1. Radiological manifestations of common MSK conditions
Dr Richard Beese
Dr Sheela Anpalakhan
Online webinar
18/7/2018

2. Slipped capital epiphysis of the left hip
Slipped upper femoral epiphysis

3. Perthes Disease
Perthes

4. Osteoarthrosis of the right knee there is total loss of the medial compartment joint space with marginal osteophytes and subchonral sclerosis , the knee joint spaces of the left knee are preserved.
Degenerative knee X-ray

5. The appearances are of OA of right hip
There is complete loss of the joint space of the right hip with collapse to the right femoral head
The appearances are of OA of right hip
Degenerative hip

6. OA right shoulder, there is loss of joint space of the glenohumeral joint with osteophytes.
Degenerative shoulder

7. How does OA effect the patient ?
Pain and loss of function
This may result in loss of job if severe enough
Huge impact on patients and families.
There is a degenerative scoliosis of the lumbar spine
Concave to the right, there is loss of disc space at l3/L4 and L2/3

8. There is an intertrochanteric fracture of the left hip
Fall onto left side
There is an intertrochanteric fracture of the left hip
Shentons line is disrupted
10-15% hip fractures are not seen on xray Why ?
Fractures are only visible if displaced, non displaced hip fractures are not visible.
If the patient has persistent symptoms C T or MRI is required.
Do not miss a non displaced hip fracture !
Hip fracture

9. Bimalleolar ankle fracture

10. Left colles fracture, distal radial fracture.

11. Left femoral fracture , these fractures bleed and the patient may be in shock.

12. Limping child, toddlers tibial fracture

13. Neck trauma ; Burst fracture of C4 look at the loss of alignment of the anterior cervical line and spinolaminar line.

14. Limping child after a cold, there is a hip effusion, there is fluid in the joint with lifting of the capsule, arrow transient synovitis almost certainly a transudate, but an exudate should be suspected in the correct clinical setting.

15. THANK YOU