Difference between revisions of "X-ray of fractures"

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==By location==
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==Subgroups==
*[[X-ray of hip fractures]]
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Locations:
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*[[X-ray of hip fractures|X-ray of '''hip''' fractures]]
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*[[X-ray of calcaneal fractures|X-ray of '''calcaneal''' fractures]]
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*[[X-ray of thumb fractures|X-ray of '''thumb''' fractures]]
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Patient groups:
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*[[X-ray of fractures in children|X-ray of fractures in '''children''']]
  
 
==Classification==
 
==Classification==
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*Impaction or shortening
 
*Impaction or shortening
 
*Rotation
 
*Rotation
 
===Growth plate fractures===
 
Growth plate fractures are also called ''Salter-Harris'' fractures.
 
 
====SALTER mnemonic for classification====
 
[[File:SalterHarris.svg|thumb|300px|Salter-Harris fracture types]]
 
The mnemonic "SALTER" can be used to help remember the first five types.<ref name=Davis>{{cite book|title=Blueprints Radiology|url=https://books.google.com/books?id=coLSTFjlGqcC&pg=PA12&dq=salter+harris+classification+SALTR#PPA83,M1 |first=Ryan|last=Davis|accessdate=March 3, 2008|isbn=9781405104609|year=2006}}</ref><ref name="Gaillard">{{cite web|url=http://www.orthoconsult.com/salter-harris-fractures/|title=Salter-Harris Fractures|last=|first=|date=|publisher=OrthoConsult|dead-url=|accessdate=5 February 2017}}</ref><ref name=Tidey>{{cite web |title=Salter-Harris Fractures|url=http://members.fortunecity.com/radrep/id36.htm |first=Brian|last=Tidey|accessdate=March 3, 2008}}</ref>
 
 
This mnemonic requires the reader to imagine the bones as long bones, with the epiphyses at the base.
 
 
* I  – S = '''Slip (separated or straight across)'''. Fracture of the cartilage of the physis (growth plate)
 
* II  – A = '''Above'''. The fracture lies above the physis, or '''A'''way from the joint.
 
* III – L = '''Lower'''. The fracture is below the physis in the epiphysis.
 
* IV  – TE = '''Through Everything'''. The fracture is through the metaphysis, physis, and epiphysis.
 
* V  – R = '''Rammed (crushed)'''. The physis has been crushed.
 
 
<gallery>
 
File:Salter Harris 1 demo(1).jpg|Salter–Harris I fracture of distal [[radius (bone)|radius]].
 
File:Salter Harris 2 demo.jpg|Salter–Harris II fracture of [[ring finger]] [[Proximal phalanges|proximal phalanx]].
 
File:Salter Harris 3 demo.jpg|Salter–Harris III fracture of [[Hallux|big toe]] proximal phalanx.
 
File:Salter Harris 4 demo.jpg|Salter–Harris IV fracture of big toe proximal phalanx.
 
</gallery>
 
  
 
==Report==
 
==Report==
 
{{Reporting}}
 
{{Reporting}}
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===First images===
 
If no signs of trauma are seen, it is generally appropriate to negate skeletal damage and dislocations, with the latter word also excluding joint dislocations.
 
If no signs of trauma are seen, it is generally appropriate to negate skeletal damage and dislocations, with the latter word also excluding joint dislocations.
  
 
Mild misalignment can often be described simply as such. On the other hand, if it is close to having an impact on orthopedic care, or generally for more severe misalignment, it is more appropriate to specify it in distance or angle. Because [[geometric magnification]] makes absolute distances less certain, they displacement should be compared to the thickness of the cortex or bone where feasible.
 
Mild misalignment can often be described simply as such. On the other hand, if it is close to having an impact on orthopedic care, or generally for more severe misalignment, it is more appropriate to specify it in distance or angle. Because [[geometric magnification]] makes absolute distances less certain, they displacement should be compared to the thickness of the cortex or bone where feasible.
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===Follow-up===
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*Any misalignment, or negation of it.
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*Signs of healing
  
 
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Revision as of 12:51, 25 October 2018

Author: Mikael Häggström [notes 1]

Subgroups

Locations:

Patient groups:

Classification

On projectional radiography ("X-ray") in general, the main types of misalignment of a fracture are:[1]

  • Displacement
  • Angulation
  • Distraction (making bone longer)
  • Impaction or shortening
  • Rotation

Report

See also: General notes on reporting

First images

If no signs of trauma are seen, it is generally appropriate to negate skeletal damage and dislocations, with the latter word also excluding joint dislocations.

Mild misalignment can often be described simply as such. On the other hand, if it is close to having an impact on orthopedic care, or generally for more severe misalignment, it is more appropriate to specify it in distance or angle. Because geometric magnification makes absolute distances less certain, they displacement should be compared to the thickness of the cortex or bone where feasible.

Follow-up

  • Any misalignment, or negation of it.
  • Signs of healing

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. . Introduction to Trauma X-ray. Radiology Masterclass. Retrieved on 2018-07-03.