11/4/2018 SUBTLETIES OF LOWER EXTREMITY TRAUMA IMAGING SPEAKER DISCLOSURES

Size: px
Start display at page:

Download "11/4/2018 SUBTLETIES OF LOWER EXTREMITY TRAUMA IMAGING SPEAKER DISCLOSURES"

Transcription

1 SUBTLETIES OF LOWER EXTREMITY TRAUMA IMAGING Charles S. Resnik, M.D. Professor of Radiology University of Maryland School of Medicine Upon completion of this presentation, participants will be better able to recognize the various imaging appearances of lower extremity trauma, including hip, knee, ankle, and foot injuries. SPEAKER DISCLOSURES 88 YEAR OLD WOMAN, ACUTE RIGHT HIP PAIN I have no relevant commercial relationships to disclose. I have no relevant conflicts of interest to disclose. August YEAR OLD WOMAN, ACUTE RIGHT HIP PAIN PELVIC INSUFFICIENCY FRACTURE Usually occurs in elderly patients Normal stress on abnormal bone Osteoporosis Radiation therapy Minor or no trauma Acute or chronic pain August 17 July 28 1

2 PELVIC INSUFFICIENCY FRACTURE Sacrum Pubis Proximal femur Acetabulum Ilium Ischium Often multiple ACUTE LEFT HIP PAIN ACUTE LEFT HIP PAIN GAS BUBBLES IN THE HIP JOINT ON CT: BALTIMORE BUBBLE (AJR 1995; 164: 931) SUBACUTE LEFT HIP PAIN Positive in 13 of 16 dislocations 12 within 4 hours of reduction Positive in 2 of 64 non-dislocations Gunshot wound, degloving injury May be the only evidence of dislocation 2

3 SUBACUTE LEFT HIP PAIN ACUTE LEFT HIP PAIN GARDEN CLASSIFICATION OF FEMORAL NECK FRACTURES Stage I: Stage II: Stage III Stage IV: incomplete complete, undisplaced complete, partially displaced complete, fully displaced 3

4 BISPHOSPHONATE INSUFFICIENCY FRACTURE Lateral proximal femoral shaft Localized cortical thickening Transverse radiolucent cortical fracture Complete displaced fracture Minor or no trauma Acute or chronic pain Often bilateral 59 YEAR OLD MAN, KNEE PAIN 1 WEEK 59 YEAR OLD MAN, KNEE PAIN 1 WEEK 4

5 SUBCHONDRAL INSUFFICIENCY FRACTURE (spontaneous osteonecrosis of the knee: SONK) Usually occurs in elderly patients Female more frequently than male Normal stress on abnormal bone Osteoporosis Minor or no trauma Acute or chronic pain Medial femoral condyle SUBCHONDRAL INSUFFICIENCY FRACTURE Radiographs Initially normal or osteoarthritis May progress to subchondral collapse Magnetic Resonance Imaging Bone marrow edema Curvilinear subchondral defect May progress to subchondral collapse 18 year old, chronic knee pain 5

6 6

7 MAISONNEUVE FRACTURE (DANIS-WEBER C3) 1. Rupture of anterior tibiofibular and interosseous ligaments 2. Rupture of posterior tibiofibular ligament or fracture of posterior tibia 3. Spiral fracture of proximal fibula 4. Rupture of deltoid ligament or fracture of medial malleolus LAUGE-HANSEN CLASSIFICATION OF ANKLE FRACTURES Supination adduction (Danis-Weber A) Supination external rotation (Danis-Weber B) Pronation abduction (Danis-Weber C1) Pronation external rotation (Danis-Weber C2) Maisonneuve fracture (Danis-Weber C3) 7

8 TRIPLANE FRACTURE OF DISTAL TIBIA Sagittal fracture: vertical, mid-epiphysis Coronal fracture: vertical, posterior metaphysis May include variable portion of epiphysis Axial fracture: across anterolateral physis 8

9 9

10 LISFRANC FRACTURE/DISLOCATION Homolateral Divergent 10

11 STRESS FRACTURE Cortical bone Cortical linear radiolucency Periosteal reaction Cancellous bone Medullary linear sclerosis Stress fractures Fatigue Abnormal stress on normal bone Insufficiency Normal stress on abnormal bone SPEAKER DISCLOSURES I have no relevant commercial relationships to disclose. I have no relevant conflicts of interest to disclose. I do have one unrelated disclosure: I am the Vice Chairman of the Board of Directors of Challenger Center for Space Science Education 11

12 THE CHALLENGER CENTER MISSION: Engage students and teachers in dynamic, hands-on exploration and discovery opportunities that strengthen knowledge in science, technology, engineering, and mathematics (STEM), inspire students to pursue careers in these fields, and provide an outlet to learn and apply important life skills. One student at a time, Challenger Center inspires the kind of curiosity that leads to further exploration and success in STEM fields. Vicki Chandler, Chair, National Science Board Committee on Honorary Awards 12

4/28/2010. Fractures. Normal Bone and Normal Ossification Bone Terms. Epiphysis Epiphyseal Plate (physis) Metaphysis

