By John H. Juhl MD, Andrew B. Crummy MD, Janet E. Kuhlman MD
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Extra info for Paul and Juhl's Essentials of Radiologic Imaging
Example text
As an alternative, the angulation may be defined at the fracture site. In the case described with lateral displacement of the foot, there would be medial angulation at the fracture site. The more common method is to describe the angulation of the distal fragment. Apposition, overlap or overriding, and number of fragments are other important observations. The following groupings of fractures are useful for descriptive purposes, and the terms are those used in the roentgen and clinical evaluations.
Note the absence of compression of the vertebral body. A horizontal fracture has extended through the lamina, the base of the pedicles, and the inferior posterior margin of the vertebral body. The L2-L3 disc is disrupted. B: Fracture-dislocation of T11-T12. There is anterior displacement of T12, and a characteristic small triangular fragment is displaced from the anterosuperior margin of T12 (arrow). FIG. 2-34. Fractures of the phalanges. A: Volar plate avulsion from the base of the middle phalanx (arrow).
2-60. Magnetic resonance image of the medial meniscus. A: Normal medial meniscus. Note the typical triangular shape of the anterior (arrow) and posterior horns of the medial meniscus. There is a very low signal within the medial meniscus that does not extend to the joint surface. This is a normal finding. Note the medium signal of the joint cartilage and the high signal of the intermedullary bone. B: Torn posterior horn of the medial meniscus. Linear, low signal extends through the substance of the meniscus to the joint surface (arrow).