Presentation is loading. Please wait.

Presentation is loading. Please wait.

X-Ray Rounds Basics / Wrist Mark Scott Nov. 1, 2007 Basics / Wrist Mark Scott Nov. 1, 2007.

Similar presentations


Presentation on theme: "X-Ray Rounds Basics / Wrist Mark Scott Nov. 1, 2007 Basics / Wrist Mark Scott Nov. 1, 2007."— Presentation transcript:

1 X-Ray Rounds Basics / Wrist Mark Scott Nov. 1, 2007 Basics / Wrist Mark Scott Nov. 1, 2007

2

3 Systematic Approach Fracture Identification, Look for: Mal-alignment Discontinuity Radio-lucency / radio-opacity Fat pads Fracture Identification, Look for: Mal-alignment Discontinuity Radio-lucency / radio-opacity Fat pads

4 Mal-Alignment

5 Discontinuity

6 Radiolucency

7 Fat Pads

8 Rule of 2s 2 views 2 joints 2 sides (esp. for children) 2 times (before/after) 2 views 2 joints 2 sides (esp. for children) 2 times (before/after)

9 Fracture Description Location (bone, level) Pattern (type of #, open vs. closed) Alignment (of distal segment) Angulation Rotation Displacement Salter classification Location (bone, level) Pattern (type of #, open vs. closed) Alignment (of distal segment) Angulation Rotation Displacement Salter classification

10 Transverse # of distal radius with 10 0 dorsal angulation? Colles Fracture

11 Oblique # of distal radius immediately proximal to physis with 2mm of ulnar displacement? Salter II #

12 Salter-Harris Classification SSeparation (I) AAbove (II) LLow (III) TTransverse (IV) RcRush (V) SSeparation (I) AAbove (II) LLow (III) TTransverse (IV) RcRush (V)

13 Salter-Harris Classification

14 Salter IV

15 Salter II

16 Salter III

17 Colles #, 10 0 dorsal angulation, ? impaction

18 # Distal radius, dorsal disl. of scaphoid/lunate

19 FOOSH, pain with axial loading of 1st MC

20

21 52 M demonstrating gymnastics

22 FOOSH 6 yo M

23 References 1.McRae, R. Pocketbook of orthopaedics and fractures [2nd ed.]. Churchill Livingstone Elsevier, Tintnelli, JE. Emergency medicine: a comprehensive study guide [6th ed]. American College of Emergency Physicians / McGraw-Hill, New York, Pp Ritchie JV. Emergency Emerg Med Clin North Am - 01-NOV- 1999; 17(4): McRae, R. Pocketbook of orthopaedics and fractures [2nd ed.]. Churchill Livingstone Elsevier, Tintnelli, JE. Emergency medicine: a comprehensive study guide [6th ed]. American College of Emergency Physicians / McGraw-Hill, New York, Pp Ritchie JV. Emergency Emerg Med Clin North Am - 01-NOV- 1999; 17(4):


Download ppt "X-Ray Rounds Basics / Wrist Mark Scott Nov. 1, 2007 Basics / Wrist Mark Scott Nov. 1, 2007."

Similar presentations


Ads by Google