Introduction skeletal radiology(11月20.)

MUSCULOSKELETAL RADIOLOGY Sun Yat-sen Memorial Hospital SYSU Dr. BILING LIANG

Musculoskeletal Radiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Imaging technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Normal X-ray appearances ,[object Object],[object Object],[object Object],[object Object]

Normal X-ray appearances ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Same histologic structure Different arrangement Cartilage -> bone formation -> remodel -> trabecular bone

Normal X-ray appearances cortex trabecula

Normal pediatric X-ray appearances 4 years ， distal femur metaphysis epiphysis Epiphyseal plate

Normal pediatric X-ray appearances 9 m ， distal femur 增殖带成熟带肥大带退变带成骨带静止细胞带 {

Normal pediatric skeletal development 6M 1Y 2Y 3Y 4Y

Normal adult X-ray appearances Diaphysis shaft

Normal pediatric X-ray appearances ,[object Object],Bone age yrs ±1 New born

Normal X-ray appearances ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],Normal appearances pediatric adult

[object Object],Normal appearances

Normal X-ray appearances ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Articular cartilage Epiphyseal cartilage Fibrocartilage dics X-ray

Normal hip ,[object Object],[object Object]

Normal joint structure ,[object Object],[object Object]

[object Object],Normal joint structure

Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Musculoskeletal system Bone Joint ,[object Object],[object Object],[object Object],[object Object]

Osteoporosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Basic X-ray signs

[object Object],[object Object],[object Object],[object Object],Osteoporosis Basic X-ray signs normal c

[object Object],[object Object],Osteoporosis Basic X-ray signs

Osteomalacia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Basic X-ray signs

[object Object],[object Object],[object Object],[object Object],[object Object],Osteomalasia Basic X-ray signs

[object Object],[object Object],[object Object],Osteomalasia Basic X-ray signs

Bone destruction Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Bone destruction Basic X-ray signs

[object Object],[object Object],[object Object],Bone destruction Basic X-ray signs

Osteosclerosis /hyperostosis Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Osteosclerosis Basic X-ray signs

[object Object],[object Object],[object Object],Osteosclerosis Basic X-ray signs

[object Object],[object Object],Osteosclerosis Basic X-ray signs

[object Object],Osteosclerosis Basic X-ray signs ,[object Object]

Periosteal reaction / periostosis Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Codman ’ s triangle: The new periosteal bone become eroded centrally leaving triangle areas of New bone at the edges

[object Object],[object Object],Periosteal reaction / periostosis Basic X-ray signs normal

[object Object],Periosteal reaction / periostosis Basic X-ray signs

[object Object],[object Object],Periosteal reaction / periostosis Basic X-ray signs

Calcification within bone/cartilage Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Calcification with bone/cartilage Basic X-ray signs

Bone necrosis Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Bone necrosis Basic X-ray signs

Mineral sedimentation Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Mineral sedimentation Basic X-ray signs

Deformity of bone Basic X-ray signs ,[object Object]

[object Object],Deformity of bone Basic X-ray signs ,[object Object]

Soft tissue abnormalities Basic X-ray signs ,[object Object],[object Object]

Basic X-ray signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Musculoskeletal system Bone Joint ,[object Object],[object Object],[object Object],[object Object],[object Object]

Joint destruction ,[object Object],[object Object]

Joint ankylosis ,[object Object]

Joint dislocation The displacement of the any body part from its normal position

MUSCULOSKELETAL RADIOLOGY TRAUMA Sun Yat-sen Memorial Hospital SYSU Dr. BILING LIANG

[object Object],[object Object],[object Object],[object Object],[object Object],Fracture & dislocation Trauma

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],fracture & dislocation Trauma The state of contact of the fracture fracgment ends The relationship of the long axes of the fracture fragments

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],fracture & dislocation Trauma

[object Object],Fracture & dislocation Trauma spiral fracture Transverse fracture Compressive fracture Comminution fracture oblique fracture

[object Object],Fracture & dislocation Trauma

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],fracture & dislocation Trauma angling or buckling of the cortex without the lucent fracture line Epiphysis & cartilage plate separated from the metaphysis

Healing of fracture & callus formation Acute phase 2W 2M

[object Object],Fracture & dislocation Trauma Apposition Alignmemt

[object Object],Fracture & dislocation Trauma ,[object Object]

[object Object],[object Object],Fracture & dislocation Trauma

[object Object],Protrusion of the intervertebral disc (discal herniation) Annulus fibrosis Nucleus pulposus

Protrusion of the intervertebral disc (discal herniation) ,[object Object],Annulus fibrosis Nucleus pulposus Vertebral end plate Stablilize the spine

[object Object],Protrusion of the intervertebral disc (discal herniation)

Protrusion of the intervertebral disc (discal herniation) bulge protrusion

[object Object],Protrusion of the intervertebral disc (discal herniation) Space occupying lesion

[object Object],Protrusion of the intervertebral disc (discal herniation) Annulus fibrosis Nucleus pulposus protruded into the end plate – form the Schmorl ’ s nodule

Introduction skeletal radiology(11月20.)

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