4/28/2010. Fractures. Normal Bone and Normal Ossification Bone Terms. Epiphysis Epiphyseal Plate (physis) Metaphysis Fractures Normal Bone and Normal Ossification Bone Terms Epiphysis Epiphyseal Plate (physis) Metaphysis Diaphysis 1 Fracture Classifications A. Longitudinal B. Transverse C. Oblique D. Spiral E. Incomplete

More information

BIOMECHANICS OF ANKLE FRACTURES

BIOMECHANICS OF ANKLE FRACTURES BIOMECHANICS OF ANKLE FRACTURES William R Reinus, MD MBA FACR Significance of Ankle Fractures Most common weight-bearing Fx 70% of all Fxs Incidence is increasing Bimodal distribution Men 15-24 Women over

More information

Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil Khouri MD, MSc, Ph.D

Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil Khouri MD, MSc, Ph.D Dr. Nabil Khouri MD, MSc, Ph.D Pelvic Girdle (Hip) Organization of the Lower Limb It is divided into: The Gluteal region The thigh The knee The leg The ankle The foot The thigh and the leg have compartments

More information

Basic Radiographic Principles Part II

Basic Radiographic Principles Part II Basic Radiographic Principles Part II Kristopher Avant, D.O. October 19 th, 2016 I have no disclosures relevant to the material presented in this discussion. Good Stuff!!! 1 Really? Really! Musculoskeletal

More information

66 yr old female with groin and hip pain. Paul Jabour, MD

66 yr old female with groin and hip pain. Paul Jabour, MD 66 yr old female with groin and hip pain Paul Jabour, MD 2 months later 12 months later 14 months after initial presentation Acetabular Insufficiency Fracture Pelvic stress fracture Fatigue

More information

PRONATION-ABDUCTION FRACTURES

PRONATION-ABDUCTION FRACTURES C H A P T E R 1 2 PRONATION-ABDUCTION FRACTURES George S. Gumann, DPM (The opinions of the author should not be considered as reflecting official policy of the US Army Medical Department.) Pronation-abduction

More information

radiologymasterclass.co.uk

radiologymasterclass.co.uk http://radiologymasterclass.co.uk Hip X-ray anatomy - Normal AP (anterior-posterior) Shenton's line is formed by the medial edge of the femoral neck and the inferior edge of the superior pubic ramus Loss

More information

Radiographic Positioning Summary (Basic Projections RAD 222)

Radiographic Positioning Summary (Basic Projections RAD 222) Lower Extremity Radiographic Positioning Summary (Basic Projections RAD 222) AP Pelvis AP Hip (Unilateral) (L or R) AP Femur Mid and distal AP Knee Lateral Knee Pt lies supine on table Align MSP to Center

More information

C. Bones of the Pelvic Girdle

C. Bones of the Pelvic Girdle C. Bones of the Pelvic Girdle 1. 2 coxal bones (a.k.a hip bones): -bony pelvis is made up of hip bones, sacrum, & coccyx -pelvic bones are large & heavy & attach to the axial skeleton via sacrum/coccyx

More information

Utility of Dual-Energy CT to Evaluate Patients with Hip and Pelvis Pain in the ER Setting

Utility of Dual-Energy CT to Evaluate Patients with Hip and Pelvis Pain in the ER Setting Utility of Dual-Energy CT to Evaluate Patients with Hip and Pelvis Pain in the ER Setting Johnson, T., Moran, E., Glazebrook, K., Leng, S., Fletcher, J., and McCollough, C. An educational review ER011

More information

RADIOGRAPHY OF THE KNEE, PATELLA, and FEMUR

RADIOGRAPHY OF THE KNEE, PATELLA, and FEMUR RADIOGRAPHY OF THE KNEE, PATELLA, and FEMUR KNEE AP Projection Patient Position: Part Position: Leg in Center Femoral condyles Central Ray: - Asthenic patient - if ASIS to tabletop is < 19 cm Sthenic patient

More information

Computed Tomographic Imaging of Foot and Ankle trauma

Computed Tomographic Imaging of Foot and Ankle trauma Computed Tomographic Imaging of Foot and Ankle trauma Dr. Tudor H. Hughes M.D., FRCR Department of Radiology University of California School of Medicine San Diego, California CT of Foot and Ankle Trauma

More information

Basic Principles of Fractures & Easily Missed Fractures. Mr Irfan Merchant Trauma & Orthopaedic Registrar Bedford Hospital, East of England

Basic Principles of Fractures & Easily Missed Fractures. Mr Irfan Merchant Trauma & Orthopaedic Registrar Bedford Hospital, East of England Basic Principles of Fractures & Easily Missed Fractures Mr Irfan Merchant Trauma & Orthopaedic Registrar Bedford Hospital, East of England Objectives Types Fracture Patterns Fracture Healing Assessing

More information

RADIOGRAPHY OF THE ANKLE and LOWER LEG

RADIOGRAPHY OF THE ANKLE and LOWER LEG RADIOGRAPHY OF THE ANKLE and LOWER LEG Patient Position: ANKLE AP Projection Part Position: True Slight to place foot s long axis Center to Central Ray: to IR Midway Note: Ankle joint is to tips of malleoli

