This document outlines an 18 case quiz on radiology cases using a template to describe the location of injuries, key prognostic features, and recommendations for further imaging or management. For each case, trainees are asked to provide answers following the template which includes the location of injury, key prognostic features, and any recommendations. The quiz covers a range of orthopedic injuries including fractures of the extremities and spine.

1. Ortho Home Unit
Final Quiz
RAH Radiology

2. Quiz
Format:
Sets of cases – 2-5 at a time
Write down key findings
Review results
Total 18 cases, see how we go
with time.

3. Quiz
Template for answers:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

4. Quiz - example
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Mid shaft femoral fracture
• Half bone width medial
displacement
• Needs lateral view. Consider
further proximal / distal
imaging as high impact
mechanism likely.

5. Quiz – 1.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

6. Quiz – 1.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

7. Quiz – 1.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

8. Quiz – 1.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

9. Quiz – 1.5
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

10. Quiz – 1.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Distal shaft tibial fracture
• One cortex width medial
displacement
• Needs lateral view.

11. Quiz – 1.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Distal radial (metaphysis)
fracture
• One cortex width dorsal
displacement. May be intra-
articular
• Needs frontal and oblique
view.

12. Quiz – 1.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Proximal / base of 5th middle
phalanx fracture
• Mild displacement, intra-
articular.
• Other views. Needs surgical
review.

13. Quiz – 1.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Glenohumeral dislocation.
Humeral fracture (Hill’s Sacks).
• Mild displacement.
• Repeat imaging after reduction.
Possibility of glenoid injury
(Bankhart), consider MRI.

14. Quiz – 1.5
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Right neck of femur
(subcapital or proximal shaft)
• Intracapsular
• Needs surgical management

15. Quiz – 2.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

16. Quiz – 2.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

17. Quiz – 2.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

18. Quiz – 2.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

19. Quiz – 2.5
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

20. Quiz – 2.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Left sup. and inf. pubic ramus
fractures.
• Half bone width displacement
• Clinical assessment for
possible other injuries,
consider CT.

21. Quiz – 2.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Mid body scapular fracture.
• Mildly displaced (one to two
cortical widths).
• Needs CT, hard to see extent
of injury.

22. Quiz – 2.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Left clavicle and scapular
fractures.
• Scapular fracture is intra-
articular (involves glenoid).
• Needs CT.

23. Quiz – 2.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Right sup. and inf. pubic rami,
right iliac wing fractures.
• 2 to 3 cortical widths superior
displacement. Likely right
acetabular involvement.
• Needs CT, look for fracture
extent and soft tissue injuries.

24. Quiz – 2.5
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Bilateral pubic rami. Left
sacrum (disrupted arcades).
• Comminuted, involvement of
neural foramina.
• Needs CT for vessel damage,
review for other fractures.
Needs surgical management

25. Quiz – 3.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• L2 anterior wedge fracture.
• Mild disruption of posterior
spinal line. Possible widening
of interspinous distance.
Consider posterior element
involvement.
• Needs CT scan.

26. Quiz – 3.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

27. Quiz – 3.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

28. Quiz – 3.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

29. Quiz – 3.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• L2 anterior wedge fracture.
• Possible widening of
interspinous distance.
Consider posterior element
involvement.
• Needs CT scan.

30. Quiz – 3.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• C6 on C7 anterolisthesis,
possible bilateral facet
dislocation. No fracture seen.
• Central canal narrowing?
• Needs CT scan.

31. Quiz – 4.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

32. Quiz – 4.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

33. Quiz – 4.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

34. Quiz – 4.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

35. Quiz – 4.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Elbow effusion, likely radial
head / neck fracture
• Can’t identify fracture, may be
intra-articular
• Needs oblique / radial head
view. Repeat imaging in 2
weeks if no fracture seen, or
consider MRI/CT/NMBS if need
a diagnosis now.

36. Quiz – 4.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Mid shaft femur fracture
• Significant medial angulation,
callus formation suggests old
injury (months)
• No further recommendations

37. Quiz – 4.3
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• 3rd distal phalanx tuft fracture
• Mild displacement
• Usually from crush injuries.
Confirm neurovascular status.

38. Quiz – 4.4
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Left proximal neck of femur
fracture (sharp angle superior
cortex)
• Intracapsular
• CT to assess as not well seen.
Needs surgical management.

39. Quiz – 5.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management

40. Quiz – 5.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
R
L
R

41. Quiz – 5.1
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• L1 oedema and height loss,
fracture.
• Retropulsion, at least 2
columns. Possible high cord
signal.
• Urgent spinal review.

42. Quiz – 5.2
Template:
• Location of injury, structure
involved
• Key prognostic features
• Any recommendations for
further imaging or
management
Answers:
• Right sided supraspinatus
tear, no fibres seen.
• Probably complete tear.
• Real-time assessment,
impingment and vascularity.
Likely other tendon damage.
R
L
R