1. Radiographs of Upper Extremity and Back Many radiographs are from the collection of the Department of Radiology, Joan C. Edwards School of Medicine; labeling of those images done by Matt Harper, Class of 2010

2. PA Radiograph of lumbar spine 1- Body of vertebra T12 2- Rib 12 3- Transverse process of L1 4- Spinous process of L1 5- Pedicle of L2 6- Inferior articular facet of L3 vertebra 7- Superior articular facet of L4 vertebra 8- Body of Vertebra L4 9 - Spinous process of L5 10 - Sacroiliac joint 11- Location of intervertebral disc

3. SCOLIOSIS

4. TREATMENT OF SCOLIOSIS Anterior-posterior radiograph of scoliosis patient after insertion of metal rods to 'fuse' adjacent vertebrae. Rods prevent movement between vertebrae due to compression or stretching of lumbar spinal nerves (pain in lower extremities).

5. SHOULDER AND ARM OF 4.5 YEAR OLD CHILD Long bones grow at plates of cartilage called epiphyses (or epiphyseal plates). Epiphyses become ossified at different ages but are readily apparent in young children. Cartilage is not as dense as bone and appears darker in radiographs. DO NOT MISTAKE EPIPHYSES FOR FRACTURES 1. Head of humerus 2. Epiphyseal plate 3. Epiphysis of lateral epicondyle of humerus

6. Healing fracture of humerus

7. LUMBAR VERTEBRAE LATERAL VIEW 1. body of vertebra 2. intervertebral foramen 3. space for intervertebral disc 4. pedicle 5. superior articular facet 6. spine of vertebra

8. Arteriogram of hand 1- Radial artery 2- Ulnar artery 3- Deep palmar arterial arch 4- First metacarpal bone

9. Arteriogram of Brachial Artery and Branches: Elbow Anastomosis 1- Brachial artery 2- Radial artery 3- Radial recurrent artery 4- Ulnar artery 5- Ulnar recurrent artery 6- Common interosseus artery dividing into anterior and posterior interosseus arteries 7- Distal part of Ulnar Artery

10. ANGIOGRAM OF AXILLARY ARTERY 1- Subclavian a. 2- Axillary ax. 3- Thoracoacromial a. 4- Lateral Thoracic a. 5- Subscapular a. 6. Post. Humeral Circumflex a. 7- Brachial a. 8- Profunda brachii (Deep brachial) a.

11. Pin within fractured humerus

12. Hand and wrist of infant 1- Proximal phalanx of fifth digit 2- Fifth metacarpal 3- Carpal bone 4- Radius

13. Dislocation of Elbow Joint

14. Healing fracture of shaft of humerus

15. AP VIEW OF SHOULDER REGION 1- Coracoid process 2- Clavicle 3- Glenoid fossa of scapula 4- First rib

16. Hand and wrist 1- Distal end of radius 2- Scaphoid ' 3- Head of ulna 4- Lunate 5- Pisiform 6- Triquetrum 7- Sesamoid bones of first digit 8- Fracture of shaft of fifth metacarpal 9- Proximal phalanx of thumb

17. Hand and wrist: distal carpal bones 1- Trapezium 2- Trapezoid 3- Capitate 4- Hamate 5- First metacarpal

18. Forearm in supination 1- Styloid process of radius 2- Styloid process of ulna 3- Head of ulna 4- Scaphoid bone (articulates with radius) 5- Lunate 6- Head of radius 7- Radial (bicipital) tuberosity 8- Olecranon process of ulna 9- Olecranon fossa of humerus

19. Trapezium Pisiform Ulnar Styloid Process Hook of Hamate Radial Styloid Process Trapezoid Capitate Hamate Scaphoid Lunate Triquetrum Radius Ulna First Metacarpal

20. Ulna Radius Lateral Epicondyle Olecranon Olecranon Fossa Humerus Medial epicondyle Head of Radius Neck of Radius Radial Tuberosity Coronoid process of ulna Marrow cavity

21. Radial Tuberosity Olecranon Coronoid Process Trochlea Shaft of Radius Shaft of Ulna Shaft of Humerus Head of Radius Medial Supracondylar ridge

22. Humerus Radial Tuberosity Radius Olecranon Head of Radius Neck of Radius Trochlea Ulna

23. Styloid process of Ulna Sesamoid bones Distal phalanges Middle phalanges Proximal phalanges Metacarpal bones Styloid process of Radius Hook of hamate

24. Tenth Rib Eleventh Rib Twelfth Rib Body of T12 Spine of Vertebra Pedicle Body Jewelry Space for Intervertebral disc Transverse process of L2 Transverse process of L5 Sacroiliac joint

25. Clavicle Acromioclavicular joint Acromion Head of humerus Greater tubercle Surgical neck of humerus Glenoid fossa Coracoid process Lateral border of scapula

26. Clavicle Coracoid process Medial border of scapula Inferior angle of scapula Acromioclavicular joint Acromion Glenoid fossa Lateral border of scapula

27. Humerus Glenoid fossa Acromion Acromioclavicular joint Coracoid process Lateral border of scapula Clavicle Surgical neck of humerus Scapular notch

28. Sesamoid bones First metacarpal Second metacarpal Trapezium Trapezoid Third metacarpal Capitate Hamate Scaphoid Lunate Pisiform Triquetral Fourth metacarpal Proximal phalanx of thumb Fifth metacarpal Radius Ulna

29. Clavicle Acromion Greater tubercle Scapular notch Inferior angle of scapula Medial border of scapula Lateral border of scapula Glenoid fossa Shaft of humerus Medial epicondyle Lateral epicondyle

30. Spinal cord Body of L2 Cauda equina L3-L4 Intervertebral disc Spine of L4 Sacrum CSF in lumbar cistern Conus medullaris Epidural fat T2 weighted MRI image

31. Everything will be OK.