Date post: | 10-Jan-2017 |
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Health & Medicine |
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Ortho Home UnitFinal Quiz
RAH Radiology
QuizFormat:
Sets of cases – 2-5 at a time
Write down key findings
Review results
Total 18 cases, see how we go with time.
QuizTemplate for answers:
• Location of injury, structure involved
• Key prognostic features
• Any recommendations for further imaging or management
Quiz - exampleTemplate:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Mid shaft femoral fracture• Half bone width medial
displacement• Needs lateral view. Consider
further proximal / distal imaging as high impact mechanism likely.
Quiz – 1.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 1.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 1.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 1.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 1.5Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 1.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Distal shaft tibial fracture• One cortex width medial
displacement• Needs lateral view.
Quiz – 1.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Distal radial (metaphysis)
fracture• One cortex width dorsal
displacement. May be intra-articular
• Needs frontal and oblique view.
Quiz – 1.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Proximal / base of 5th middle
phalanx fracture• Mild displacement, intra-
articular.• Other views. Needs surgical
review.
Quiz – 1.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Glenohumeral dislocation.
Humeral fracture (Hill’s Sacks).• Mild displacement.• Repeat imaging after reduction.
Possibility of glenoid injury (Bankhart), consider MRI.
Quiz – 1.5Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Right neck of femur
(subcapital or proximal shaft)• Intracapsular• Needs surgical management
Quiz – 2.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 2.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 2.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 2.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 2.5Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 2.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Left sup. and inf. pubic ramus
fractures.• Half bone width displacement• Clinical assessment for
possible other injuries, consider CT.
Quiz – 2.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Mid body scapular fracture.• Mildly displaced (one to two
cortical widths). • Needs CT, hard to see extent
of injury.
Quiz – 2.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Left clavicle and scapular
fractures. • Scapular fracture is intra-
articular (involves glenoid).• Needs CT.
Quiz – 2.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Right sup. and inf. pubic rami,
right iliac wing fractures.• 2 to 3 cortical widths superior
displacement. Likely right acetabular involvement.
• Needs CT, look for fracture extent and soft tissue injuries.
Quiz – 2.5Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Bilateral pubic rami. Left
sacrum (disrupted arcades).• Comminuted, involvement of
neural foramina.• Needs CT for vessel damage,
review for other fractures. Needs surgical management
Quiz – 3.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• L2 anterior wedge fracture.• Mild disruption of posterior
spinal line. Possible widening of interspinous distance. Consider posterior element involvement.
• Needs CT scan.
Quiz – 3.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 3.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 3.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 3.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• L2 anterior wedge fracture.• Possible widening of
interspinous distance. Consider posterior element involvement.
• Needs CT scan.
Quiz – 3.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• C6 on C7 anterolisthesis,
possible bilateral facet dislocation. No fracture seen.
• Central canal narrowing?• Needs CT scan.
Quiz – 4.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 4.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 4.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 4.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 4.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Elbow effusion, likely radial head /
neck fracture• Can’t identify fracture, may be intra-
articular• Needs oblique / radial head view.
Repeat imaging in 2 weeks if no fracture seen, or consider MRI/CT/NMBS if need a diagnosis now.
Quiz – 4.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Mid shaft femur fracture• Significant medial angulation,
callus formation suggests old injury (months)
• No further recommendations
Quiz – 4.3Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• 3rd distal phalanx tuft fracture• Mild displacement• Usually from crush injuries.
Confirm neurovascular status.
Quiz – 4.4Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Left proximal neck of femur
fracture (sharp angle superior cortex)
• Intracapsular• CT to assess as not well seen.
Needs surgical management.
Quiz – 5.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Quiz – 5.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
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Quiz – 5.1Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• L1 oedema and height loss,
fracture.• Retropulsion, at least 2
columns. Possible high cord signal.
• Urgent spinal review.
Quiz – 5.2Template:• Location of injury, structure
involved• Key prognostic features• Any recommendations for
further imaging or management
Answers:• Right sided supraspinatus
tear, no fibres seen.• Probably complete tear.• Real-time assessment,
impingment and vascularity. Likely other tendon damage.
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