More information

The Appendicular Skeleton

The Appendicular Skeleton 8 The Appendicular Skeleton PowerPoint Lecture Presentations prepared by Jason LaPres Lone Star College North Harris 8-1 The Pectoral Girdle The Pectoral Girdle Also called shoulder girdle Connects the

More information

10/12/2010. Upper Extremity. Pectoral (Shoulder) Girdle. Clavicle (collarbone) Skeletal System: Appendicular Skeleton

10/12/2010. Upper Extremity. Pectoral (Shoulder) Girdle. Clavicle (collarbone) Skeletal System: Appendicular Skeleton Skeletal System: Appendicular Skeleton Pectoral girdle Pelvic girdle Upper limbs Lower limbs 8-1 Pectoral (Shoulder) Girdle Consists of scapula and clavicle Clavicle articulates with sternum (Sternoclavicular

More information

EASILY MISSED FOOT AND ANKLE FRACTURES NORDIC TRAUMA COURSE 2016, AARHUS

EASILY MISSED FOOT AND ANKLE FRACTURES NORDIC TRAUMA COURSE 2016, AARHUS EASILY MISSED FOOT AND ANKLE FRACTURES NORDIC TRAUMA COURSE 2016, AARHUS Ken F. Linnau, MD, MS Emergency Radiology Harborview Medical Center University of Washington Seattle, WA Thanks to Claire K Sandstrom

More information

Figure 7: Bones of the lower limb

Figure 7: Bones of the lower limb BONES OF THE APPENDICULAR SKELETON The appendicular skeleton is composed of the 126 bones of the appendages and the pectoral and pelvic girdles, which attach the limbs to the axial skeleton. Although the

More information

Commonly Missed Injuries of the Extremities

Commonly Missed Injuries of the Extremities Commonly Missed Injuries of the Extremities Dr. Tudor H. Hughes M.D., FRCR Department of Radiology University of California School of Medicine San Diego, California 1. Base of skull 2. Odontoid process

More information

Chapter 8B. The Skeletal System: Appendicular Skeleton. The Appendicular Skeleton. Clavicle. Pectoral (Shoulder) Girdle

Chapter 8B. The Skeletal System: Appendicular Skeleton. The Appendicular Skeleton. Clavicle. Pectoral (Shoulder) Girdle The Appendicular Skeleton Chapter 8B The Skeletal System: Appendicular Skeleton 126 bones Pectoral (shoulder) girdle Pelvic (hip) girdle Upper limbs Lower limbs Functions primarily to facilitate movement

More information

Surgery-Ortho. Fractures of the tibia and fibula. Management. Treatment of low energy fractures. Fifth stage. Lec-6 د.

Surgery-Ortho. Fractures of the tibia and fibula. Management. Treatment of low energy fractures. Fifth stage. Lec-6 د. Fifth stage Lec-6 د. مثنى Surgery-Ortho 28/4/2016 Indirect force: (low energy) Fractures of the tibia and fibula Twisting: spiral fractures of both bones Angulatory: oblique fractures with butterfly segment.

More information

Friday Teaching. Bones

Friday Teaching. Bones Friday Teaching Bones Regarding slipped femoral capital epiphysis It represents Salter Harris type V injury 20% are bilateral There is slight widening of the joint space Slip is typically posteromedial

More information

Imaging the musculoskeletal system. An Introduction

Imaging the musculoskeletal system. An Introduction Imaging the musculoskeletal system An Introduction Objectives Discuss: commonly used imaging modalities in the musculoskeletal system normal imaging anatomy in the extremities fracture description Imaging

More information

Proximal fibular fracture icd-10

Proximal fibular fracture icd-10 Proximal fibular fracture icd-10 Search Free, official information about 2014 (and also 2015) ICD-9-CM diagnosis code 824.8, including coding notes, detailed descriptions, index cross-references and ICD-10.

More information

CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY

CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY _ 1. The hip joint is the articulation between the and the. A. femur, acetabulum B. femur, spine C. femur, tibia _ 2. Which of the following is

More information

Pectoral (Shoulder) Girdle

Pectoral (Shoulder) Girdle Chapter 8 Skeletal System: Appendicular Skeleton Pectoral girdle Pelvic girdle Upper limbs Lower limbs 8-1 Pectoral (Shoulder) Girdle Consists of scapula and clavicle Clavicle articulates with sternum

More information

X-Ray Rounds: (Plain) Radiographic Evaluation of the Ankle.

X-Ray Rounds: (Plain) Radiographic Evaluation of the Ankle. X-Ray Rounds: (Plain) Radiographic Evaluation of the Ankle www.fisiokinesiterapia.biz Anatomy Complex hinge joint Articulations among: Fibula Tibia Talus Tibial plafond Distal tibial articular surface

More information

Chapter 8. The Appendicular Skeleton. Lecture Presentation by Lee Ann Frederick University of Texas at Arlington Pearson Education, Inc.

