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diagnostico por imagen musculo esqueletico

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Carlos Rene Espino de la Cueva
Carlos Rene Espino de la Cueva
Health & Medicine
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Diagnostic Imaging Lecture 3 Musculoskeletal
Musculoskeletal Injuries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skeletal Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skeletal Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sprains ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sprains 1rst degree - joint pain / tenderness - no laxity 2nd degree - joint laxity present - pain and tenderness 3rd degree - ligament broken - unstable joint
Sprains ,[object Object],[object Object],[object Object],[object Object]
Strains ,[object Object],[object Object],[object Object],[object Object],[object Object]
Strains ,[object Object],[object Object],[object Object],[object Object]
Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fractures are described ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object],[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fracture ,[object Object]
Fractures ,[object Object],[object Object],[object Object]
Open fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fracture Description ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(Physis)
Fracture Pattern ,[object Object],[object Object],[object Object],[object Object]
Fracture Pattern ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fracture Pattern ,[object Object],[object Object],[object Object],[object Object]
Salter-Harris (Growth Plate) Fractures ,[object Object],[object Object],[object Object]
Salter-Harris Classification Type I - through the physis . Type II - through the physis and metaphysis. Type III- through the physis and epiphysis . Type IV- through the physis, metaphysis and epiphysis . Type V - crush injury to the physis .
Principles of fracture management: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fracture management ,[object Object],[object Object],[object Object],[object Object]
Closed reduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Open reduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maintaining alignment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Splinting and casting ,[object Object],[object Object],[object Object]
Splinting and casting ,[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shoulder
 
Normal
Acromioclavicular (AC) separation (separated shoulder) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
AC separation (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Anterior Glenohumeral Dislocation “Shoulder dislocation” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shoulder dislocation
 ------Normal ,[object Object]
 
[object Object],[object Object]
[object Object],[object Object]
Anterior Glenohumeral Dislocation Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Hill-Sachs Deformity
Clavicle fracture ,[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---  ,[object Object],[object Object]
 
Shoulder Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proximal Humerus Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Midshaft Humerus Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Midshaft humerus fx
Elbow Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Galeazzi Fracture/dislocation ,[object Object],[object Object]
Galeazzi (Reverse Monteggia)
Galeazzi
Radial Head Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Elbow
Radial head fx
 
 
 
Olecranon Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Olecranon Fractures
 
Olecranon Fractures
Distal Humerus Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
The Wrist-Eight Carpal Bones ,[object Object],[object Object],[object Object],[object Object],+ Radius and Ulna
Movements at the wrist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wrist Dislocations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wrist Dislocations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perilunate dislocation Perilunate dislocation
Lunate dislocation
Distal Forearm Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Colles fx
Colles’ fx
Distal Forearm Fractures (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Distal Forearm Fractures (cont) ,[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]
 
 
Smith’s fx
 
Smith’s Fx
Scaphoid Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scaphoid Fractures ,[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]
Game Keeper’s Thumb Skier’s Thumb ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Distal Phalangeal Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Middle & Proximal Phalanx Fractures ,[object Object],[object Object],[object Object],[object Object]
 
 
Finger dislocation ,[object Object],[object Object]
 
 
Metacarpal Neck Fractures ,[object Object]
 
Other Metacarpal Fx’s
 
Bennett’s
 
Rolando’s
Lower Extremities ,[object Object]
Knee ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Knee ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knee
The Knee ,[object Object],[object Object],[object Object],[object Object],[object Object]
Knee ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knee soft tissue injuries ,[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]
Medial Collateral Ligament (MCL) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lateral Collateral Ligament (LCL) ,[object Object],[object Object],[object Object]
Menisci ,[object Object],[object Object],[object Object]
 
 
Meniscal Tear ,[object Object],[object Object],[object Object],[object Object]
Meniscal Tear Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Meniscal Tear ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ligament Sprains
Ligament sprains
Medial Collateral Ligament (MCL) Sprain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lateral Collateral Ligament (LCL) Sprain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anterior Cruciate Ligament (ACL) Sprains ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anterior Cruciate Ligament (ACL) Sprains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACL tear
Posterior Cruciate Ligament (PCL) Sprain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unhappy Triad ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patellar Tendon Rupture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],Normal Knee
Patella Dislocation/ Subluxation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Patellar fractures ,[object Object],[object Object],[object Object],[object Object]
Patellar fracture
Chronic Knee Pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object]
Knee Replacement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foot ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Plantar Fasciitis ,[object Object],[object Object],[object Object],[object Object]
Plantar Fasciitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plantar Fasciitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Hallux Valgus ,[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]
Hallux Valgus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Lisfranc Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Jones Fracture/Dancers fracture ,[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]
 
Jones fx
Avulsion Fracture of the base of the 5 th Metatarsal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pseudo-Jones Fracture Dancer Fracture Tennis Fracture Avulsion Fracture
Pseudo-Jones Fracture
Comminuted Fracture of proximal and/ or distal phalanx of great toe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fractures of phalanges of lesser toes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
March Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
March Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stress fx
Calcaneus Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calcaneus Fracture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
The Ankle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Ankle sprains ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ankle fractures ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bi - Malleolar fracture ,[object Object],[object Object],[object Object],[object Object]
Bimalleolar fracture-inversion injury
Foot Fractures ,[object Object],[object Object],[object Object],[object Object]
Achilles Tendinitis ,[object Object],[object Object],[object Object]
Achilles Tendon Rupture ,[object Object],[object Object],[object Object],[object Object],[object Object]
Achilles Tendon Rupture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Tibial Shaft Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Tibial Plateau Fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tibial Plateau Fracture Classification
 
Hip ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hip dislocations ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Hip dislocation Posterior dislocation: Head of the femur superior and laterally located Anterior dislocation: Head of femur located inferiorly and medially to the acetabulum
 
Hip fractures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Open Book fx
 
Intertrochanteric frx
 
Hip Fx ,[object Object]
Hip & Proximal Femur Fx’s ,[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], Intertrochanteric fx Trochanteric fx 
Hip & Proximal Femur fx ,[object Object]
 
Hip Dislocation ,[object Object],[object Object]
Aseptic necrosis hips ,[object Object],[object Object],[object Object],[object Object]
Aseptic necrosis of the hips
Slipped Capital Epiphysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Slipped Capital Epiphysis
Osgood - Schlatter disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osgood - Schlatter disease
Legg-Perthes disease(aseptic necrosis of the femoral head) ,[object Object],[object Object],[object Object],[object Object]
Legg-Perthes disease(aseptic necrosis of the femoral head)

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diagnostico por imagen musculo esqueletico

Editor's Notes

  1. Valgus deformity- knock-kneed, distal part of the legs deviated outward Varus deformity – bowed ledgged , distal portion of the legs deviated inward
  2. Short length walking cast SLWC
  3. Midfoot-metatarsals, forefoot -phalanges