Lower Extremity PART 3 aPowerPoint PresentationLOWER EXTREMITIESSlide 4Slide 5Slide 6Slide 7Slide 8Slide 9Slide 10Slide 11Slide 12Slide 13Slide 14Slide 15Slide 16Slide 17Slide 18Slide 19Slide 20Slide 21Slide 22Slide 23Slide 24Slide 25POSITIONING REVIEWWEIGHT BEARINGWT BEARING LATarchesWeight bearingSlide 31OSTEOARTHRITISSlide 33Slide 34Slide 35Slide 36Slide 37Slide 38OSTEO ARTHRITISArthritis Knee replacementSlide 41Slide 42CROSS TABLE LATERALSlide 44Lift only high enough to place the IR or blocks underneath. Note two hands used to gently lift this patient with a broken leg.Slide 46Pott’s fracture of the ankle. Notice the trimalleolar fracture and dislocation of the jointSlide 48Slide 49Slide 50Slide 51Slide 52Slide 53FILM CRITIQUESlide 55LACK OF DORSIFLEXIONSlide 57Slide 58Slide 59Slide 60Slide 61Slide 62Slide 63Slide 64Slide 65Slide 66Slide 67PATHOLOGY & ETCPATHOLOGYSlide 70Slide 71Slide 72Slide 73HAMMER TOEGOUTgoutSlide 77Slide 78BUNIONSArthroplasty for halux valgus (bunions)diabeticnav fxBONE CYSTCALCANEAL SPURPotts fractureTRIMALLEOLAR FXBi malleolar fxBi malleolar lat malleolarCongential abnormalityCyst Non ossifying fibromaSlide 91Slide 92Post redopsteoarthritisSlide 95demonstrates a widening ankle mortise on the medial aspectSlide 97Slide 98Slide 99Slide 100epiphyseal-metaphyseal fracture of the tibia with a transverse diaphyseal fracture of the distal fibula.Slide 102INCOMPLETEcommunitedSlide 105Slide 106Slide 107Slide 108TIBIAL PLATEAU FXSlide 110Slide 111Air – puncture woundPathologic fracture. A transverse fracture crosses the large benign tumor (arrows) of the distal femur.Slide 114Slide 115Greentstick fxSPIRAL FXIMPACTEDHip prosthesisSlide 120Slide 121Slide 122INTERTROCHANTERIC FXSlide 124Slide 125ANATOMY REVIEWSlide 127Slide 128Slide 129Slide 130Slide 131Slide 132Slide 133Slide 134Slide 135Slide 136Slide 137Slide 138Slide 139TRAUMA and other abnormalitiesSlide 141Slide 142Slide 143Snowboarders ankleHIP FRACTURE11Lower Extremity PART 3 aLower Extremity PART 3 aContributions by Mosby, Ballinger,Bontrager, Nick’s xray 2000 rev 11/082233LOWER EXTREMITIESLOWER EXTREMITIESSLIDE SHOWSLIDE SHOWSELF QUIZSELF QUIZBRING ANSWERS TO CLASSBRING ANSWERS TO CLASSNAME THE NAME THE POSITION/PROJECTIONPOSITION/PROJECTION44556677889910101111121213131414151516161717181819192020212122222323WHEN THERE IS A PROBLEMS AND YOU CANNOT GET BOTH JOINTS ON THE SAME FILM – INCLUDE THE JOINT CLOSEST TO THE AREA OF INJURY/ PATHOLOGY242425252626POSITIONING REVIEWPOSITIONING REVIEWWEIGHT BEARING FEETWEIGHT BEARING FEETCROSS TABLE LATERALSCROSS TABLE LATERALS2727WEIGHT BEARINGWEIGHT BEARING2828WT BEARING LATWT BEARING LAT2929archesarches3030Weight bearingWeight bearing31313232OSTEOARTHRITISOSTEOARTHRITIS333334343535OSTEOARTHRITISOSTEOARTHRITIS3636373738383939OSTEO ARTHRITISOSTEO ARTHRITIS4040Arthritis Knee replacementArthritis Knee replacement4141Standing Bilateral = ROSENBURG pg 30942424343CROSS TABLE