Chapter 8. The Appendicular Skeleton. Lecture Presentation by Lee Ann Frederick University of Texas at Arlington Pearson Education, Inc. Chapter 8 The Appendicular Skeleton Lecture Presentation by Lee Ann Frederick University of Texas at Arlington An Introduction to the Appendicular Skeleton The Appendicular Skeleton 126 bones Allows us

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Abscess, epidural, 822 824 Achilles tendon rupture, 894 895, 981 982 Acromioclavicular separations, shoulder pain in, 751 753 Adhesive capsulitis,

More information

Dorsal surface-the upper area or top of the foot. Terminology

Dorsal surface-the upper area or top of the foot. Terminology It is important to learn the terminology as it relates to feet to properly communicate with referring physicians when necessary and to identify the relationship between the anatomical structure of the

More information

Figure 1 - Hip and Pelvis

Figure 1 - Hip and Pelvis Hip Figure 1 - Hip and Pelvis The terms hip and pelvis are frequently used interchangeably, but strictly speaking, the pelvis is a girdle of bones and the hip is a joint. The pelvis consists of The sacrum

More information

Lower Extremity Dislocations: Management and Triage on the Field

Lower Extremity Dislocations: Management and Triage on the Field Lower Extremity Dislocations: Management and Triage on the Field Scott J Tarantino, MD Towson Orthopaedic Associates, Towson, MD None Disclsures Purpose To provide you with knowledge which may guide you

More information

Lab Activity 9. Appendicular Skeleton Martini Chapter 8. Portland Community College BI 231

Lab Activity 9. Appendicular Skeleton Martini Chapter 8. Portland Community College BI 231 Lab Activity 9 Appendicular Skeleton Martini Chapter 8 Portland Community College BI 231 Appendicular Skeleton Upper & Lower extremities Shoulder Girdle Pelvic Girdle 2 Humerus 3 Humerus: Proximal End

More information

Lower limb summary. Anterior compartment of the thigh. Done By: Laith Qashou. Doctor_2016

Lower limb summary. Anterior compartment of the thigh. Done By: Laith Qashou. Doctor_2016 Lower limb summary Done By: Laith Qashou Doctor_2016 Anterior compartment of the thigh Sartorius Anterior superior iliac spine Upper medial surface of shaft of tibia 1. Flexes, abducts, laterally rotates

More information

Fractures of the Ankle Region in the Skeletally Immature Patient. The Salter Classification is Worthless!!

Fractures of the Ankle Region in the Skeletally Immature Patient. The Salter Classification is Worthless!! Fractures of the Ankle Region in the Skeletally Immature Patient. The Salter Classification is Worthless!! Kaye E Wilkins D.V.M,M.D. President's Council/Dielmann Chair in Pediatric Orthopedics Professor

More information

ORTHOSCAN MOBILE DI POSITIONING GUIDE

ORTHOSCAN MOBILE DI POSITIONING GUIDE ORTHOSCAN MOBILE DI POSITIONING GUIDE Table of Contents SHOULDER A/P of Shoulder... 4 Tangential (Y-View) of Shoulder... 5 Lateral of Proximal Humerus... 6 ELBOW A/P of Elbow... 7 Extended Elbow... 8 Lateral

More information

YOGA ANATOMY. Part Three - Bones. Yoga Teacher Training Robin Bennett 200 RYT

YOGA ANATOMY. Part Three - Bones. Yoga Teacher Training Robin Bennett 200 RYT YOGA ANATOMY Yoga Teacher Training Part Three - Bones 2015 Robin Bennett 200 RYT THE HUMAN SKELETON BONE COMPOSITION A femur head with a cortex of compact bone and medulla of trabecular (spongy) bone OSTEOBLASTS

More information

Important Parts of Bones

Important Parts of Bones Important Parts of Bones For 2015 Know: Humerus (posterior) Clavical Femur (Anterior) Foot Hand Mandible Os Coxa Scapula Skull (Anterior, Inferior, Lateral) Sternum Humerus (posterior) A. olecranon fossa

More information

Exercise 11. The Appendicular Skeleton

Exercise 11. The Appendicular Skeleton Exercise 11 The Appendicular Skeleton The Appendicular Skeleton The appendicular skeleton contains 126 bones. Consists of the upper and lower limbs, the pectoral girdles, and the pelvic girdles. The pectoral

More information

The Lower Limb. Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa

The Lower Limb. Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa The Lower Limb Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa The bony pelvis Protective osseofibrous ring for the pelvic viscera Transfer of forces to: acetabulum & head of femur (when standing) ischial

More information

CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION

CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 11/24/2012 Radiology Quiz of the Week # 100 Page 1 CLINICAL PRESENTATION AND RADIOLOGY

More information

DEPARTMENT OF TRAUMATOLOGY AND HAND SURGERY INSTITUTE OF MUSCULOSKELETAL SURGERY ANKLE AND FOOT INJURIES

DEPARTMENT OF TRAUMATOLOGY AND HAND SURGERY INSTITUTE OF MUSCULOSKELETAL SURGERY ANKLE AND FOOT INJURIES DEPARTMENT OF TRAUMATOLOGY AND HAND SURGERY INSTITUTE OF MUSCULOSKELETAL SURGERY ANKLE AND FOOT INJURIES Presenter: Dr George Ayerh ENGLISH PROGRAM LECTURES EN_11/A - 2018 TOPICS I. Part: Ankle & Foot

More information

Bio 103 Skeletal System 45

Bio 103 Skeletal System 45 45 Lecture Outline: SKELETAL SYSTEM [Chapters 7, 8] Introduction A. Components B. Functions 1. 2. 3. 4. Classification and Parts A. Bone Shapes 1. Long: 2. Short: 3. Flat: 4. Irregular: 5. Sesamoid: B.

