Transcript MUSCULOSKELETAL IMAGING

MUSCULOSKELETAL
IMAGING
HAND & WRIST
SLICE THICKNESS: 1-3 MM
CORONAL, AXIAL, SAGITTAL DIRECT SCANNING
FILMING: S. TISSUE + BONE
CARPAL TUNNEL SYNDROME + LIGAMENT INJURY
Correct CT technique for
evaluation of the carpal bones
CORONAL ??????
normal wrist
impacted radial fracture
C
TD
H
T
TM
S
L
U
R
ELBOW
SLICE THICKNESS: 1-3 MM
CORONAL, AXIAL
FILMING: S. TISSUE + BONE
COMPLEX FRACTURES VISUALIZATION
SHOULDER
SLICE THICKNESS: 3-5 MM
ARM POSITION IN NEUTRAL ROTATION
CONTRAST USED IF THE MASS SUSPECTED
FILMING: S. TISSUE + BONE
FRACTURES, INTEGRITY OF BURSA AND ROTATOR CUFF
CL
H
GL
S
A
CL
SC
H
C
A
H
ANKLE
SLICE THICKNESS: 3MM
PLANES: AXIAL + CORONAL
CONTRAST USED IF THE MASS SUSPECTED
FILMING: S. TISSUE + BONE
FRACTURES, ARTHRITIS, INFECTION, CALCIFICATIONS
ANKLE-AXIAL
TI
F
TA
TI
TA
C
TI
TA
CAL
NA
KNEE
SLICE THICKNESS: 3-5 MM
PLANES: AXIAL
FEET INTERNALLY ROTATED
CONTRAST USED IF THE MASS SUSPECTED
FILMING: S. TISSUE + BONE
FRACTURES OF T. PLATEAU, PATELLO-FEMORAL DISORDERS
MENISCI INTEGRITY, CYSTS, LESIONS
P
PFS
F
ICF
ITE
TP
TT
F
ITE
T
FI
KNEE FRACTURE AND CTA
The most common dislocation of the knee is anterior.
Popliteal artery injury is the most frequent serious
complication of anterior dislocation. Peroneal nerve injury is
a serious complication of lateral dislocation. Emergency
reduction of the dislocated knee must be carried out to
prevent permanent articular damage. A repeat radiograph of
the knee should be taken after reduction to check the
alignment and to look for fractures. If arterial injury is
suspected, an emergency angiogram should also be obtained
after reduction of the knee.
ANTERIOR DISLOCATION
PELVIS & HIP
SLICE THICKNESS: 3-5 MM
PLANES: AXIAL
FEET INTERNALLY ROTATED
CONTRAST USED IF THE MASS SUSPECTED
FILMING: S. TISSUE + BONE
FRACTURES, AVASCULAR NECROSIS
IC
ASIS
S
GT
LT
SP
IC
ASIS
S
A
OF