Interpretasi Rontgen

Target
To have a systematic approach to
interpreting orthopedic x-rays
To be able to describe a fracture

ABCs
A
Adequacy
Alignment

B
bones

C
cartilage

S
Soft tissue

Adequacy
All x-rays should have an adequate
number of views
Minimum 2 views (AP and lateral)
Joint above and joint below

Alignment
Anatomic relationship between
bones.
Compare both sides
Bone alignment from proximal and dsital
bones

Fractures and dislocations can affect

alignment

Bones
1. Identify bone
2. Examine the whole bone
Discontinuity fractures
Change in consistency density

3. Describe bone abnormality

Location
Shape

Cartilage
Observe the joint space on x-rays
Widening of joint space could be
ligamentous injury and/or fractures
Narrowing space arthritis

Soft Tissue
Soft tissue swelling could be a sign of
Trauma
Occult fractures
Infection
tumors

Interpretation
Must decribe:
Open vs Closed fracture
Anatomic location
Fracture line

Open fractures
Emergency orthopedics
Control bleeding
Management
IV antibiotics
Tetanus prophylaxis
Pain control
Surgery for reduction

Anatomic Location

Anatomic location
D or S
Name of bone
Location
1/3 proximal mid or distal

FRACTURE LINES