Ortho Oracle - orthopaedic operative atlas

Radiographic Findings in SCFE

– Early Stages:     – widening of epiphyseal line (representing growth plate); – AP View:     – normal hip shows epiphysis of femoral head projecting above & lateral to the superior border of the femoral neck;     – affected hip shows widening and irregularity of growth plate;     – height of … Read more

Radiographic Findings in Hemophilia

– Discussion:     – radiographs of knee hemarthrosis, may show the capsule in distension;     – synovitis, cartilage thinning, widening and ersion of intercondylar notch;     – enlargement of ossification centers, esp distal end of femur;     – hemorrhage can displace periosteum to such extent that huge soft tissue mass results … Read more

Radiographic Evaluation: Calcaneal Fractures

           – See: X-rays of the Foot – Radiographs:     – broden’s view:     – dorsoplantar (AP):              – delineates calcaneocuboid joint              – demonstrates amount of lateral spread of calcaneus              – demnstrates subluxation of talonavicular joint; … Read more

Radiographic Features: DDH

– See: DDH – Indications for Radiographs:       – for confirming position of hips getting treatment;       – for confirming a suspected teratologic dislocation; – Patient age:       – x-rays may not reveal a dislocation until infant is > 6 wks since so much of the pelvis is cartilaginous; … Read more

Radiographic Evaluation of the Talus

– See:       – Radiology of Subtalar Joint       – Hawkins Sign – Talar Neck View: (modified AP (Canale/Kelly));     – this projection is helpful in assessing degree of frx displacement and adequacy of reduction;     – best view to demonstrate the talar neck, varus angulation, medial malposition or dorsal displacement … Read more

Radiographic Evaluation of the Acetabular Cup

– see postoperative radiographic evaluation of total hip replacement – Discussion:     – acetabular component loosening:     – osteolysis / polyethylene wear:  – Component Position:      – acetabular component flexion:           – to measure postoperative cup position, a standing true lateral view of the operated hip allowed direct measurement of … Read more