Lect. 5 Pelvis SI and HIP Ankle Knee Foot

____ View of Pelvis: Shows entire pelvis, sacrum, coccyx, and lumbosacral articulation, and bilateral hip joints

____ View of Hip: Shows acetabulum, femoral head, neck and proximal 3rd of shaft, greater trochanter and angle
of inclination of femoral neck

Lateral ____ ____ of Hip: Shows femoral head, neck and proximal 3rd of femoral shaft and greater and lesser
trochanters from medial aspect

6 important lines

Angle of Pubic Arch:
Female>__d
Male = __ d

______ ______: osteoporosis of periarticular areas; symmetrical and concentric joint space narrowing; articular erosions; synovial cysts located within nearby bone; periarticular swelling and joint effusions; axial migration of femoral head; acetabular protrusions; unlike the hallmark signs of ___, ____ has minimal evidence of bone trying to repair itself and your won't see a lot of sclerotic bone or osteophytes.

_______ ______ _____ ______: weakening of epiphyseal plate that leads to slipping of femoral head.
Clinical Symptoms: pain in ____ and ____. Limited hip ___, antalgic gt, and limb shortening.
2x more prevalent in boys than girls
Onset usually around growth spurts and puberty.

Femoral-Acetabular Impingement:
____ impingement: femoral head-neck junction is offset, and femoral head doesn't fully clear the acetabular rim.
____ impingement: overcoverage of femoral head by acetabulum, caused by deep socket or other malformations
-both can lead to or be associated with labral tears

Symptoms of Femoral Acetabular Impingement: 5 total

Knee: Routine Views
–____ View: distal femur, proximal tibia, femorotibial
articulation and head of fibula
–______View: PF joint profile, suprapatellar
bursa, quad tendon, patellar tendon. Maysee a “_____”

–P/A _____ ____ View of Intercondylar Fossa: used to see posterior aspect of condyles and detect loose bodies

–______View: axial view showing PF joint space and articular surfaces of patella and femur

Pittsburgh Knee Rules: conventional radiographs should be ordered for pts with the following characteristics:
-Pt has ___ ___ or a ___ plus either or both of the following:
-age under __ or over ___ and/or
-inability to walk __ wb steps in ER

Ottawa Knee Rules :conventional radiographs should be order after trauma to the knee for pts with any of the following characteristics:
-age greater than or equal to __
-tenderness to ____ ___
-isolated tenderness of _____
-inability to flex knee to ___d
-inability to walk __ wb steps immediately after or in ER.

________ _______: seen in younger, active people; dull pain and jt effusions exacerbated with wt bearing activities; considered a chronic form of osteochondral fracture; shearing and rotatoin forces detach fragments of articular cartillage and subchondral bone.

Ottawa Ankle Rules :Conventional radiographs should be ordered after trauma to the foot or ankle for pts wit hany of the following characteristics:
-Pain in the malleolar zone AND:
-tenderness at ___ aspect or __ of ______ malleolus OR
-tenderness at ___ aspect or __ or ______ malleolus OR
-inability to ___ ____ both immediately and in the ER.

Ottawa Ankle Rules: Foot
Pain in the midfoot zone AND:
-tenderness at the ___ ______ base OR
-tenerness at the ______ bone OR
-inability to ____ ____ both immediately and in the ER

Knee stuff: ______ check for avulsion fractures
______ MRI best view for cruciates\
___: striated appearance with some high siganal within it, especially at it's insertion on the tibia
___: low signal structure, gently curving between posterior