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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]
X-ray plain film & arthrogram
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
[object Object],Normal appearances
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],[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],Bone destruction Basic X-ray signs
[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],[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
[object Object],[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
chondrosarcoma
[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
[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
[object Object],Fracture & dislocation  Trauma
Healing of fracture & callus formation Acute phase 2W 2M
[object Object],Fracture & dislocation  Trauma
[object Object],Fracture & dislocation  Trauma Apposition Alignmemt
[object Object],Fracture & dislocation  Trauma
[object Object],Fracture & dislocation  Trauma ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Fracture & dislocation  Trauma
[object Object],[object Object],Fracture & dislocation  Trauma
[object Object],[object Object],Fracture & dislocation  Trauma
[object Object],Fracture & dislocation  Trauma
[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
Disc  herniation MRI normal
[object Object],Protrusion of the intervertebral disc (discal herniation) Annulus fibrosis Nucleus pulposus protruded into the end plate  –  form the Schmorl ’ s nodule
Thank you

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2 Primary Of Child Care And Infant Feeding
 
4 Congenital Heart Disease
4 Congenital Heart Disease4 Congenital Heart Disease
4 Congenital Heart Disease
 
19 Acute Glomerulonephritis
19 Acute Glomerulonephritis19 Acute Glomerulonephritis
19 Acute Glomerulonephritis
 
15 Genetic Diseases
15 Genetic Diseases15 Genetic Diseases
15 Genetic Diseases
 
14 Primary Immunodeficiency Diseases
14 Primary Immunodeficiency  Diseases14 Primary Immunodeficiency  Diseases
14 Primary Immunodeficiency Diseases
 
10 Rheumatic Fever
10 Rheumatic Fever10 Rheumatic Fever
10 Rheumatic Fever
 
Respiratory Distress Syndrome (Rds)
Respiratory Distress Syndrome (Rds)Respiratory Distress Syndrome (Rds)
Respiratory Distress Syndrome (Rds)
 
Infantile Diarrhea
Infantile DiarrheaInfantile Diarrhea
Infantile Diarrhea
 
Neonatal Cold Injury Syndrome
Neonatal Cold Injury SyndromeNeonatal Cold Injury Syndrome
Neonatal Cold Injury Syndrome
 
5 Congenital Heart Disease(Chd)
5 Congenital Heart Disease(Chd)5 Congenital Heart Disease(Chd)
5 Congenital Heart Disease(Chd)
 
4 Congenital Heart Disease
4 Congenital Heart Disease4 Congenital Heart Disease
4 Congenital Heart Disease
 
1 2009 Pediatrcs 留学生 Fang1
1 2009 Pediatrcs 留学生 Fang11 2009 Pediatrcs 留学生 Fang1
1 2009 Pediatrcs 留学生 Fang1
 
12.Respiratory Failure
12.Respiratory Failure12.Respiratory Failure
12.Respiratory Failure
 
11.Lungcancer
11.Lungcancer11.Lungcancer
11.Lungcancer
 
10.Pneumothorax(
10.Pneumothorax(10.Pneumothorax(
10.Pneumothorax(
 
9.Cor Pulmonale
9.Cor Pulmonale9.Cor Pulmonale
9.Cor Pulmonale
 

Introduction skeletal radiology(11月20.)

Editor's Notes

  1. stiffness of a joint -ankylosis