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Normal X-Ray Anatomy

Normal X-Ray Anatomy. Axial and Appendicular Skeleton William Ursprung, DC. Lesson Objectives. Identify anatomical structures on plain film radiographs Identify the views commonly used to radiograph the skeletal system

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Normal X-Ray Anatomy

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  1. Normal X-Ray Anatomy Axial and Appendicular Skeleton William Ursprung, DC

  2. Lesson Objectives • Identify anatomical structures on plain film radiographs • Identify the views commonly used to radiograph the skeletal system • Utilize a basic search pattern to screen plain film radiographs for pathology

  3. Basic Rules for Interpretation • Plain films are a 2 dimensional gray scale image of a 3 dimensional anatomical structure • Four basic densities • Metal = very bright (white) • Bone = bright (white) • Water/soft tissue = (various shades of gray) • Air = dark (black)

  4. Basic Rules for Interpretation • Rule of thumb for radiographs: min. of 2 views that are offset by 90° for any body part • ABOLTS search pattern • A = anatomy • B = breaks or step defects in the cortex • O = opacities (ie blastic lesion, impacted fx) • L = lucencies (ie lytic lesion, displaced fx) • T= trabecular architecture • S = soft tissues (swelling, mass, fascial planes)

  5. Cervical Spine

  6. Anterior Posterior Open Mouth

  7. Anterior Posterior Lower Cervical

  8. Lateral Cervical

  9. Cervical Oblique

  10. Thoracic Spine

  11. Posterior Anterior Chest

  12. Anterior Posterior Thoracic Spine

  13. Lateral Thoracic Spine

  14. Lumbar Spine

  15. AP Lumbar

  16. Lateral Lumbar

  17. Pelvis and Hips

  18. AP Pelvis

  19. AP Pelvis

  20. Shoulder

  21. Normal Shoulder

  22. Normal Shoulder

  23. Elbow and Forearm

  24. Normal Elbow

  25. Normal Elbow

  26. Forearm

  27. Wrist and Hand

  28. Normal Wrist

  29. Normal Wrist

  30. Normal Hand

  31. Normal Hand

  32. Knee

  33. Normal Knee

  34. Ankle and Foot

  35. Normal Ankle

  36. Normal Ankle

  37. Normal Ankle

  38. Boehler’s Angle

  39. Normal Foot

  40. Normal Foot

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