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Radiology Lines Review
Jeff Binder R.T. (R)
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1.) yellow circle 2.)purple line 3.) red line 4. Blue lines
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1.) ADI – Should be 1-5mm for children, 1-3mm for adults
2.)McGregors line – odontoid less than 8mm above this line 3.) Spinolaminar line – should be smooth curve 4.) Pre vertebral space – Top 5mm, middle 7mm, bottom 20mm
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1.) Red angle 2.) yellow measurement
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1.) Boehler’s angle – 28-40*, above or below this range is possible calcaneal fx
2.) Heel pad measurement – Distance between skin and calcaneus. 25<mm = acromegaly
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Name the parts of the long bone
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1.) Metaphysis 2.) Physis (growth plate) 3.) Epiphysis 4.) Diaphysis (shaft) 5.) Periosteum 6.) Apophysis (attachment site for ligament or tendon)
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Blue line: Iliofemoral line. Should be smooth
Blue line: Iliofemoral line. Should be smooth. Fx or Slipped femoral capital epiphysis will disrupt the line Yellow line: Shenton’s line. Should be smooth curve. Fx/SCE will disrupt Purple angle: Femor Neck angle. 120*-130* is normal range. Above=Coxa Valga Below=Coxa Vara Red measurement: acetabular depth mm average. Increased by osteomalacia, Paget’s, or RA. Decreased in congenital hip dysplasia Brown line: Skinner’s line, Fovea capitus must be below the horizontal line. Fx or SCE will elevate the line.
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Blue angle: Center edge angle; 20. -40
Blue angle: Center edge angle; 20*-40*; increased by osteomalacia, Paget’s, or RA. Decreased by join effusion Orange line: Kline’s line; altered by FX or SCE Red line: Kohler’s line; If femur head crosses the line then it is called Protrusio Acetabuli. Osteomalacia, Paget’s, and RA cause it Orange measurements: Superior (3-6mm), axial (3-7mm), and medial (4-13mm) (teardrop) distances *never average these measurements If medial joint space (teardrop) exceeds 11mm or 2mm between right and left then Waldenstrom’s sign. Common in Legg-Calve-Perthes
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Blue lines: Ac joint space. Average superior and Inferior. ~3mm
Red Line: Acromiohumeral joint space mm Rotator cuff tear decreases Dislocation or joint effusion increases Yellow lines: Glenohumeral joint space. Average all mm Posterior dislocation increases measurement CPPD or OA decrease measurement
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RAO Position Structure, level, side
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Right c4/5 IVF The first IVF is C2/3 so count down from there. This is an ROA so the right side of the neck is touching the film therefore RIGHT IVF’s will be visualized.
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