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Explore the anatomy and pathology of the shoulder and elbow, including dislocations, fractures, and tear of tendons and ligaments. Learn how to identify these conditions through X-ray images. Suitable for self-study.
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UNC MSK Course Day 2 Lab XR UNKNOWNS (for self study)
Acromion AC joint Gr. Tuberosity Coracoid Glenoid
Axillary view AC Joint Glenoid Acromion
Anterior glenohumeral (shoulder) dislocation. How do we know it is anterior?
Anterior glenohumeral (shoulder) dislocation. The fact that we see the humeral head in profile tells us it is externally rotated (it would be internally rotated if the patient was dislocated posteriorly.) An internally rotated humeral head looks like a “light bulb”.
Anterior glenohumeral (shoulder) dislocation. The fact that we see the humeral head in profile tells us it is externally rotated (it would be internally rotated if the patient was dislocated posteriorly.) An internally rotated humeral head looks like a “light bulb”.
We can also obtain an “axillary view” and see that the humeral head is anterior to the glenoid. Anterior glenohumeral (shoulder) dislocation.
Anatomy? Trapezius Acromion Supraspinatus Supspinatus tendon Glenoid Subscapularis Deltoid
Rotator Cuff tear (tendon should be black)
Anatomy? Olecranon/coronoid fossa Medial epicondyle Capitellum Trochlea Radial Head Radial Tuberosity
Anatomy? Olecranon/coronoid fossae Radial head Coronoid process Olecranon
Proximal ulna fracture With fracture subluxation of radial head This combination of injuries is known as a “Monteggia fracture.”
Elbow fracture dislocation Fracture of the olecranon with anterior dislocation of radius and ulna. Air in soft tissues indicates that it is an “open” fracture.
Distal radial “buckle” or “torus” fracture. The bone has “crumpled” rather than broken.
Distal radial “buckle” or “torus” fracture. The bone has “crumpled” rather than broken.
Anatomy? Metacarpal head Hamate Pisiform Triquetrium Ulnar Syloid Lunate Sesamoid bones Capitate Scaphoid Radial Syloid