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Part 4 X-Ray
X-Ray Sign and Recognition
| Question | Answer |
|---|---|
| Soap Bubble | Giant Cell Tumor |
| What is the M/C age for Giant Cell Tumor? | 30 y.o.a. |
| Barrel Vertebra | Ankylosing Spondylitis |
| Courduroy Cloth | Hemangioma |
| Saber Shin | Pagets |
| Dagger Sign | Ankylosing Spondylitis |
| Brim Sign | Paget's |
| Winking Owl | Missing Pedicle |
| Mushroom Deformity | Femoral Head of Legg Calve Perthes |
| Blade of Grass | Paget's |
| Striated Vertebra | Hemangioma |
| Ground Glass | Fibrous Displasia |
| What is the m/c location for Fibrous Displasia? | Femoral neck/head |
| Crescent Sign | Legg Calve Perthes |
| Poker Spine | AS |
| Bowline of Brailsford | Spondylolisthesis |
| Boutenniere Deformity | RA |
| Ivory Vertebra | Pagets |
| Shephards's Crook | Paget's and Fibrous Dysplasia |
| Spoked Wheel | Hemangioma in the Skull |
| Trolley Track Spine | AS |
| Ray Pattern | Psoriatic Arthritis (MCP,PIP and DIP erosions) |
| Sagging Rope | Legg Calve Perthes |
| Blind Vertebra | Osteolytic Mets (bilateral missing pedicles) |
| Bone within Bone | Osteopetrosis |
| Cotton Wool | Pagets |
| Pencil in Cup | Psoriatic Arthritis |
| Rat Bite | RA |
| Gendarme's Cap | Spondylolisthesis |
| Snow Cap | Legg Calve Perthes |
| Shiny Corner Sign | AS |
| Rind of Sclerosis | Fibrous Dysplasia |
| Fallen Fragment | Unicameral Bone Cyst |
| Blister of Bone | Anuerysmal Bone Cyst |
| Candle Flame | Pagets |
| Bamboo Spine | AS |
| Inverted Napoleon Hat | Spondylolisthesis |
| Picture Frame Vert. | Paget's |
| Dagger Sign | AS |
| Crescent Sign | Legg Calve Perthes |
| Sandwich Vertebra | Osteopetrosis |
| Balancing Pagoda | Psoriatic Arthritis |
| Scotty Dog | Spondylolisthesis |
| Isthmic | Bilateral Pars Defects (not necessarily slippage) |
| Cup and Saucer | Psoriatic Arthritis |
| Parrallel Reaction | Infection (thin line parallel to long bone) |
| Sunburst Perosteal Reaction | Osteosarcoma |
| MC Location of UBC | Shoulder |
| Step Off Sign | AC shoulder separation |
| Erlenmeyer Flask | Osteopetrosis |
| Codfish (Hourglass on Side) | Osteoporosis |
| Mouse Ear | psoriatic arthritis |
| Rat Tail Deformity | RA |
| punched out lesions | multiple myeloma |
| notched vertebra | sickle cell |
| cupids bow | Normal finding (a-p lumbar) |
| ant. wedge vertebra | compression fx/ shuermann's |
| scrambled spine | Scoliosis |
| multiple schmorles nodes | sheurmann's |
| hemivertebra | must have scoliosis and missing pedicle |
| ungual erosions | scleroderma |
| discogenic spondylosis | DJD |
| juvenalis kyphosis dorsalis | sheurmann's |
| Infection of spine | Pott's (must affect more than on vertebra) |
| radiolucent vertebral destruction | Osteolytic Mets |
| Calve's | aka: Eosinophilic Granuloma |
| Mushroom Deformity | Healed LCP |
| Triangular Arthritic pattern of SI joints | Osteocondritis Condesans Illi (female) |
| Obliterated SI jts | AS (young adult males) |
| Diseases w/ protrusio acetabuli | RA/Pagets |
| Shepherd Crook | Fibrous Dysplasia/ Pagets |
| Crescent Sign | Acute LCP |
| Snow Cap sign | Acute LCP |
| Increase Tear Drop | Acute LCP |
| AVN of Hip without affecting the acetabulum | LCP |
| Brim Sign | Paget's |
| Disrupted Kohlers line | Protusio Acetabuli |
| Disrupted Skinners Line | Slipped Femoral Capital Epiphysis |
| Sagging Rope Sign | Healed LCP |
| Disrupted Kleins Line | Slipped Femoral Capital Epiphysis |
| Erlenmyer Flask Deformity | Osteopetrosis |
| Sandwich Vertebra | Osteopetrosis |
| Labs for Cancer | Alkaline Phosphatase |
| Labs for Gout | Uric Acid |
| Labs for UTI | Nitrites |
| Labs for Kidney | Urinalysis, Creatinine, BUN |
| Labs for Prostate | Acid Phosphatase (PSA) |