More information

To classify the joints relative to structure & shape

To classify the joints relative to structure & shape To classify the joints relative to structure & shape To describe the anatomy of the hip joint To describe the ankle joint To memorize their blood & nerve supply JOINTS: Joints are sites where skeletal

More information

Hip joint Type: Articulating bones:

Hip joint Type: Articulating bones: Ana (242 ) Hip joint Type: Synovial, ball & socket Articulating bones: Formed between head of femur and lunate surface of acetabulum of hip bone. Capsule: it is a strong fibrous sleeve connecting the articulating

More information

Topics. Musculoskeletal Infection Extremities. Detection of Infection. Role of Imaging in Extremity Infection. Detection of Infection

Topics. Musculoskeletal Infection Extremities. Detection of Infection. Role of Imaging in Extremity Infection. Detection of Infection Topics Musculoskeletal Infection Extremities Nuttaya Pattamapaspong M.D. Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Role of imaging in extremity infection

More information

Tibia metaphysis fracture icd 9

Tibia metaphysis fracture icd 9 Tibia metaphysis fracture icd 9 The Borg System is 100 % Tibia metaphysis fracture icd 9 S82.244F is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

More information

Joints of the lower limb

Joints of the lower limb Joints of the lower limb 1-Type: Hip joint Synovial ball-and-socket joint 2-Articular surfaces: a- head of femur b- lunate surface of acetabulum Which is deepened by the fibrocartilaginous labrum acetabulare

More information

Knee Contusions and Stress Injuries. Laura W. Bancroft, M.D.

Knee Contusions and Stress Injuries. Laura W. Bancroft, M.D. Knee Contusions and Stress Injuries Laura W. Bancroft, M.D. Objectives Review 5 types of contusion patterns Pivot shift Dashboard Hyperextension Clip Lateral patellar dislocation Demonstrate various stress

More information

Appendicular Skeletal Trauma

Appendicular Skeletal Trauma Appendicular Skeletal Trauma Dr. Tudor H. Hughes M.D., FRCR Department of Radiology University of California School of Medicine San Diego, California Types of cognitive error Satisfaction of search; Once

More information

Anatomy & Physiology. Muscles of the Lower Limbs.

Anatomy & Physiology. Muscles of the Lower Limbs. Anatomy & Physiology Muscles of the Lower Limbs http://www.ishapeup.com/musclecharts.html Muscles of the Lower Limbs Among the strongest muscles in the body. Because pelvic girdle is composed of heavy,

More information

Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil khouri

Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil khouri Dr. Nabil khouri Appendicular Skeleton The appendicular skeleton is made up of the bones of the upper and lower limbs and their girdles Two girdles: Pectoral girdles attach the upper limbs to the body

More information

Contents SECTION 1: GENERAL TRAUMA AND RECONSTRUCTIVE HIP SURGERY

Contents SECTION 1: GENERAL TRAUMA AND RECONSTRUCTIVE HIP SURGERY SECTION 1: GENERAL TRAUMA AND RECONSTRUCTIVE HIP SURGERY 1. Acetabular and Pelvic Fractures...3 2. Acetabular Orientation (Total Hips)...6 3. Acetabular Osteotomy...7 4. Achilles Tendon Ruptures...9 5.

More information

Ankle Sprains and Their Imitators

Ankle Sprains and Their Imitators Ankle Sprains and Their Imitators Mark Halstead, MD Dr. Mark Halstead is the Associate Professor of the Departments of Orthopedics and Pediatrics at Washington University School of Medicine; Director of

More information

Osteoporosis. Dr. C. C. Visser. MBChB MMed (Med Phys) Diploma Musculoskeletal Medicine (UK) Member: Society of Orthopaedic Medicine (UK)

Osteoporosis. Dr. C. C. Visser. MBChB MMed (Med Phys) Diploma Musculoskeletal Medicine (UK) Member: Society of Orthopaedic Medicine (UK) Osteoporosis Dr. C. C. Visser MBChB MMed (Med Phys) Diploma Musculoskeletal Medicine (UK) Member: Society of Orthopaedic Medicine (UK) Effect of age on trabecular bone. Fatfree dry bone cylinders obtained

More information

Ankle fracture classification : an evaluation of three classification systems : Lauge-Hansen, A.O. and Broos-Bisschop

Ankle fracture classification : an evaluation of three classification systems : Lauge-Hansen, A.O. and Broos-Bisschop Acta Orthop. Belg., 2010, 76, 521-525 ORIGINAL STUDY Ankle fracture classification : an evaluation of three classification systems : Lauge-Hansen, A.O. and Broos-Bisschop Christos ALEXANDROPOULOS, Stefanos

More information

SKELETAL SYSTEM 206. AXIAL SKELETON 80 APPENDICULAR SKELETON 126 (see Figure 6.1) Clavicle. Clavicle. Pectoral girdles. Scapula. Scapula.

