Xray

Question 1

standard view long bones

Answer 1

AP and lateral

Question 2

standard view joints

Answer 2

AP, Lateral and oblique

Question 3

standard view shoulder

Answer 3

AP, Y scapular and axially (for trauma) or AP views w/ IR and ER for non trauma

Question 4

standard view hips/pelvis

Answer 4

AP and frog leg lateral

Question 5

steps to read xray

Answer 5

ID normal bones, look for cortical continuity, check alignment, look for extra densities or lucencies, look at adjacent joints, compare to prior images, or CT or MRI is not findings but clinical concern

Question 6

Arc I (hand)

Answer 6

proximal articular surface of scaphoid, lunate, & triquetrum

Question 7

Arc II (hand)

Answer 7

distal articular surface of scaphoid, lunate and triquetrum

Question 8

Arc III (hand)

Answer 8

proximal articular surface of capitate and hamate

Question 9

lateral view of wrist/hand

Answer 9

radius, lunate, capitate and 3rd metacarpal should line up

Question 10

fxs: things to look for on X-ray (1-6)

Answer 10

1. cortical discontinuity, 2. radiolucent fx lines (white), 3. abnormally white or dense areas, representing overlapping one fragments or impaction of bone, 4. extra or unexplained fragments of bone, 5. soft tissue swelling, joint effusions, 6. callus formation in healing fxs

Question 11

gamekeeper’s thumb

Answer 11

aka rabbit hunter’s or skier’s them. 6% of all skiing injuries. 50% to the hand. disruption of UCL and first MCP joint.

Question 12

Stener lesion

Answer 12

related to gamekeeper’s thumb. displacement of Ulnar Collateral Ligament (UCL). superficial to aponeurosis of adductor policies. will not heal properly w/ this displacement and requires surgery.

Question 13

MUGR

Answer 13

acronym to remember that a Monteggio fx is of the ulna and a Galleazi is a fx of the radius

Question 14

Monteggia

Answer 14

fx of the ulna and dislocation of proximal radius (nightstick fx)

Question 15

Galleazi

Answer 15

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