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Flashcards in Diagnostic Imaging Deck (134):
1

What is TACBS?

Technical
Alignment
Cartilage
Bone
Soft Tissue

2

Which part of TACBS is key for trauma?

Alignment

3

What are the 4 Ds?

Detection (TACBS)
Description
DDX (Vindicate)
Decisions

4

What is VINDICATE?

Vascular
Infection
Neoplasm
Drugs/Iatrogenic
Inflammatory
Congenital
AutoImmune
Trauma
Endocrine

5

Option for follow up?

More X-ray
Advanced Imaging
Lab Work
Prognosis of care
Associations and compilations
Referral (BE SPECIFIC)

6

What type of advanced imaging for chest?

CT

7

What type of advanced imaging for gut?

U/S then CT

8

What type of advanced imaging for acute head?

CT

9

What type of advanced imaging for everything other than chest, gut, and acute head?

MRI

10

What are the 3 parts of a long bone?

Epiphysis
Metaphysis
Diaphysis

11

What structure is between the Epiphysis and Metaphysis?

Epiphyseal Plate

12

Named Skull and Facial Fractures

Ping-Pong Fracture
Tripod Fracture (MC)
Le Fort

13

What is a Ping-Pong Fracture?

Depressed skull fx
Children
MOI: Broad deep depression

14

What is a Tripod Fracture?

Zygomatic arch, orbital, and maxillary process fx
MOST COMMON
MOI: Blow over malar eminence

15

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

16

Named Cx Spine Fractures

Jefferson Fracture
Hangman's Fracture
Teardrop Fracture
Clay Shoveler's Fracture

17

What is a Jefferson Fracture?

Burst of C1
MOI: Axial compression

18

What is a Hangman's Fracture?

Traumatic spondy
MOI: Hyperextension

19

What is a Teardrop Fracture?

Avulsion of a triangular shaped fragment from the anteroinferior corner
MOI: Acute hyperextension

20

What is a Clay Shoveler's Fracture?

SP fracture C6-T2
MOI: Hyperflexion

21

Named Lumbar Fractures

Chance/Lap seat belt

22

What is a Chance/Lap belt Fracture?

Horizontal splitting of the spine and neural arch
MOST COMMON in upper lumbar
MOI: Auto accident

23

Named AVN of the spine

Kummel Disease

24

What is Kummel Disease?

AVN of the vertebral body

25

Named Rib/Sternum/SC Fractures

Tietze Syndrome
Golfer's Fracture
Passion/Bear Hug Fracture

26

What is Tietze Syndrome?

Bening and Self limiting
Painful enlargement of the upper costal cartilage
MOI: after minor trauma

27

What is a Golfer's Fracture?

Lateral margin rib fracture
MOI: Striking the ground instead of the ball

28

What is a Passion Fracture?

Rib fracture
MOI: Bear hugs

29

Named Pelvic Fractures

Straddle Fracture
Malgaigne's Fracture
Bucket Handle Fracture

30

What is a Straddle Fracture?

Double vertical fracture of the ischiopubic ring
or dislocation of the pubis

31

What is a Malgaigne's Fracture?

Double vertical fracture of one hemipelvis, superior pubic ramus and ischiopubic ramus
MOI: Vertical shearing force

32

What is a Bucket Handle Fracture?

Through the superior pubic ramus and ischiopubic junction
MOI: Oblique force impact to pelvis

33

Named AVN of the pelvis

Buchman
Milch
Pierson
Van Neck-Odelberg

34

Buchman AVN

AVN of the Iliac Crest

35

Milch AVN

AVN of the Ischial Apophysis

36

Pierson AVN

AVN of the Symphysis Pubis

37

Van Neck-Odelberg AVN

AVN of the Ischiopubic Synchondrosis

38

What is a SCFE?

Slipped Capital Femoral Epiphysis
MOI: >50% are non-trauma

39

Definition:
Salter-Harris Fractures

Definition:
Injury to the Growth Plate

40

Definition:
Type 1 Salter-Harris

Definition:
Fx Through the Growth Plate

41

Definition:
Type 2 Salter-Harris

Definition:
Fx Through Growth Plate and Metaphysis
MOST COMMON

42

Definition:
Type 3 Salter-Harris

Definition:
Fx Through Growth Plate and Epiphysis

43

Definition:
Type 4 Salter-Harris

Definition:
Fx Through all 3 Elements

44

Definition:
Type 5 Salter-Harris

Definition:
Crush Injury of the Growth Plate

45

Named Fracture Classification Systems of the Hip

Garden System
Evans System
Seinsheimer System

46

What is the Garden System of Femur Fracture?

