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LOWER EXTREMITY X-RAYS, MRIS AND ANGIOGRAMS 2008. Sacroiliac Joint. Anterior superior iliac spine. Neck of Femur. Pubic Symphysis. Greater Trochanter. Inferior ramus of pubis. Ischial Tuberosity. Lesser Trochanter. 1 X-ray Pelvis and Proximal Femur (same X-ray as studied in

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Presentation Transcript
slide1

LOWER EXTREMITY

X-RAYS, MRIS AND

ANGIOGRAMS 2008

slide2

Sacroiliac Joint

Anterior superior

iliac spine

Neck of Femur

Pubic

Symphysis

Greater

Trochanter

Inferior ramus of pubis

Ischial Tuberosity

Lesser

Trochanter

slide3

1 X-ray Pelvis and Proximal Femur

(same X-ray

as studied in

Abdomen and

Pelvis)

1. Anterior Superior Iliac Spine

2. Acetabular rim of pelvis

3. Sacral foramina for Spinal nerve

4. Pubic symphysis

5. Inferior Ramus of Pubis

6. Obturator Foramen

7. Ischium

8. Head of Femur

9. Neck of Femur

10. Greater Trochanter

11. Lesser Trochanter

slide4

#10 Venogram Iliac and Femoral Veins

1. External Iliac Vein

2. Internal Iliac Vein

3. Valve Cusps in Great Saphenous and Femoral Veins

slide5

#9 Arteriogram of Femoral Artery

1. Head of femur (note relationship to femoral artery #2)

2. Femoral artery

3. Femoral artery in thigh

4. Profunda Femoris Artery

5. Lateral Femoral Circumflex Artery

6. First perforating branch of profunda femoris artery

slide6

# 2 X-RAY OF KNEE JOINT, TIBIA AND FIBULA

1. Medial condyle of femur

2. Medial condyle of tibia

3. Intercondylar eminence of tibia

4. Lateral condyle of femur

5. Head of fibula

slide7

#3 Lateral X-ray of Knee Joint

1. Patella

2. Condyle of femur

3. Medial condyle of tibia

4. Head of fibula

slide8

#1 - Lateral X-ray of Knee with Fabella

1- Fabella - this is a sesamoid bone sometimes present in the

tendon of origin of the lateral head of the gastrocnemius muscle

2- Femur

3- Patella

4- Intercondylar eminence of tibia

5- Head of fibula

slide9

SAGITTAL MRI OF

KNEE JOINT

SUPRAPATELLAR

BURSA

FEMUR

QUADRICEPS

TENDON

LATERAL

MENISCUS

PATELLA

PATELLAR

TENDON

FIBULA

TIBIA

slide10

CORONAL MRI OF

KNEE JOINT 1 - ANTERIOR-

POSTERIOR

SERIES OF

RIGHT KNEE

STARTING

BEHIND

PATELLA

FEMUR

MEDIAL

MENISCUS

LATERAL

MENISCUS

TIBIA

slide11

CORONAL MRI OF

KNEE JOINT 2

FEMUR

POSTERIOR

CRUCIATE

LIGAMENT

LATERAL

MENISCUS

MEDIAL

MENISCUS

ANTERIOR

CRUCIATE

LIGAMENT

TIBIA

slide12

CORONAL MRI OF

KNEE JOINT 3

POSTERIOR

CRUCIATE

LIGAMENT

POPLITEUS

TENDON

LATERAL

MENISCUS

MEDIAL

MENISCUS

ANTERIOR

CRUCIATE

LIGAMENT

INTERCONDYLAR

EMINENCE

slide13

CORONAL MRI OF

KNEE JOINT 4

LATERAL

(FIBULAR)

COLLATERAL

LIGAMENT

MEDIAL

(TIBIAL)

COLLATERAL

LIGAMENT

MEDIAL

MENISCUS

LATERAL

MENISCUS

slide14

CORONAL MRI OF

KNEE JOINT 5

POSTERIOR

CRUCIATE

LIGAMENT

LATERAL CONDYLE OF FEMUR

MEDIAL CONDYLE OF FEMUR

TIBIA

slide15

#11 Arteriogram of Femoral - Popliteal Arteries

1. Femoral artery (near Adductor hiatus)

2. Popliteal artery

3. Superior Lateral Genicular branch of Popliteal artery

4. Lateral condyle of femur

5. Neck of fibula

6. Medial condyle of tibia

7. Terminaton of Popliteal as Anterior and Posterior Tibial arteries

7

slide16

#16 Healing of fracture of Fibula and Tibia

1. Fracture of Tibia

2. Fracture of Fibula

3. Epiphyseal line of Tibia

4. Epiphyseal line of Fibula

5. Epiphyseal line of Tibia

6. Epiphyseal line of Fibula

slide17

1. Tibia

2. Shaft of fibula

3. Head of talus

4. Calcaneus

5. Navicular

6. Cuboid

7. Medial Cuneiform

8. Fifth Metatarsal (tubercle)

9. First Metatarsal

10. Sesamoid bones inferior to

head of first metatarsal

#5 Radiograph of Foot

slide18

MRI OF FOOT

TIBIA

TALUS

NAVICULAR

FIRST METATARSAL

CALCANEUS

slide19

#18 Bone Spur on Calcaneus on Lateral X-ray of Ankle

1- Bone spur on Calcaneus

2- Sustentaculum tali

3- Talus

4- Talonavicular joint

5- Navicular bone

6- Cuboid bone

slide20

#4 Bones of Ankle and Foot

1. Lateral malleolus of fibula

2. Medial malleolus of tibia

3. Body (trochlea) of talus

4. Navicular

5. Head of talus

6. Calcaneus

7. Cuboid

8. Lateral Cuneiform

9. Intermediate Cuneiform

10. Medial Cuneiform

11. First metatarsal

12. Sesamoid bone in

tendon of Flexor Hallucis

Brevis

13. Fifth metatarsal

(tuberosity)

slide22

1. Distal tibia, proximal to epiphyseal cartilage

2. Epiphysis

3. Tarsal bone (probably cuboid)

4. 5th metatarsal

5. Proximal phalanx of 5th toe

#8 X-ray foot of one year old

slide24

#6 X-ray of Pelvis and Knee of Six month old Patient

1. Superior epiphysis of femur

2. Inferior epiphysis of femur

3. Superior epiphysis of tibia

4. Location of epiphyseal cartilage of femur