Shua Darwish Almutawa MI
Emergency radiography Clinical pathology: Fractures Dislocation Pelvis Hip and femur Knee joint Leg and ankle
The pelvis: The pelvis is made up of two iliac bones, pubic bone and sacrum which form a ring enclosing the pelvis cavity. Classification: 1. Single segment fracture of pelvic ring 2. Double segment fracture 3. Avulsion fracture 4. Fractures of the Acetabulum 5. Fractures of Sacrum and coccyx
Hip The hip joint formed by the head of the femur fitting into an acetabular cavity in the iliac bone. Dislocation of the hip joint
Femur Femur is the longest and thickest bone of the human skeleton; extends from the pelvis to the knee. Fracture of the femur: 1.subcapital neck fracture 2.transcervial neck fracture 3.interochanteric fracture 4.subrtochanterci fracture 5.fracture of the greater trochanter 6.fracture of the lesser trochanter
Directions of the fracture lines
Knee and leg The knee is an important weight bearing joint. The injuries of the knee can be grouped into: fractures of the Femoral condyles fractures of the Tibial condyles fracture Patella Injuries to the extensor mechanism Internal Derangements of the knee Dislocation of the knee
Injuries of the ankle and foot The ankle is a gliding joint between the distal ends of the tibia and fibula and the proximal end of the talus. The fracture is classified according to the forces that cause them: external rotation injuries abduction injuries adduction injuries vertical compression injuries
In the x-ray department Be nice and smile to the patient Wear gloves if the patient is bleeding Do not force the patient to move to the right position you can use horizontal ray for the later views Start from the patient position Don’t move the patient from their positions until you check the films in case you need to repeat it You may need to use sponges or sand bags to support the patient If the patient is too old or baby get the relative to help you moving him Use protection