– See: – Classification – Singh index – Unstable Intertrochanteric Fractures – AP view (internal rotation); – allows determination of frx obliquity & bone quality; – if hip is in external rotation, greater troch rotates posteriorly & will overlie part of the fracture … Read more
– Harris Beath View – Oblique View: – patient is supine with the knee flexed; – lateral border of the foot is elevated 40 to 45 degrees with – medial border of the foot against the cassette; – central beam is directed vertically to the base of the 3rd M.T. … Read more
– Early Stages: – widening of epiphyseal line (representing growth plate); – AP View: – normal hip shows epiphysis of femoral head projecting above & lateral to the superior border of the femoral neck; – affected hip shows widening and irregularity of growth plate; – height of … Read more
– See: – Radiology of the Wrist – Distal Radius Fx – Discussion: – radiographic measurements: – articular step off: most important determinant of outcome; – radial shortening second most determinant … Read more
– See: Radiology of Hip – Pre Reduction Evaluation: – frx-dislocation usually confirmed by a single AP x-ray; – rule out: assoc acetabular, femoral head, or femoral neck frx; – these must be recognized prior to reduction; – femoral head: for assoc frx; … Read more
– Discussion: – bone scan and MRI may help early involvement, but may not correlate with the extent of involvement; – bone scans are highly sensitive for Perthes disease; – Radiographic Findings: (Waldenstrom): – initial findings: – ossific nucleus fails to … Read more
– see postoperative radiographic evaluation of total hip replacement – Discussion: – acetabular component loosening: – osteolysis / polyethylene wear: – Component Position: – acetabular component flexion: – to measure postoperative cup position, a standing true lateral view of the operated hip allowed direct measurement of … Read more
– Discussion: – complete knee series should include an anteroposterior, lateral, & axilla view as well as a tunnel view in skeletally immature pts; – Specific Views: – Axilla View – Lateral Radiograph – Tangential Patellar Views – Tunnel Radiograph – X-ray Features of … Read more
– See: DDH – Indications for Radiographs: – for confirming position of hips getting treatment; – for confirming a suspected teratologic dislocation; – Patient age: – x-rays may not reveal a dislocation until infant is > 6 wks since so much of the pelvis is cartilaginous; … Read more
– See: – Ficat Classification – Enneking’s Stages of Osteonecrosis – Discussion: – combination of osteoclastic resorption and new bone formation in revascularized areas creates x-ray appearance of mottled density; – when collapse of segment of necrotic bone occurs, the compression of more bone into smaller … Read more