| gull wing | erosive osteoarthritis |
| pencil in cup | psoriatic arthritis |
| Cup and saucer | psoriatic |
| Cocktail sausage digits | psoriatic |
| candle flame | paget's |
| pannus | RA |
| pie sign | lunate dislocation |
| ray pattern | psoriatic |
| hyperurecemia | gout |
| hypercalcemia | multiple myeloma |
| raynauds in fingers | scleroderma |
| dysphagia | dish and scleroderma |
| sydesmophyte | AS |
| tractions spurs | instability |
| opera glass | psoriatic |
| balancing pagoda | psoriatic |
| whiskering | enthesopathy |
| cortical erosion/sunburst perosteal reaction | osteosarcoma |
| cyst in shoulder | Unicameral (solitary) Bone Cyst |
| Fallen Fragment | UBC |
| M/C location for Giant Cell Tumor | Metaephyseal/Juxta Articular |
| Location for HADD | Shoulder |
| Osteochondrits Dessicans | Joint Mouse |
| Osteitis Deformans | Paget's |
| M/C age for Pagets | Over 60 (Males) |
| Chamberlains and Mcgreggors | Basilar Invagination |
| Sheaves of Wheat | Pagets |
| Fasciculations | Pagets |
| cortical saucering | Ewings |
| Stalk and Cauliflower | Pedunculated Osteochondroma |
| Benign tumor of hand | Enchondroma |
| Multiple Enchondromas | Olier's |
| Lumpy, Bumpy, Bone | HME |
| Cafe Ole Spots | Fibrous Dysplasia and Neurofibromatosis |
| Honeycomb | Hemangioma |
| M/C location for Fibrous Cortical Defect | Post. Distal Femur (4-8 yoa) |
| Benign Egg shape lesion of femur | Fibrous Dysplasia |
| Coin on Edge | Eosinophilic Granuloma |
| Vertebral Plana | Eosinophilic Granuloma |
| Banana Fx | Paget's |
| CPPD of Knee aka? | Chondrocalcinosis |
| Labs for Paget's | Urinary hydroxyproline and Alk. Phospatase |
| Subchondral Sclerosis | DJD |
| Thickened Cortex | Paget's |
| Lines for Spondylolisthesis | Ullman's |
| Classification for Spondy | Meyerding's |
| Bilat. Pars FX | Spondylosis |
| Spondy type with bilat. pars fx | Isthmic |
| Lines for Scoliosis | Cobbs and Riser Fergusons |
| Productive Cough | Pneumonia |
| Hemoptosis | Cancer |
| owls eyes | Sacralization |
| Kissing spinous | baastrups |
| SBO with spinous | knife clasp deformity (seen on A-P) |
| Forrestiers Disease | DISH |
| Candle Wax | Dish |
| Lucent line in disc | Vaccuum Phenomenon |
| Blind Vertebra | missing pedicles (lytic mets) |
| Pedicle Hypertrphy | congenital pedicle missing |
| Labs for Hyperparathyroidism, Rickets | Hypercalcemia, Hypophosphoremia |
| Distal Clavicle Resorption | HPT |
| Rain Drop Skull | Multiple Myeloma |
| Lab for Scleroderma | Protein Electrophoresis |
| Pathalogic/Infections Kyphotic Compression | Gibbus Deformity |
| calcaneal fx line | bohlers |
| osteoporosis circumscripta | Pagets in skull |
| Post. scalloping and IVF enlargement | Neurofibromatosis |
| Buttressing | change or buildup usually d/t anterior Jared |
| Increase Hat Size | Paget's |
| Fauns Beard | Spina Bifida |
| Webb Neck | Klippel Fiel |
| shiny corner sign | AS |
| Overhanging Edge Sign | Gout |
| Test for Lupus | ANA |
| Long Vertebra | Infection |
| hair on end | thalasemia |
| Rudimentary Disc | Congenital Block |
| Openheimer Erosions | Look for Anuerysm |
| Haygarth nodes | RA |
| Burst Fx aka? | Jeffersons |
| MOI for Jeffersons Fx | Axial Compression |
| MOI for Hangman's Fx | Hyperextension |
| Terry Thomas Sign | Lunate Dislocation |
| AVN of lunate | Keinbocks |
| Bence Jones | Multiple Myeloma |
| AVN of Tibial Tuberosity | Osgood Schlatters |
| Moth Eaten | Multiple Myeloma |
| Mulberry Mass | Leiomyoma |
| Guaiac Test | Upper Test |
| Snowball Mass | Bronchogenic Carcinoma |
| Einstens Lines | Canal Stenosis |
| Vascular Testing | Doppler Ultrasound |
Created by:
jcaldwell
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