Download - Upper extremity pathology
![Page 1: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/1.jpg)
Radiographic Pathology of the Upper Extremity
Jeff Ahrendsen
Dennis Winders
![Page 2: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/2.jpg)
Healing FractureStage I
![Page 3: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/3.jpg)
Healing Fracture Stage II
![Page 4: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/4.jpg)
Healing Fracture Stage III
![Page 5: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/5.jpg)
Healed Fracture Stage IV
![Page 6: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/6.jpg)
![Page 7: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/7.jpg)
Amputated 3rd distal phalanx
• Third digit was caught in a snow blower.
![Page 8: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/8.jpg)
![Page 9: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/9.jpg)
Amputated tuft of 1st digit
• The thumb was caught in an auger.
![Page 10: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/10.jpg)
![Page 11: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/11.jpg)
Soft tissue injury, with no bony involvement.
![Page 12: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/12.jpg)
![Page 13: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/13.jpg)
Dislocated 5th CM jt.
![Page 14: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/14.jpg)
![Page 15: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/15.jpg)
Dislocated 2nd DIP jt.
• This is a classic injury caused by catching a baseball.
• Note the avulsion fracture.
![Page 16: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/16.jpg)
![Page 17: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/17.jpg)
Dislocated Elbow
![Page 18: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/18.jpg)
![Page 19: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/19.jpg)
Dislocated Lunate
![Page 20: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/20.jpg)
![Page 21: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/21.jpg)
Dislocated 3rd PIP jt.
![Page 22: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/22.jpg)
![Page 23: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/23.jpg)
Dislocated 5th PIP jt.
![Page 24: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/24.jpg)
![Page 25: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/25.jpg)
• Monteggia fracture
![Page 26: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/26.jpg)
![Page 27: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/27.jpg)
Avulsion fracture
![Page 28: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/28.jpg)
![Page 29: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/29.jpg)
Boxers fracture
![Page 30: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/30.jpg)
![Page 31: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/31.jpg)
Colles fracture
![Page 32: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/32.jpg)
![Page 33: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/33.jpg)
Comminuted fracture of the tuft of the 3rd digit
![Page 34: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/34.jpg)
![Page 35: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/35.jpg)
Complete (Transverse) fracture
![Page 36: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/36.jpg)
![Page 37: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/37.jpg)
Spiral fractures
![Page 38: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/38.jpg)
![Page 39: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/39.jpg)
Obliquely oriented hairline fractures
![Page 40: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/40.jpg)
![Page 41: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/41.jpg)
Impacted fracture
![Page 42: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/42.jpg)
![Page 43: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/43.jpg)
Severe impaction
![Page 44: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/44.jpg)
![Page 45: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/45.jpg)
Navicular fracture
• The “waist” of the navicular is fractured.
• Note the difference in densities of the fracture fragments. This is caused by Aseptic necrosis.
![Page 46: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/46.jpg)
![Page 47: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/47.jpg)
Nightstick fracture
![Page 48: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/48.jpg)
![Page 49: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/49.jpg)
Open fracture
![Page 50: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/50.jpg)
![Page 51: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/51.jpg)
Radial head fracture
![Page 52: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/52.jpg)
![Page 53: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/53.jpg)
Radial head fracture
• This shows the importance of proper positioning.
• The partial flexion with the humerus parallel does not demonstrate the fracture.
![Page 54: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/54.jpg)
![Page 55: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/55.jpg)
Radial head fracture demonstrating the “fat pad sign”
![Page 56: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/56.jpg)
![Page 57: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/57.jpg)
Supracondylar fracture
![Page 58: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/58.jpg)
![Page 59: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/59.jpg)
Multiple forearm fractures
• Severely displaced fractures of the distal humerus radius, and ulna.
![Page 60: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/60.jpg)
![Page 61: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/61.jpg)
Severe soft tissue laceration
![Page 62: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/62.jpg)
![Page 63: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/63.jpg)
Pisiform fracture
Gaynor Hart
![Page 64: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/64.jpg)
![Page 65: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/65.jpg)
Greenstick fracture
![Page 66: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/66.jpg)
![Page 67: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/67.jpg)
“Bow” fracture
Note the cortical andimpactedfractures.
![Page 68: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/68.jpg)
![Page 69: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/69.jpg)
Torus fracture
![Page 70: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/70.jpg)
![Page 71: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/71.jpg)
Salter-Harris Type 1 fracture
• The type 1 fracture is indicated by a dislocation of the epiphysis.
![Page 72: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/72.jpg)
![Page 73: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/73.jpg)
Salter-Harris Type 2 fracture
• The type 2 fracture is indicated by a fracture of the metaphysis.
• Note the spiral fracture of the 2nd metacarpal.
![Page 74: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/74.jpg)
![Page 75: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/75.jpg)
Child Abuse
• This was a healing fracture that was re-broken.
• Note the periosteal callus formation (arrows).
![Page 76: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/76.jpg)
![Page 77: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/77.jpg)
Polydactyly
![Page 78: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/78.jpg)
![Page 79: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/79.jpg)
Multiple fractures & dislocations
![Page 80: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/80.jpg)
![Page 81: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/81.jpg)
Pre-op & Post-op joint replacement
![Page 82: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/82.jpg)
![Page 83: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/83.jpg)
Gunshot wound
![Page 84: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/84.jpg)
![Page 85: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/85.jpg)
2nd & 3rd digits nailed together
![Page 86: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/86.jpg)
![Page 87: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/87.jpg)
Fracture of the distal radius
• Fracture indicative of child abuse
![Page 88: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/88.jpg)
![Page 89: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/89.jpg)
Humeral Fracture
• Fracture indicative of child abuse
![Page 90: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/90.jpg)
![Page 91: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/91.jpg)
Gunshot wound
![Page 92: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/92.jpg)
![Page 93: Upper extremity pathology](https://reader035.vdocuments.us/reader035/viewer/2022062307/554b63abb4c905030a8b4681/html5/thumbnails/93.jpg)
Ewings Sarcoma