
PDF - <0.5%
What is a SER Fracture?
MOI: Supination & ExRot forces talus against fib
SER I - Talliux
SER II - Oblique distal fib
SER III - Posterior tib
SER IV - Medial malleolus and deltoid rupture
What is a SAD Fracture?
MOI: medially directed adduction on a supinated foot
SAD I - Lateral lig rupture and fx of distal fib
SAD II - fx of medial malleolus
What is a PER Fracture?
MOI: ExRot on a Pronated foot
PER I - deltoid rupture 60%, med malleolus rupture 40%
PER II - Distal tibfib rupture, or avulsion of A/P tubercle
PER III - I & II w/ supramalleolar fx
PER IV - I-III w/ posterior tibial margin fx
What is a PAB Fracture?
MOI: Abd on a pronated foot
PAB I - deltoid rupture 60%
PAB II - Distal tibfib rupture or avulsion of A/P tubercle
PAB III - I & II w/ supramalleolar fx
What is a PDF Fracture?
MOI: Axial loading, forced dorsiflexion on a pronated foot
PDF I - fx of medial malleolus
PDF II - ant tibial fx
PDF III - supramalleolar fx
PDF IV - transverse fx of posterior tibia, comm with PDF II
Named foot and ankle fractures
What is a Lauge-Hansen Classification?
Based on position of the foot relative to the body at the time of injury and direction of talus displacement or rotation in relation to the mortise joint
What is a Aviator's Astragalus Fracture?
Fx of the talus
2nd MOST COMMON tarsal fx
MOI: Dislocation of the tibiotalar or subtalar joint
AVN of the ankle
What is a Dias Disease?
AVN of the trochlea of the talus
What is Liffert-Arkin Disease?
AVN of the distal tibia
What is Muller-Weiss?
AVN of navicular in adults
What is Kohler Disease in children?
AVN of navicular (patella in adults)
What is Sever's Disease?
AVN of the calcaneal epiphysis
Named fractures of the foot
What is a Jones Fracture?
Fx of the base of the 5th metatarsal
MOI: Direct or indirect forces
What is a Bedroom Fracture?
MC in 1st and 5th
MOI: Direct blow to toe
What is a Chopart's Dislocation?
Midtarsal dislocation that separated the foot at the talonavicular and calcaneocuboid joint
What is a Lisfranc Fracture?
Named AVN of the foot
What is Freiberg Disease?
AVN of the head of the second metatarsal
What is a Iselin Disease?
AVN of the base of the 5th metatarsal
Named Fractures of the Shoulder
Little League Shoulder
What is a Little League Shoulder Fracture?
Type I - Slipped Humeral Epiphysis
What is a Bankart Lesion?
Avulsion of the Glenoid Rim
MOI: Anterior Dislocation
What is a Hill Sachs Fracture?
Posterolateral humeral head compression fracture
MOI: Anterior dislocation
What is a Flap Fracture?
Fracture of the greater tuberosity
MOI: Anterior Dislocation
Named AVN of the Humerus and Clavicle
What is a Freidrich Disease?
AVN of the medial clavicle
What is a Hass Disease?
AVN of the humeral head
Named fractures of the humerus and elbow
What is a Ball Fracture?
Minimal displaced spiral fracture of the mid-distal shaft of the humerus
MOI: Throwing motions, even snowballs
What is a Nursemaid's Elbow?
Radial head dislocation anteriorly in relation to the capitulum
MOI: Sudden pull on a child's arm
Named fractures of the elbow
What is a Monteggia Fracture?
MOST COMMON IN ADULTS
Type I - Middle/Upper Ulna Fx w/ Anterior dislocation of radial head
Type II - Middle/Upper Ulna Fx w/ Posterior dislocation of radial head
Type III - Ulna Fx distal to coronoid process w/ Lateral dislocation of radial head
Type IV - Middle/Upper Ulna Fx w/ Anterior dislocation of radial head AND Upper Radius Fx
What is a Hahn-Steinthal Fracture?
Displacement of a large segment of bone
MOI: Direct forces through radial head
What is a Kocher-Lorenz Fracture?
Displacement of Cartilage
MOI: Direct force through radial head
What are the two named Capitellum injuries?
Hahn-Steinthal and Kocher-Lorenz
What is a Regan-Morrey Fracture?
Coronoid Process Fx
Avulsion from brachialis tendon, or impaction against the trochanter
Type I - Simple avulsion
Type II - Fx 50% of coronoid process
Type III - Fx base of coronoid process
Named Fractures of the Forearm
Colles Fracture (Ponteau)
Hutchison (Chauffer's) Fracture
What is a Galeazzi Fracture?
Fx of radial shaft w/ dislocation of distal radiulnar joint
What is a Colles (Ponteau) Fracture?
Fx of radius with dorsal displacement
What is a Smith Fracture?
Fx of radius with ventral displacement
MOI: Direct force to wrist with hyperflexion
What is a Moore Fracture?
Colles Fx w/ Ulnar Styloid Involvement
Disruption of the distal radioulnar joint
What is a Nightstick Fracture?
MOI: Direct force to forearm
What is a Barton Fracture?
Fx of dorsal rim of radius w/ interarticular extension
MOI: Dorsiflexion AND pronation
What is a Hutchison (Chauffer's) Fracture?
Fx of the styloid process of the Radius
MOI: Direct blow or avulsion by radial collateral ligament
Named AVN of the Elbow and Forearm
What is a Brailsford Disease?
AVN of the Radial Head
What is a Burns Disease?
AVN of the Distal Ulna
What is a Panner Disease?
AVN of the Capitellum of Humerus
Named fractures of the Thumb
Gamekeeper Thumb Fracture
What is a Bennett Fracture?
Fx of the volar lip, 1st metacarpal base is displaced dorsally
MOI: Axial force to flexed metacarpal bone
What is a Rolando Fracture?
Y or T shaped comminuted Fx of the 1st metacarpal base
What is a Gamekeeper Thumb?
Disruption of the 1st Metacarpal UCL
MOI: Ski Pole, Abd-Ext Force
Named fractures of the wrist and hand
Bar Room Fracture
What is a DeQuervain's Fracture?
Ant dislocation of the lunate w/ proximal fragment of the scaphoid
What is a Boxer's Fracture?
Transverse Fx of the 2nd/3rd metacarpal neck
MOI: Straight jab type blow
What is a Bar Room Fracture?
Transvers Fx of the 4th/5th metacarpal neck
MOI: Roundhouse type blow
Named AVN of the wrist and hand
What is a Keinbock Disease?
AVN of the Lunate
What is a Preiser Disease?
AVN of the Scaphoid
What is a Dietrich-Mauclaire Disease?
AVN of the Metacarpal Head