Musculoskeletal Radiology อ.พิมใจ ภาควิชา รังสีวิทยา 2554 Outline • How to describe fracture • Common fracture & dislocation – Case-based learning • upper & lower extremities • Approach to non-traumatic problems • Bone disease – Bone tumor / infection/ metastasis • Joint disease Site of fracture Alignment • Angulation • Over-riding Displacement • Distal fragment Associated injury • Other site injury • Hematoma • N,V injury Describe this fracture Upper extremities: - Normal radiographs - Shoulder, Elbow, Wrist - Case-based learning Common Fracture-Dislocation
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Musculoskeletal Radiology - med.mahidol.ac.th · Musculoskeletal Radiology ... Patient age with malignant tumors Malignant bone tumor Tissue of origin Tumor • Bone Osteosarcoma
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Musculoskeletal Radiology
อ.พิมใจ ภาควิชา รังสีวิทยา 2554
Outline• How to describe fracture• Common fracture & dislocation
– Case-based learning• upper & lower extremities
• Approach to non-traumatic problems• Bone disease
– Bone tumor / infection/ metastasis • Joint disease
Site of fractureAlignment• Angulation• Over-ridingDisplacement• Distal fragmentAssociated injury• Other site injury• Hematoma• N,V injury
Patient age with malignant tumors Malignant bone tumor
Tissue of origin Tumor• Bone Osteosarcoma• Cartilage Chondrosarcoma• Marrow element Ewing’s; MM, Lymphoma• Fibrous tissue Fibrosarcoma• Metastatic Lung, Breast, Prostate,
Kidney, Thyroid
A 9-year-old boy, pain & swelling right knee for 3 months
Pathologic fracture femur
60 YOM Severe pain
Pathologic Fracture
Abnormal bone
Normal Force
Pathologic Fracture
Abnormal bone
Bone tumorPrimary / Metastasis
Multiple Bone lesions
• Metastasis• Multiple
myeloma
Radionuclide bone scan is helpful for further investigation