Upper extremity pathology

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Aqui se presentan patologias y fracturas de las extremidades superiores.

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Upper extremity pathology

  1. 1. Radiographic Pathology of the Upper Extremity Jeff Ahrendsen Dennis Winders
  2. 2. Healing Fracture Stage I
  3. 3. Healing Fracture Stage II
  4. 4. Healing Fracture Stage III
  5. 5. Healed Fracture Stage IV
  6. 7. Amputated 3rd distal phalanx <ul><li>Third digit was caught in a snow blower. </li></ul>
  7. 9. Amputated tuft of 1st digit <ul><li>The thumb was caught in an auger. </li></ul>
  8. 11. Soft tissue injury, with no bony involvement.
  9. 13. Dislocated 5th CM jt.
  10. 15. Dislocated 2nd DIP jt. <ul><li>This is a classic injury caused by catching a baseball. </li></ul><ul><li>Note the avulsion fracture. </li></ul>
  11. 17. Dislocated Elbow
  12. 19. Dislocated Lunate
  13. 21. Dislocated 3rd PIP jt.
  14. 23. Dislocated 5th PIP jt.
  15. 25. <ul><li>Monteggia fracture </li></ul>
  16. 27. Avulsion fracture
  17. 29. Boxers fracture
  18. 31. Colles fracture
  19. 33. Comminuted fracture of the tuft of the 3rd digit
  20. 35. Complete (Transverse) fracture
  21. 37. Spiral fractures
  22. 39. Obliquely oriented hairline fractures
  23. 41. Impacted fracture
  24. 43. Severe impaction
  25. 45. Navicular fracture <ul><li>The “waist” of the navicular is fractured. </li></ul><ul><li>Note the difference in densities of the fracture fragments. This is caused by Aseptic necrosis. </li></ul>
  26. 47. Nightstick fracture
  27. 49. Open fracture
  28. 51. Radial head fracture
  29. 53. Radial head fracture <ul><li>This shows the importance of proper positioning. </li></ul><ul><li>The partial flexion with the humerus parallel does not demonstrate the fracture. </li></ul>
  30. 55. Radial head fracture demonstrating the “fat pad sign”
  31. 57. Supracondylar fracture
  32. 59. Multiple forearm fractures <ul><li>Severely displaced fractures of the distal humerus radius, and ulna. </li></ul>
  33. 61. Severe soft tissue laceration
  34. 63. Pisiform fracture Gaynor Hart
  35. 65. Greenstick fracture
  36. 67. “Bow” fracture Note the cortical and impacted fractures.
  37. 69. Torus fracture
  38. 71. Salter-Harris Type 1 fracture <ul><li>The type 1 fracture is indicated by a dislocation of the epiphysis. </li></ul>
  39. 73. Salter-Harris Type 2 fracture <ul><li>The type 2 fracture is indicated by a fracture of the metaphysis. </li></ul><ul><li>Note the spiral fracture of the 2nd metacarpal. </li></ul>
  40. 75. Child Abuse <ul><li>This was a healing fracture that was re-broken. </li></ul><ul><li>Note the periosteal callus formation (arrows). </li></ul>
  41. 77. Polydactyly
  42. 79. Multiple fractures & dislocations
  43. 81. Pre-op & Post-op joint replacement
  44. 83. Gunshot wound
  45. 85. 2nd & 3rd digits nailed together
  46. 87. Fracture of the distal radius <ul><li>Fracture indicative of child abuse </li></ul>
  47. 89. Humeral Fracture <ul><li>Fracture indicative of child abuse </li></ul>
  48. 91. Gunshot wound
  49. 93. Ewings Sarcoma

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