SKELETAL SYSTEM 206. AXIAL SKELETON 80 APPENDICULAR SKELETON 126 (see Figure 6.1) Clavicle. Clavicle. Pectoral girdles. Scapula. Scapula. SKELETAL SYSTEM 206 AXIAL SKELETON 80 APPENDICULAR SKELETON 126 (see Figure 6.1) Pectoral girdles 4 Clavicle Scapula 2 2 Clavicle Scapula Humerus 2 Humerus Upper limbs 60 Radius 2 Ulna Carpal bones Metacarpal

More information

Biomechanical Characterization of a New, Noninvasive Model of Anterior Cruciate Ligament Rupture in the Rat

Biomechanical Characterization of a New, Noninvasive Model of Anterior Cruciate Ligament Rupture in the Rat Biomechanical Characterization of a New, Noninvasive Model of Anterior Cruciate Ligament Rupture in the Rat Tristan Maerz, MS Eng 1, Michael Kurdziel, MS Eng 1, Abigail Davidson, BS Eng 1, Kevin Baker,

More information

Balanced Body Movement Principles

Balanced Body Movement Principles Balanced Body Movement Principles How the Body Works and How to Train it. Module 3: Lower Body Strength and Power Developing Strength, Endurance and Power The lower body is our primary source of strength,

More information

It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone).

It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone). It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone). Pubis Acetabulum Ana (242 ) The three constituent of bones of the hip

More information

Lab Exercise #04 The Skeletal System Student Performance Objectives

Lab Exercise #04 The Skeletal System Student Performance Objectives Lab Exercise #04 The Skeletal System Student Performance Objectives The material that you are required to learn in this exercise can be found in either the lecture text or the supplemental materials provided

More information

~, /' ~::'~ EXTENSOR HALLUCIS LONGUS. Leg-anterolateral :.:~ / ~\,

~, /' ~::'~ EXTENSOR HALLUCIS LONGUS. Leg-anterolateral :.:~ / ~\, TIBIALIS ANTERIOR Lateral condyle of tibia, upper half of lateral surface of tibia, interosseous membrane Medial side and plantar surface of medial cuneiform bone, and base of first metatarsal bone Dorsiflexes

More information

The Lower Limb II. Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa

The Lower Limb II. Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa The Lower Limb II Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa Tibia The larger & medial bone of the leg Functions: Attachment of muscles Transfer of weight from femur to skeleton of the foot Articulations

More information

Stress Injuries in the Young Athlete 3 rd Annual Young Athlete Conference Greg Canty, MD Medical Director, Center for Sports Medicine Asst Professor

Stress Injuries in the Young Athlete 3 rd Annual Young Athlete Conference Greg Canty, MD Medical Director, Center for Sports Medicine Asst Professor Stress Injuries in the Young Athlete 3 rd Annual Young Athlete Conference Greg Canty, MD Medical Director, Center for Sports Medicine Asst Professor of Orthopaedics & Pediatrics Disclosures Neither I,

More information

OTM Lecture Gait and Somatic Dysfunction of the Lower Extremity

OTM Lecture Gait and Somatic Dysfunction of the Lower Extremity OTM Lecture Gait and Somatic Dysfunction of the Lower Extremity Somatic Dysfunction Tenderness Asymmetry Range of Motion Tissue Texture Changes Any one of which must be present to diagnosis somatic dysfunction.

More information

Main Menu. Joint and Pelvic Girdle click here. The Power is in Your Hands

Main Menu. Joint and Pelvic Girdle click here. The Power is in Your Hands 1 Hip Joint and Pelvic Girdle click here Main Menu K.6 http://www.handsonlineeducation.com/classes//k6entry.htm[3/23/18, 2:01:12 PM] Hip Joint (acetabular femoral) Relatively stable due to : Bony architecture

More information

ROTATIONAL PILON FRACTURES

ROTATIONAL PILON FRACTURES CHAPTER 31 ROTATIONAL PILON FRACTURES George S. Gumann, DPM The opinions and commentary of the author should not be construed as refl ecting offi cial U.S. Army Medical Department policy. Pilon injuries

More information

Radiology Positioning Practical Test #2 Table (By Jung Park):

Radiology Positioning Practical Test #2 Table (By Jung Park): Radiology Positioning Practical Test #2 Table (By Jung Park): (Lower Extremity): patient is fully gowned / no artifacts / properly shielded (exposure for femur and below : hold still, don t move ) (exposure

More information

The Hip (Iliofemoral) Joint. Presented by: Rob, Rachel, Alina and Lisa

The Hip (Iliofemoral) Joint. Presented by: Rob, Rachel, Alina and Lisa The Hip (Iliofemoral) Joint Presented by: Rob, Rachel, Alina and Lisa Surface Anatomy: Posterior Surface Anatomy: Anterior Bones: Os Coxae Consists of 3 Portions: Ilium Ischium Pubis Bones: Pubis Portion

More information

Bilateral Insufficiency Fracture of Medial Subtrochanteric Area of the Femur: A Case Report

