骨科读片阅片英文课件orthopedics reading..

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orthopedics reading
Understanding X-ray
1895,Germany Wilhelm Konrad Rntgen
Significance of X-ray examination in Department of orthopedics
Understanding fracture、dislocation and Bone lesions the minimum、foremost accessory examination of orthopedics the first way to check the department of orthopedics injury the basic monitoring method in the treatment of injury in the Department of orthopedics. the basic means to evaluate the therapeutic effect.
ectropion and introversion?
normal
introversion
ectropion
Rotation
frontal position
lateral position
frontal position
to judge ectropion or introversion:Always refer to the far end
To judge whether there is a rotation: Far ead and near end should be considered
Displacement



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normal
Medial displacement 50%
Lateral complete displacement (>100%)
The information that should be mastered in the first sight
What is the location of the X-ray film left or right? The area and scope of X-ray display What the type of the fracture? Don't ignore soft tissue and other details!
Length Angulation Rotation
Displacement
Length
normal
cripetura
separate
cripetura
separate
Angulation
frontal position:ectropion and introversion?
lateral position:Forward or backward?
Medial complete transposition (100%)
transposition?
注意小儿生长板
Growth plates black on x-ray
Epiphysis (closed growth plates) white on xrays
the closed epiphysis line Growth plate not yet closed
Description of the logical sequence of the X - ray film
frontal position
lateral position
General principles of reading X - ray
Imagine the patient standing in front of you(Anatomical standard position) In principle, the left and right side of the X-ray
The basic position of X-ray examination
frontal position
lateral position
When necessary, oblique position, tangent position, axial position or other special position is ok. include Far and near joints;Contrast with normal side。
out side inside
normal
Angle judgment of femoral neck fracture
normal collodiaphysial angle: 125 135° smaller >>>>>>> introversion bigger>>>>>>> ectropion
Specification and description of the fracture site
near ead? far end?
inner joint? out of joint?
inner joint fracture
interior? centre? outboard?
Pay attention to the quality of bones. sclerosis sag
In
accordance with the manner in which the doctor is used to put the X-ray film
Absolutely ,don't paint or write on the X-ray film
The left and right sides were judged according to the anatomical standard position
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