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Lower Extremity

Lower Extremity

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Lower Extremity

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  1. Lower Extremity David S. Hartman, M.D. Department of Radiology

  2. Goals • To teach clinically relevant gross anatomy • To make it easier to understand gross anatomy • To introduce a clinical lexicon

  3. 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

  4. Examinations • 4 radiolgic unknowns on each examination • Images used for the exams are displayed in the lab • Each examination unknown is labeled in PowerPoint

  5. Cases in MDL \\\files\MMS\Public\education\radiology\lab-thorax-8-2007.pps Cases can be viewed by any computer in the institution

  6. 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

  7. RadiographicAnatomy Of The Foot

  8. Frontal foot MetatarsalsCuneiformsNavicularCuboidTalusCalcaneus 488

  9. AP Foot Metatarsals Medial Cuneiform Intermediate Cuneiform Cuboid Navicular Talus

  10. Oblique Foot Metatarsals Lateral Cuneiform Cuboid Navicular Talus

  11. Lateral cuneiform Metatarsals Cuboid Talus Calcaneus Lateral Foot 489

  12. Talus Navicular Cuboid Calcaneus Lateral Foot

  13. Fell from ladder Fracture calcaneus

  14. Angiographic Anatomy of the Lower Extremity

  15. Anterior Thigh External iliac artery Inguinal ligament Common femoral artery Profunda femoris artery Superficial femoral artery 477

  16. Common femoral art Profunda femoris art Superficial femoral art

  17. Posterior Knee Popliteal artery Anterior tibial artery Peroneal artery Posterior tibial art 483 LAT MEDIAL

  18. AnteriorKnee Anterior tibial artery Lat MEDIAL 485

  19. Anterior Ankle Medial Anterior tibial artery Dorsalis pedis artry 485

  20. AP Knee Superficial femoral artery Popliteal artery Anterior tibial artery Posterior tibial artery Peroneal artery LATERAL

  21. Lateral Ankle Posterior Tibial Artery Anterior Tibial Artery Dorsalis Pedis Artery

  22. Rt Femoral Angiogram 66YO smoker, claudication Marked narrowing of the SFA with extensive collaterals which will reconstitute the popliteal a

  23. Following angioplasty

  24. MR Anatomy of the Knee

  25. ViewingMultiplanarImages(CT, MR, US)

  26. View as though facing the patient Axial section Right Left

  27. Axial CT image with contrast Anterior Heart Liver Right Left Lung Posterior By convention we look from below

  28. Coronal Right Left Coronal suture

  29. Coronal CT image with contrast Superior Right Lung Right Left Heart Inferior By convention view the image as though facing the patient

  30. Sagital Sagital suture

  31. 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

  32. MR Anatomyof the Knee(Sagital)

  33. Left Knee From Above ANT Medial Meniscus LAT Anterior Cruciate Posterior Cruciate Lateral Meniscus 474

  34. Sagital knee Quadriceps tendonPatellaMeniscusAnterior hornPosterior hornPatella tendon FEMUR TIBIA 476

  35. Parasagital Cut Medial Lateral

  36. Knee MR, Most Medial Parasagital Medial femoral condyle Medial condyle of tibia Medial meniscus Anterior horn Post horn Gastrocnemius

  37. Anterior cruciate Lateral meniscus Fibula Posterior cruciate Medial meniscus Tibia Right Knee from the Front 475

  38. Right Knee, Posterior View Medial condyle Lateral condyle Medial meniscus Lateral meniscus Posterior cruciate ligament Anterior cruciate ligament Lateral Medial 475

  39. Parasagital Cut MEDIAL LATERAL

  40. Knee MR, Medial Parasagital Femur Posterior cruciate Gastroc- nemius muscle Tibia

  41. 32 YO man, knee pain Ruptured posterior cruciate ligament

  42. Parasagital Cut MEDIAL LATERAL

  43. Knee MR, Lateral Medial Parasagital Femur Anterior cruciate ligament Tibia

  44. Parasagital Cut MEDIAL LATERAL

  45. 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

  46. Lower Extremity David S. Hartman, M.D. Department of Radiology