(Trauma)

 RAID 514

Introduction to musculoskeletal radiology (Extremities)

..

1. (trauma) 2. (tumor) 3. (infection) 4. (arthritic disorders) 5. (endocrine disorder) (nutritional disorder) (hematologic disorder)

(Trauma)

2

- (anatomical site) - (complete) (incomplete) (impaction) (depression) (avulsion) (comminution) - (transverse) (oblique) (spiral) - (alignment) ( 1) (displacement) (rotation) (angulation)

- (pathologic fracture) ( 2)

(dislocation)

1 alignment ( Greenspan A. Radiologic evaluation

of trauma. In Greenspan A, Chapman MW, editors. Orthopedic radiology: a practical approach. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p.58)

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.

2 proximal femur (osteolytic lesion)

( ) ( )

(Shoulder) 2 anteroposterior (AP)

view lateral scapular view (Y view)

.

.

3 AP view ( )

1. Greater tuberosity 2. Lessor tuberosity 3. Coracoid process 4. Acromioclavicular joint

clavicle acromion 5.

glenoid humerus

AP view ( 3) humeral head

glenoid humeral head glenoid rim 6 .

acromioclavicular (AC) joint clavicle acromion

(superior cortex) clavicle acromion acromioclavicular

(AC) joint 8 . 2 2 . coracoid process

clavicle 10-13 . coracoclavicular (CC) ligament

clavicle

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.

4 lateral scapular view (Y view) scapula Y (

) humerus (1) 3 Y (2)

glenoid fossa (3)

Lateral scapular view (Y view) ( 4) scapula "Y" coracoid process scapular spine body humeral head glenoid fossa Y (shoulder dislocation) humeral head glenoid fossa

1) Shoulder dislocation: 95

5

1.1) Anterior shoulder dislocation subtype subcoracoid type

90 AP view humeral head glenoid fossa

lateral scapular Y view humeral head

glenoid fossa ( 5)

-

posterolateral humeral head Hill-Sachs lesion

- anteroinferior glenoid rim Bony Bankart lesion

- proximal humerus 15 anterior shoulder

dislocation greater tuberosity

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.

5 Anterior shoulder dislocation, subcoracoid type

. AP humerus glenoid fossa coracoid process

. lateral scapular view (Y view) humerus scapula

chest wall

1.2) Posterior shoulder dislocation AP view humerus glenoid ( 6) AP view

-

(overlapping) humeral head glenoid fossa

- Fixed internal rotation humeral head

- "light bulb on a stick" humeral head

humeral shaft

- lateral articular surface humeral head impact

fracture humeral head glenoid "trough line"

"reverse Hill-Sachs lesion"

- anterior glenoid rim humeral head 6 .

"empty glenoid cavity"

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