Intercapsular Fractures
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

47

What is the Evans System of Femur Fracture?

Intertrochanteric Fractures
Type I - Stable w/o displacement
Type II - Unstable w/ displacement

48

What is the Seinsheimer System of Femur Fracture?

Subtrochanteric Fractures
Type I - Non-displaced
Type II - Two Part Fx
Type III - Three Part Fx
Type IV - Communited Fx (4+)

49

Named AVN of Hip

Legg-Calve-Perthe's
Mandl

50

Legg-Calve-Perthe's AVN

AVN of the Femoral Head

51

Mandl AVN

AVN of the Greater Trochanter

52

Named Fractures of the Knee

Segond Fracture
Osgood-Schlatter
Sinding-Larson-Johansson
Bumper/Fender
Trampoline Fracture

53

What is a Segond Fracture?

Avulsion of the proximal tibia at the lateral joint capsule
MOI: Internal tibial rotation and knee flexion

54

What is a Osgood-Schlatter Fracture?

Avulsion of the tibial tubercle
MOI: Acute/Chronic Repetitive Trauma

55

What is a Sinding-Larson-Johansson Fracture?

Avulsion of the inferior patellar pole
MOI: Traction Apophysitis or Posttraumatic Osteonecrosis

56

What is a Bumper/Fender Fracture?

Fx of the tibial plateau
MOI: Femoral condyles forced into the tibial plateau

57

What is a Trampoline Fracture?

Fx of the tibial plateau through the metaphysis
MOI: Child jumping on trampoline with a larger person

58

Named AVN of the knee

Ahlback (SONK)
Caffrey
Kohler

59

What is Ahlback Disease?

AVN of the medial femoral condyle (SONK)

60

What is a SONK?

Spontaneous Osteonecrosis of the knee (Ahlback)

61

What is Caffrey Disease?

AVN of intercondylar spine of the tibia

62

What is Kohler Disease in adults?

AVN of the Patella (Navicular in children)

63

Named tibial fractures

Tillaux Fracture
Toddler's Fracture

64

What is a Tillaux Fracture?

Fx through the medial malleolus and diastasis of the distal tib-fib joint

65

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

66

Named fibular fractures

Maisonneuve Fracture
Pott's Fracture
Dupuytren's Fracture

67

What is a Maisonneuve Fracture?

Fx of the proximal fibula
MOI: Inversion and external rotation of the ankle

68

What is a Pott's Fracture?

Partial dislocation of the ankle with fib fx
MOI: jumping

69

What is a Dupuytren's Fracture?

Fx of distal fibula with widened ankle mortise and medial tibial displacement
MOI: jumping

70

Named fractures of the ankle

SER - 60%
SAD - 20%
PER - 10%
PAB - 10%
PDF - <0.5%

71

What is a SER Fracture?

MOI: Supination & ExRot forces talus against fib
Unstable
SER I - Talliux
SER II - Oblique distal fib
SER III - Posterior tib
SER IV - Medial malleolus and deltoid rupture

72

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

73

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

74

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

75

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

76

Named foot and ankle fractures

Lauge-Hansen Classification
Aviator's Astragalus

77

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

78

What is a Aviator's Astragalus Fracture?

Fx of the talus
2nd MOST COMMON tarsal fx
MOI: Dislocation of the tibiotalar or subtalar joint

79

AVN of the ankle

Dias
Liffert-Arkin
Muller-Weiss
Kohler
Sever

80

What is a Dias Disease?

AVN of the trochlea of the talus

81

What is Liffert-Arkin Disease?

AVN of the distal tibia

82

What is Muller-Weiss?

AVN of navicular in adults

83

What is Kohler Disease in children?

AVN of navicular (patella in adults)

84

What is Sever's Disease?

AVN of the calcaneal epiphysis

85

Named fractures of the foot

Jones Fracture
Bedroom Fracture
Chopart's Dislocation
Lisfranc Dislocation

86

What is a Jones Fracture?

Fx of the base of the 5th metatarsal
MOI: Direct or indirect forces

87

What is a Bedroom Fracture?

Broken toe
MC in 1st and 5th
MOI: Direct blow to toe

88

What is a Chopart's Dislocation?

Midtarsal dislocation that separated the foot at the talonavicular and calcaneocuboid joint

89

What is a Lisfranc Fracture?

Tarsometarsal fracture

90

Named AVN of the foot

Freiberg
Iselin

91

What is Freiberg Disease?

AVN of the head of the second metatarsal

92

What is a Iselin Disease?

