ページ3:

Projection affects appearance of fracture
Idensity
classifying physeal
<Salter-Harris fractures in kids
need to ①
Sometimes
invisible.
7
Compare
bilatelally.
Worst
→
(3)
physis only
M
M= metaphysis
4
⑤
Crushed
no more
physis
ME
8
E = epiphysis

ページ4:

Location
•Fractures are named for location.
eg) Distal / Mid-shaft.
Also called anatomic
eg).
Intertrochanteric Surgical neck.
<Deformity >
*
displaced.
phon displaced.
Consider whether or not metals/nails/plate/screws
are needed to stabilize this.
Just splint & protect it.
rotation.

ページ5:

Fragments>
Numbers of pieces of bone
eg)
Four part humeral fracture.
eg)
Comminuted too
many
to count
<< Dislocation/subluxation >
eg)
elbow
*Can have a combination
dislocation
of fracture dislocation.
(10)

ページ6:

Ch4. Specific conditions
• Disruption of skeltal rings.
te
Typically don't break
in one place.
If you see one
Took for anot
other
eg). Jefferson fracture
Cl fracture
Burst fracture
A
Lat. Mass fracture
Ant. arch fracture
A
Post arch fracture
DE
x x

ページ7:

-
when pubic romi fracture is noticed,
look hard for other fracture lines.
eg)
you may miss this.
Sacral fracture.
-obvious.
Don't focus
on obvious.
Look around.
•Stress fracture.
Sometimes
Trying
to
-
- looks normal.
- Soft tissue Swelling
- graying of cortex
Consider the
mechanism of
injury.
Crep. Stress.)
common spot tibia; metatarsal; hip.
-fracture line
heal periosteal reaction.
but, they
Can't.
- endosteal sclerosist
- fuzzy linear densities.
again
St
rep. Stress
I density on the inner surface
of a bone.
(often narrowing the marrow cavity)
- cortical thickening - 1 density on the outer surface
of the bone.
(12)

ページ8:

eg) 2nd MT
extra osteoblasts
build up trying to
make it heal
eg) Tibia
Common area:
-MT
-tibia
hip

ページ9:

•Radiology for specific conditions
- Pathologic fractures:
eg). Osteoid osteoma eg) Aneurysmal bone cyst.
A
swollen
nidus
balloon like
It's fractures
waiting to
happen.
swelling
(blood)
eg) Osteoblastic Sacral lytic lesion.
missing the lower part
of the sacrum.
eg) Giant cell tumor
osteoclast M.
fractures
Waiting
to happen

ページ10:

eg) Metastatic renal cell carcinoma
Like
<blowing
bubbles
in milk.
-OA (osteoarthritis)
Criteria
02
07 Jt space
Bone spurs
↑ density (whitness
③ Sclerotic borders
④ Subchondral bone cysts
(4)
①
But, It doesn't mean
that causes pain.
- RA (Rheumatoid arthritis)
• Bilateral erosive
another problem:
the femoral head migrates
into the pelvis.
fractures
THA