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Radiological signs in 
orthopaedics 
Dr. Guru prasad 
Moderators: Dr.Ramu (ms.ortho) HOD 
Dr.Y.S.N.Murthy (ms.ortho)
Interpretation of the x ray
Osteoarthritis 
• Osteophytes 
• Subchondral sclerosis 
• Decrease in joint space 
• Sub chondral cysts
Chronic osteomyelitis 
• Rarefraction and osteolysis 
• Surrounding sclerosis 
• Periosteal reaction 
• sequestrum
Deficiency disorders 
• Rickets
Trauma
Tumors 
• Osteosarcoma 
• Bone destruction 
• New bone formation sunray appearance 
• Codmans triangle 
• Softissue swelling
• Giant cell tumor 
• Radiolucent expansion 
• Soap bubble appearance 
• No periosteal reaction 
• Pathological fractures
Tuberculosis spine 
• Reduction of disc space 
• Destruction : ANTERIOR PART and adjacent 
margins 
• Anterior wedging 
• Cold abscess
Tuberculosis
1 – Anterior spinal line 
2 – Posterior spinal line 
3 – Spino-laminar line
Thank you

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radiological signs of in orthopaedics