LATERALCROSS TABLE LATERALMoved to PART 2Moved to PART 244444545Lift only high enough to place the IR or blocks underneath. Lift only high enough to place the IR or blocks underneath. Note two hands used to gently lift this patient with a broken Note two hands used to gently lift this patient with a broken leg.leg.46464747Pott’s fracture of the ankle. Notice Pott’s fracture of the ankle. Notice the trimalleolar fracture and the trimalleolar fracture and dislocation of the joint dislocation of the joint484849495050X TABLE LAT RT FEMUR5151525253535454FILM CRITIQUEFILM CRITIQUE55555656LACK OF LACK OF DORSIFLEXIONDORSIFLEXION575758585959606061616262636364646565666667676868PATHOLOGY & ETCPATHOLOGY & ETC6969PATHOLOGYPATHOLOGYJonesJonesPottsPottsTalipes equinovarus (aka?)Talipes equinovarus (aka?)GoutGoutOsgood Schlatter’sOsgood Schlatter’s70707171727273737474HAMMER TOEHAMMER TOE7575GOUTGOUT7676goutgout7777goutgout78787979BUNIONSBUNIONS8080Arthroplasty for halux valgus (bunions)Arthroplasty for halux valgus (bunions)8181diabeticdiabetic8282nav fxnav fx8383BONE CYSTBONE CYST8484CALCANEAL SPURCALCANEAL SPUR8585Potts fracturePotts fractureAVULSION FX OF AVULSION FX OF THE MEDIAL THE MEDIAL MALLEOLUS WITH MALLEOLUS WITH THE LOSS OF THE THE LOSS OF THE ANKLE MORTISEANKLE MORTISE8686TRIMALLEOLARTRIMALLEOLARFXFX8787Bi malleolar fxBi malleolar fx8888Bi malleolar lat malleolarBi malleolar lat malleolar8989Congential abnormalityCongential abnormality9090Cyst Cyst Non ossifying fibroma Non ossifying fibroma9191STRESS FX SEEN ON MRI9292communitedOpen fracture9393Post redPost red9494opsteoarthritisopsteoarthritis95959696demonstrates a widening ankle demonstrates a widening ankle mortise on the medial aspect mortise on the medial aspect979798989999100100101101epiphyseal-metaphyseal fracture of the epiphyseal-metaphyseal fracture of the tibia with a transverse diaphyseal tibia with a transverse diaphyseal fracture of the distal fibula.fracture of the distal fibula.102102103103INCOMPLETEINCOMPLETE101044communitedcommunited105105101066107107108108109109TIBIAL PLATEAU FXTIBIAL PLATEAU FX111100111111111122Air – puncture woundAir – puncture wound111133Pathologic fracture.Pathologic fracture. A transverse fracture crosses the large benign tumor A transverse fracture crosses the large benign tumor (arrows)(arrows) of the distal femur. of the distal femur.111144111155111166Greentstick fxGreentstick fx111177SPIRAL FXSPIRAL FX111188IMPACTEDIMPACTED111199Hip prosthesisHip prosthesis120120121121122122121233INTERTROCHANTERIC FXINTERTROCHANTERIC FX121244125125126126ANATOMY REVIEWANATOMY REVIEWLOWER EXTREMITYLOWER EXTREMITYPART 3 - 2PART 3 - 2127127128128121299130130131131132132131333134134131355136136137137138138139139140140TRAUMATRAUMAand other abnormalitiesand other abnormalities141141142142143143144144Snowboarders ankleSnowboarders ankle145145HIP FRACTUREHIP FRACTUREExternal rotation of footExternal rotation of