Professional Documents
Culture Documents
A A Al-BOUKAI-1
The main focus and objective of this lecture is to help student to be competent in looking at
MSK images and interpreting findings, by learning:
Normal radiological anatomic landmarks
System of analyzing findings
“Where to look & What to look for”
Recognize features of certain disease entity
A A Al-BOUKAI-2
Introduce the different imaging modalities utilized in imaging MSK system
A A Al-BOUKAI-3
CONVENTIONAL RADIOGRAPHY Corner Stone
COMPUTED TOMOGRAPHY
MAGNATIC RESONANCE IMAGING Useful in evaluating bone texture
A A Al-BOUKAI-4
A A Al-BOUKAI-5
AA
1
1
22 3
3
5 4
5 4
BB
A- Acromio-Clavicular joint
B- Gleno-Humeral joint
1- Clavicle
2- Acromiom process
3- Coracoid process
4- Glenoid process
5- Humerus
A A Al-BOUKAI-6
Clavicle
Humerus
ISM
SSCM
SSC Scapula
DM
Clavicle
Acromion process
Humerus
COMPUTED TOMOGRAPHY
A A Al-BOUKAI-7
1- Supraspinatus Muscle T1WI T2 FSWI
CORONAL PLANE
2- Infraspinatus Muscle
3- Teres Minor Muscle
4- Scapular plate
5- Clavicle
5
6- Glenoid process
7- Humerus 1
8- Glenohumeral joint
4 7
6
3
8
5 5
4 4
1 1
3 2 3 2 Infraspinatus Tendon
6 6
SAGITTAL PLANE
T1WI T2 FSWI
8 8
6 2 6
7 2 7
5
1- Subscapularis Muscle 5
1
2- Supraspinatus Muscle 3 1 3
3- Infraspinatus Muscle
4- Teres Minor Muscle 4 4
5- Scapular plate
6- Coracoid process
7- Acromion process
8- Clavicle
4
1
2 5
1- Lateral Epicondyle
2- Capitulum
3- Olecranon Fossa
4- Medial Epicondyle
5- Trochlea
6- Coronoid Process
7- Radius Head A A Al-BOUKAI-11
CORONAL PLANE
3 T2WI T2 FSWI
4
1
3 4
1
2 5 5
2
6
6 7
1- Lateral Epicondyle
2- Capitulum
3- Olecranon Fossa
4- Medial Epicondyle
5- Trochlea
6- Coronoid Process
7- Radius Head A A Al-BOUKAI-12
Child 5-Year old Child 11-Year old Adult
A A Al-BOUKAI-13
A A Al-BOUKAI-14
1- Ulna
2- Radius
3- Scaphoid
8
4- Lunate
7
5- Triquetrum
10 9
6 6- Pisiform
3 7- Trapezium
5
8- Trapezoid
4
9- Capitate
10- Hamate
1
2
A A Al-BOUKAI-15
1- Ulna
2- Radius
3- Scaphoid
4- Lunate
T1WI T2 FSWI 5- Triquetrum
6- Pisiform
7- Trapezium
8- Trapezoid
MC2 MC3 9- Capitate
MC1 MC4
MC5 10- Hamate
7 8
9 10
3 6
5
4
2
1
CORONAL PLANE
A A Al-BOUKAI-16
Three carpal arcs should be traced:
• along the proximal row of carpal bones; proximal aspect.
• along the proximal row of carpal bones; distal aspect.
• along the capitate and hamate proximally.
These three lines should remain unbroken
A A Al-BOUKAI-17
SACRO-ILIAC JOINT
A
SUPERIOR ANTERIOR ILIAC SPINE
ILIAC BONE
HIP JOINT
FEMUR HEAD
SUPERIOR PUBIC RAMUS
FEMUR HEAD NECK
ISCHIUM
GREATER TROCHANTER
A A Al-BOUKAI-18
ADULT CHILD
TRIRADIATE CARTILLAGE
FEMUR EPIPHYSIS
ISCHIUM
A A Al-BOUKAI-19
8
1
1- Patella 2
3
2- Lateral condyle
3- Medial condyle
5 4
4- Lateral tibial plateau
6
5- Medial tibial plateau
6- Tibial eminence
7- Fibula 9 7
8- Femur
9- Tibia
A A Al-BOUKAI-20
CHILD ADULT
Diaphysis
Diaphysis
Diaphysis
Metaphysis
Metaphysis
Metaphysis
A A Al-BOUKAI-21
CORONAL PLANE
PDFSWI
1
2
5
4 3
8
6 8 8
6
1
1
1- Patella
2- Femur 4 5
3- Tibia
4- ACL
5- PCL
3
3
Normal outline of the meniscus is bow tie with homogeneous low signal (two opposing triangular horns)
Anterior Posterior
SAGITTAL PLANE
Metaphysis
Epiphysis
Growth Plate
A A Al-BOUKAI-23
A A Al-BOUKAI-25
IMPORTANT SITES
“Where to look & What to look for”
• BONE DENSITY
• BONE TEXTURE
• DISTORTION / DISPLACEMENT
Cupping
OF NORMAL STRUCTURES
Metaphysis
Epiphysis
Widening of
Fraying Growth Plate
Growth Plate
Cupping
Normal Rickets
A A Al-BOUKAI-26
Diaphysis Diaphysis
Cupping
Metaphysis
Metaphysis
Epiphysis
Epiphysis
Widening of
Fraying Growth Plate
Growth Plate
Cupping
Normal Rickets
A A Al-BOUKAI-27
“Where to look & What to look for”
H
Y
P
E
R
N P
O A
R R
M A
A T
L H
Y
R
O
I
D
I
S
M
A A Al-BOUKAI-28
Normal Fracture Humerus
A A Al-BOUKAI-29
Normal Heterogeneous texture with old humeral
fracture
A A Al-BOUKAI-30
Heterogeneous texture with old humeral fracture
Computed Tomography
Axial cut
Computed Tomography
Coronal Reformat
A A Al-BOUKAI-31
A A Al-BOUKAI-32