AVN of the base of the 5th metatarsal

93

Named Fractures of the Shoulder

Little League Shoulder
Bankart Lesion
Hill-Sachs
Flap Fracture

94

What is a Little League Shoulder Fracture?

Type I - Slipped Humeral Epiphysis
MC 11-16yo
MOI: Throwing

95

What is a Bankart Lesion?

Avulsion of the Glenoid Rim
MOI: Anterior Dislocation

96

What is a Hill Sachs Fracture?

Posterolateral humeral head compression fracture
MOI: Anterior dislocation

97

What is a Flap Fracture?

Fracture of the greater tuberosity
MOI: Anterior Dislocation

98

Named AVN of the Humerus and Clavicle

Freidrich
Hass

99

What is a Freidrich Disease?

AVN of the medial clavicle

100

What is a Hass Disease?

AVN of the humeral head

101

Named fractures of the humerus and elbow

Ball Fracture
Nursemaid's Elbow

102

What is a Ball Fracture?

Throwing fracture
Minimal displaced spiral fracture of the mid-distal shaft of the humerus
MOI: Throwing motions, even snowballs

103

What is a Nursemaid's Elbow?

Radial head dislocation anteriorly in relation to the capitulum
MOI: Sudden pull on a child's arm

104

Named fractures of the elbow

Monteggia
Hahn-Steinthal
Kocher-Lorenz
Regan-Morray

105

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

106

What is a Hahn-Steinthal Fracture?

Capitellum Fx
Displacement of a large segment of bone
MOI: Direct forces through radial head

107

What is a Kocher-Lorenz Fracture?

Capitellum Fx
Displacement of Cartilage
MOI: Direct force through radial head

108

What are the two named Capitellum injuries?

Hahn-Steinthal and Kocher-Lorenz

109

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

110

Named Fractures of the Forearm

Galeazzi Fracture
Colles Fracture (Ponteau)
Smith Fracture
Moore Fracture
Nightstick Fracture
Barton Fracture
Hutchison (Chauffer's) Fracture

111

What is a Galeazzi Fracture?

Fx of radial shaft w/ dislocation of distal radiulnar joint
MOI: FOOSH

112

What is a Colles (Ponteau) Fracture?

Fx of radius with dorsal displacement
MOI: Dorsiflexion

113

What is a Smith Fracture?

MOST COMMON
Fx of radius with ventral displacement
MOI: Direct force to wrist with hyperflexion

114

What is a Moore Fracture?

Colles Fx w/ Ulnar Styloid Involvement
Disruption of the distal radioulnar joint
MOI: Dorsiflexion

115

What is a Nightstick Fracture?

Ulnar Fx
MOI: Direct force to forearm

116

What is a Barton Fracture?

Fx of dorsal rim of radius w/ interarticular extension
MOI: Dorsiflexion AND pronation

117

What is a Hutchison (Chauffer's) Fracture?

Fx of the styloid process of the Radius
MOI: Direct blow or avulsion by radial collateral ligament

118

Named AVN of the Elbow and Forearm

Brailsford
Burns
Panner

119

What is a Brailsford Disease?

AVN of the Radial Head

120

What is a Burns Disease?

AVN of the Distal Ulna

121

What is a Panner Disease?

AVN of the Capitellum of Humerus

122

Named fractures of the Thumb

Bennett Fracture
Rolando Fracture
Gamekeeper Thumb Fracture

123

What is a Bennett Fracture?

Fx of the volar lip, 1st metacarpal base is displaced dorsally
MOI: Axial force to flexed metacarpal bone

124

What is a Rolando Fracture?

Y or T shaped comminuted Fx of the 1st metacarpal base

125

What is a Gamekeeper Thumb?

Disruption of the 1st Metacarpal UCL
MOI: Ski Pole, Abd-Ext Force

126

Named fractures of the wrist and hand

DeQuervain's Fracture
Boxer's Fracture
Bar Room Fracture

127

What is a DeQuervain's Fracture?

Ant dislocation of the lunate w/ proximal fragment of the scaphoid

128

What is a Boxer's Fracture?

Transverse Fx of the 2nd/3rd metacarpal neck
MOI: Straight jab type blow

129

What is a Bar Room Fracture?

Transvers Fx of the 4th/5th metacarpal neck
MOI: Roundhouse type blow

130

Named AVN of the wrist and hand

Keinbock
Preiser
Deitrich-Mauclaire
Theimann

131

What is a Keinbock Disease?

AVN of the Lunate

132

What is a Preiser Disease?

AVN of the Scaphoid

133

What is a Dietrich-Mauclaire Disease?

AVN of the Metacarpal Head

134

What is a Theimann Disease?

AVN of the Phalanges Base