shua darwish almutawa 2000237916mi. emergency radiography clinical pathology: fractures dislocation...
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Shua Darwish AlmutawaShua Darwish Almutawa
200023791200023791
6MI6MI
Emergency radiographyEmergency radiography
Clinical pathology:
Fractures Dislocation
Pelvis
Hip and femur
Knee joint
Leg and ankle
The pelvis:The pelvis is made up of two iliac
bones, pubic bone and sacrum which form a ring enclosing the pelvis cavity.
Classification:1. Single segment fracture of pelvic
ring2. Double segment fracture3. Avulsion fracture4. Fractures of the Acetabulum 5. Fractures of Sacrum and coccyx
Hip
The hip joint formed by the head of the femur fitting into an acetabular cavity in the iliac bone.
Dislocation of the hip joint
FemurFemur is the longest and thickest bone of the
human skeleton; extends from the pelvis to the knee.
Fracture of the femur:1.subcapital neck fracture2.transcervial neck fracture3.interochanteric fracture4.subrtochanterci fracture5.fracture of the greater trochanter6.fracture of the lesser trochanter
Directions of the fracture Directions of the fracture lineslines
Knee and leg
The knee is an important weight bearing joint. The injuries of the knee can be grouped into:
fractures of the Femoral condyles•fractures of the Tibial condylesfracture PatellaInjuries to the extensor mechanismInternal Derangements of the knee Dislocation of the knee
Injuries of the ankle and foot
The ankle is a gliding joint between the distal ends of the tibia and fibula and the proximal end of the talus. The fracture is classified according to the forces that cause them:
• external rotation injuries
• abduction injuries
• adduction injuries
• vertical compression injuries
In the x-ray department
Be nice and smile to the patient
Wear gloves if the patient is bleeding
Do not force the patient to move to the right position
you can use horizontal ray for the later views
Start from the patient position
Don’t move the patient from their positions until you
check the films in case you need to repeat it
You may need to use sponges or sand bags to support
the patient
If the patient is too old or baby get the relative to help
you moving him
Use protection