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Lower Extremity. David S. Hartman, M.D. Department of Radiology. Goals. To teach clinically relevant gross anatomy To make it easier to understand gross anatomy To introduce a clinical lexicon . Organization. 4 presentations to the entire class Lower extremity/thorax

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Presentation Transcript
lower extremity
Lower Extremity

David S. Hartman, M.D.

Department of Radiology

goals
Goals
  • To teach clinically relevant gross anatomy
  • To make it easier to understand gross anatomy
  • To introduce a clinical lexicon
organization
Organization
  • 4 presentations to the entire class
    • Lower extremity/thorax
    • Abdomen/pelvis/perineum
    • Upper extremity/back
    • Head and neck
  • Optional review session before each examination
examinations
Examinations
  • 4 radiolgic unknowns on each examination
  • Images used for the exams are displayed in the lab
  • Each examination unknown is labeled in PowerPoint
slide5

Cases in MDL

\\hersheymed.net\files\MMS\Public\education\radiology\lab-thorax-8-2007.pps

Cases can be viewed by any computer in the institution

learning objectives
Learning Objectives:

Identify all objects indicated by arrows on the radiolgical images in this presentation

The same images are on the

computers in the lab

slide9

AP Foot

Metatarsals

Medial Cuneiform

Intermediate Cuneiform

Cuboid

Navicular

Talus

slide10
Oblique Foot

Metatarsals

Lateral Cuneiform

Cuboid

Navicular

Talus

slide11

Lateral

cuneiform

Metatarsals

Cuboid

Talus

Calcaneus

Lateral Foot

489

slide12

Talus

Navicular

Cuboid

Calcaneus

Lateral Foot

fell from ladder
Fell from ladder

Fracture calcaneus

slide15

Anterior Thigh

External iliac artery

Inguinal ligament

Common femoral artery

Profunda femoris artery

Superficial femoral artery

477

slide16
Common femoral art

Profunda femoris art

Superficial femoral art

posterior knee
Posterior Knee

Popliteal artery

Anterior tibial artery

Peroneal artery

Posterior tibial art

483

LAT

MEDIAL

anterior knee
AnteriorKnee

Anterior tibial artery

Lat

MEDIAL

485

anterior ankle
Anterior Ankle

Medial

Anterior tibial artery

Dorsalis pedis artry

485

ap knee
AP Knee

Superficial femoral artery

Popliteal artery

Anterior tibial artery

Posterior tibial artery

Peroneal artery

LATERAL

lateral ankle
Lateral Ankle

Posterior Tibial Artery

Anterior Tibial Artery

Dorsalis Pedis Artery

66yo smoker claudication

Rt Femoral

Angiogram

66YO smoker, claudication

Marked narrowing of the SFA with extensive collaterals which will reconstitute the popliteal a

slide26

View as though facing the patient

Axial section

Right

Left

slide27

Axial CT image with contrast

Anterior

Heart

Liver

Right

Left

Lung

Posterior

By convention we look from below

slide28

Coronal

Right

Left

Coronal suture

slide29

Coronal CT image with contrast

Superior

Right

Lung

Right

Left

Heart

Inferior

By convention view the image as though facing the patient

slide30

Sagital

Sagital suture

slide31

Sagital CT image with contrast

Superior

Aorta

Anterior

Posterior

Heart

Inferior

By convention view the image as though the patient is facing to our left

left knee from above
Left Knee From Above

ANT

Medial

Meniscus

LAT

Anterior

Cruciate

Posterior

Cruciate

Lateral

Meniscus

474

slide35

Parasagital Cut

Medial

Lateral

knee mr most medial parasagital
Knee MR, Most Medial Parasagital

Medial femoral condyle

Medial condyle of tibia

Medial meniscus

Anterior horn

Post horn

Gastrocnemius

anterior cruciate lateral meniscus fibula

Anterior cruciate Lateral meniscus Fibula

Posterior

cruciate

Medial

meniscus

Tibia

Right Knee from the Front

475

right knee posterior view
Right Knee, Posterior View

Medial

condyle

Lateral

condyle

Medial

meniscus

Lateral

meniscus

Posterior

cruciate

ligament

Anterior

cruciate

ligament

Lateral

Medial

475

slide39

Parasagital Cut

MEDIAL

LATERAL

slide40

Knee MR, Medial Parasagital

Femur

Posterior

cruciate

Gastroc- nemius

muscle

Tibia

32 yo man knee pain

32 YO man, knee pain

Ruptured posterior cruciate ligament

slide42

Parasagital Cut

MEDIAL

LATERAL

slide43

Knee MR, Lateral Medial Parasagital

Femur

Anterior

cruciate

ligament

Tibia

slide44

Parasagital Cut

MEDIAL

LATERAL

slide45

Knee MR, Most Lateral Parasagital

Quad-

riceps

tendon

Lateral

femoral

condyle

Lateral

meniscus

Ant horn

Post horn

Patella

Lateral

condyle

of the tibia

Patella

tendon

lower extremity46
Lower Extremity

David S. Hartman, M.D.

Department of Radiology