Bilateral Insufficiency Fracture of Medial Subtrochanteric Area of the Femur: A Case Report CASE REPORT Hip Pelvis 25(3): 232-236, 2013 http://dx.doi.org/10.5371/hp.2013.25.3.232 Print ISSN 2287-3260 Online ISSN 2287-3279 Bilateral Insufficiency Fracture of Medial Subtrochanteric Area of the

More information

Ankle Fractures in the Elderly: How to Deal with Poor Bone Quality

Ankle Fractures in the Elderly: How to Deal with Poor Bone Quality : How to Deal with Poor Bone Quality Richard T. Laughlin, MD Professor of Orthopaedic Surgery University of Cincinnati College of Medicine No disclosures relative to this presentation acknowledgement Some

More information

Fractures and dislocations around elbow in adult

Fractures and dislocations around elbow in adult Lec: 3 Fractures and dislocations around elbow in adult These include fractures of distal humerus, fracture of the capitulum, fracture of the radial head, fracture of the olecranon & dislocation of the

More information

UvA-DARE (Digital Academic Repository) Treatment of osteochondral defects of the talus van Bergen, C.J.A. Link to publication

UvA-DARE (Digital Academic Repository) Treatment of osteochondral defects of the talus van Bergen, C.J.A. Link to publication UvA-DARE (Digital Academic Repository) Treatment of osteochondral defects of the talus van Bergen, C.J.A. Link to publication Citation for published version (APA): van Bergen, C. J. A. (2014). Treatment

More information

Bone Composition. Bone is very strong for its relatively light weight The major components of bone are:

Bone Composition. Bone is very strong for its relatively light weight The major components of bone are: Human Bones Bone Composition Bone is very strong for its relatively light weight The major components of bone are: Calcium carbonate Calcium phosphate Collagen Water Cortical Bone Spongy Bone Medullary

More information

ANATYOMY OF The thigh

ANATYOMY OF The thigh ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 1, 2 and 3 are From the lumber plexus 5- Intermediate cutaneous

More information

Copyright 2004, Yoshiyuki Shiratori. All right reserved.

Copyright 2004, Yoshiyuki Shiratori. All right reserved. Ankle and Leg Evaluation 1. History Chief Complaint: A. What happened? B. Is it a sharp or dull pain? C. How long have you had the pain? D. Can you pinpoint the pain? E. Do you have any numbness or tingling?

More information

Index. orthopedic.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. orthopedic.theclinics.com. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Acetabular fractures thromboembolic disease after, 341 Achilles tendon rupture ACL. See Anterior cruciate ligament (ACL) Adolescent idiopathic

More information

HIGH-ENERGY TRAUMA OF THE LOWER EXTREMITY NORDIC FORUM 2016, AARHUS

HIGH-ENERGY TRAUMA OF THE LOWER EXTREMITY NORDIC FORUM 2016, AARHUS HIGH-ENERGY TRAUMA OF THE LOWER EXTREMITY NORDIC FORUM 2016, AARHUS Ken F. Linnau, MD, MS Emergency Radiology Harborview Medical Center University of Washington Seattle, WA ACKNOWLEDGMENTS Nicole Kansier,

More information

PEM GUIDE CHILDHOOD FRACTURES

PEM GUIDE CHILDHOOD FRACTURES PEM GUIDE CHILDHOOD FRACTURES INTRODUCTION Skeletal injuries account for 10-15% of all injuries in children; 20% of those are fractures, 3 out of 4 fractures affect the physis or growth plate. Always consider

More information

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE

Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a

More information

Screening for and Assessment of Osteonecrosis in Oncology Patients. Sue C. Kaste, DO SPR Postgraduate Course 2015

Screening for and Assessment of Osteonecrosis in Oncology Patients. Sue C. Kaste, DO SPR Postgraduate Course 2015 Screening for and Assessment of Osteonecrosis in Oncology Patients Sue C. Kaste, DO SPR Postgraduate Course 2015 The author declares no potential conflicts of interest or financial disclosures Osteonecrosis

More information

Pelvic Girdle

Pelvic Girdle ARTICULATIONS OF LOWER EXTREMITY Pages 429-437 Pelvic Girdle formed by connection of the hip bones and the sacrum Sacroiliac Joints compound joints synovial joint - anterior, between the auricular surfaces

More information

Sports Medicine in your office: What not to miss!

Sports Medicine in your office: What not to miss! Sports Medicine in your office: What not to miss! 2018 Primary Care Approach to Treating the Injured Athlete May 4, 2018 John H. Wilckens, MD Associate Professor, Dept of Orthopaedic Surgery Disclosures

More information

Amy Warenda Czura, Ph.D. 1 SCCC BIO130 Lab 7 Appendicular Skeleton & Articulations

Amy Warenda Czura, Ph.D. 1 SCCC BIO130 Lab 7 Appendicular Skeleton & Articulations The Skeletal System II: Appendicular Skeleton and Articulations Exercises 11, 13 (begins: page 145 in 9 th and 10 th editions) Exercises 10, 11 (begins: page 147 in 11 th edition, page 149 in 12 th edition)

More information

Preoperative Planning. The primary objectives of preoperative planning are to:

Preoperative Planning. The primary objectives of preoperative planning are to: Preoperative Planning The primary objectives of preoperative planning are to: - Determine preoperative leg length discrepancy. - Assess acetabular component size and placement. - Determine femoral component

More information

Commonly Missed Foot and Ankle Conditions. David Miller, DPM AMG Podiatry

Commonly Missed Foot and Ankle Conditions. David Miller, DPM AMG Podiatry Commonly Missed Foot and Ankle Conditions David Miller, DPM AMG Podiatry Lisfranc Injuries Wide spectrum of injuries High energy Subtle subluxation which could be easily missed injuries Men are 2-4x s

More information

Functional Orthopedic Imaging Capturing Motion, Flow and Perfusion. Case Study Brochure Centre University Hospital Nancy.

