– See: – Arteriography, Microanastomosis, Pharmocological Agents in Vascular Surgery – Vaccum Assisted Wound Closure Device – Discussion: – w/ severe extremity wounds, early radical debridement combined with early soft tissue coverage (regional or free flap) will decrease wound infection, flap loss, & delayed bone healing; – early coverage … Read more
– See: vascular malformations of the upper extremity – Discussion: – first described by Maurice Raynaud in 1862; – involves vasoconstriction of the cutaneous arteriovenous shunts, digital arteries, and precapillary arterioles; – pallor of the digits with or w/o cyanosis on exposure to cold; – Raynaud’s disease … Read more
– Findings: – Carpal height & Carpal height ratio – Distal Radius Fracture – Radial Length & Width – Scapholunate Dislocation – Scaphoid Fracture – Types of Radiographs: – Arthrography of the Wrist – AP View – Carpal Tunnel View – Clenched Fist … Read more
– See: Pediatric Elbow Injuries – Ossification Centers of the Elbow: – C apetellum (appears age 1-2) – R adial Head (appears age 2-4) – I nteranal epicondyle (appears age 4-6) – T rochlea (appears age 8-11) – O lecranon (9-11 years) … Read more
– See: Radiology of Pediatric Elbow – Discussion: – precise AP & Lateral projections are required to evaluate normal anatomic relationships; – there should be no rotation to the forearm; – AP View: – medial and lateral epicondyles and humeral-ulnar/radial articulation; – carrying angle; … Read more
– Findings: – Assymmetrical osteopenia; – Spine: vertebral compression fractures; – Skull: – so-called salt-and-pepper skull – tiny punched out lesions may be present in the skull, producing so called salt and pepper appearance; – Clavicle: erosion of the … Read more
– Roberts View: – true AP view described by Roberts: – take AP view of thumb w/ forearm in maximal pronation & dorsum of thumb resting on the x-ray cassette; – True Lateral of CMC: – obtained w/ forearm flat on table, hand pronated approx 20 deg w/thumb flat … Read more
– PA view: – common finding is small frag from ulnar base of proximal phalanx; – Lateral view: – may show volar subluxation of proximal phalanx that would indicate that there is a tear involving the dorsal capsule & EPB; – more than 3 mm of subluxation … Read more
– See: – scaphoid fracture: – non diagnositic x-ray – bone scan for scaphoid frx: – CT scan evaluation – radiology of hand & … Read more
– See: Radiographic Studies of the Foot and Ankle – Static Films: – os subfibulare: – historically, this has been considered to be an accessory ossicle located just below the ditsal fibular epiphysis; – it is distinguished from a fracture … Read more