Functional Orthopedic Imaging Capturing Motion, Flow and Perfusion. Case Study Brochure Centre University Hospital Nancy. Capturing Motion, Flow and Perfusion dynamic volume CT Case Study Brochure Centre University Hospital Nancy http://www.toshibamedicalsystems.com Toshiba Medical Systems Corporation 2013. All rights reserved.

More information

Apply this knowledge into proper management strategies and referrals

Apply this knowledge into proper management strategies and referrals 1 2 3 Lower Extremity Injuries Jason Kennedy, M.D. Disclosures I have no financial/ industry disclosures. Objectives Identify common lower extremity injury patterns in the child and adolescent Apply this

More information

QUEST.6. This patient fell from a tree a. What is the diagnosis? (2) b. What would be your management for this injury in casualty?

QUEST.6. This patient fell from a tree a. What is the diagnosis? (2) b. What would be your management for this injury in casualty? QUEST.6 This patient fell from a tree a. What is the diagnosis? (2) b. What would be your management for this injury in casualty? (3) P381 A. Right sided fractures of medial and lateral malleoli with a

More information

THE NANCY NAIL. The End Caps ADVANTAGES OF NANCY NAIL

THE NANCY NAIL. The End Caps ADVANTAGES OF NANCY NAIL NANCY NAIL THE NANCY NAIL Nancy nails are manufactured from a specific titanyum alloy with proprietary surface treatment, which provides increased fatigue resistance. Six nail diameters (1.5 mm 2.0 mm

More information

Joints of the Lower Limb II

Joints of the Lower Limb II Joints of the Lower Limb II Lecture Objectives Describe the components of the knee and ankle joint. List the ligaments associated with these joints and their attachments. List the muscles acting on these

More information

CASE ONE CASE ONE. RADIAL HEAD FRACTURE Mason Classification. RADIAL HEAD FRACTURE Mechanism of Injury. RADIAL HEAD FRACTURE Imaging

CASE ONE CASE ONE. RADIAL HEAD FRACTURE Mason Classification. RADIAL HEAD FRACTURE Mechanism of Injury. RADIAL HEAD FRACTURE Imaging CASE ONE An eighteen year old female falls during a basketball game, striking her elbow on the court. She presents to your office that day with a painful, swollen elbow that she is unable to flex or extend

More information

41 year old female with right hip pain. Evaluate for labral tear. Oh yeah, she is also a runner.

41 year old female with right hip pain. Evaluate for labral tear. Oh yeah, she is also a runner. 41 year old female with right hip pain. Evaluate for labral tear. Oh yeah, she is also a runner. PD T2 FS PD T2 FS PD T2 FS About a month later Superomedial Iliac Stress Fracture Relatively rare type

More information

First practical session. Bones of the gluteal region

First practical session. Bones of the gluteal region First practical session 2017 Bones of the gluteal region The Hip bone The hip bone is made of: 1 The ilium: superior in position 2 The ischium:postero-inferior in position 3 The pubis: antero-inferior

More information

Human Anatomy Biology 351

Human Anatomy Biology 351 Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between

More information

Therapeutic Foot Care Certificate Program Part I: Online Home Study Program

Therapeutic Foot Care Certificate Program Part I: Online Home Study Program Therapeutic Foot Care Certificate Program Part I: Online Home Study Program 1 Anatomy And Terminology Of The Lower Extremity Joan E. Edelstein, MA, PT, FISPO Associate Professor of Clinical Physical Therapy

More information

ORIGINAL ARTICLE. ROLE OF MRI IN EVALUATION OF TRAUMATIC KNEE INJURIES Saurabh Chaudhuri, Priscilla Joshi, Mohit Goel

ORIGINAL ARTICLE. ROLE OF MRI IN EVALUATION OF TRAUMATIC KNEE INJURIES Saurabh Chaudhuri, Priscilla Joshi, Mohit Goel ROLE OF MRI IN EVALUATION OF TRAUMATIC KNEE INJURIES Saurabh Chaudhuri, Priscilla Joshi, Mohit Goel 1. Associate Professor, Department of Radiodiagnosis & imaging, Bharati Vidyapeeth Medical College and

More information

BONES JOINTS MUSCLES OF THE LOWER LIMB

BONES JOINTS MUSCLES OF THE LOWER LIMB BONES JOINTS MUSCLES OF THE LOWER LIMB LOWER LIMB: BONES LOWER LIMB GLUTEAL REGION consists of 6 major segments: FEMORAL REGION (THIGH) KNEE REGION LEG REGION TALOCRURAL REGION (ANKLE) FOOT REGION LOWER

More information