Accident And Emergency Radiology A Survival Guide – Nigel Raby (1)

The most common of these pseudoepiphyses occur in the head of the 1st (thumb) metacarpal (left and right) and at the base of the 2nd metacarpal (centre and right). Unless the possibility of an accessory epiphysis is considered, particularly at the base of the 2nd metacarpal, then a normal developmental variant may be read as an undisplaced metacarpal fracture.

References 1. Kauer JM. Functional anatomy of the carpometacarpal joint of the thumb. Clin Orthop Relat Res. 1987;220:7–13. 2. Mueller JJ. Carpometacarpal dislocations: report of five cases and review of the literature. J Hand Surg Am. 1986;11:184–188. 3. Fisher MR, Rogers LF, Hendrix RW. Systematic approach to identifying fourth and fifth carpometacarpal joint dislocations. Am J Roentgenol. 1983;140:319–324. 4. Buchholz RW, Hickman JD, Court-Brown C.

Rockwood and Green’s Fractures in Adults. 6th ed. Lippincott Williams & Wilkins; 2006:1211–1255. 5. Khan W, Fahmy N. The S-Quattro in the management of sports injuries of the fingers. Injury. 2006;37:860–868. 6. Howard FM. Fractures of the basal joint of the thumb. Clin Orthop Relat Res. 1987;220:46–51. 7. Chuter GS, Muwanga CL, Irwin LR. Ulnar collateral ligament injuries of the thumb: 10 years of surgical experience. Injury. 2009;40:652–656. 8. Ebrahim FS, De Maeseneer M, Jager T, et al.

US diagnosis of UCL tears of the thumb and Stener lesions: technique, pattern-based approach, and differential diagnosis. Radiographics. 2006;26(4):1007–1020. 9. Engkvist O, Balkfors B, Lindsjo U. Thumb injuries in downhill skiing. Int J Sports Med. 1982;3:50–55. 10. Gilula LA. Carpal injuries: analytic approach and case exercises. Am J Roentgenol. 1979;133:503–517. 11. Pope TL, Harris JH. Harris & Harris’ The Radiology of Emergency Medicine. 5th ed. Lippincott Williams & Wilkins; 2012. 12. Rogers LF. Radiology of Skeletal Trauma. 3rd ed.

Churchill Livingstone; 2002. 13. Raby N. Imaging of wrist trauma. Davies AM, Grainger AJ, James SJ. Imaging of the Hand and Wrist. Springer Verlag; 2013. 14. Henderson JJ, Arafa MA. Carpometacarpal dislocation. An easily missed diagnosis. J Bone Joint Surg Br. 1987;69:212–214.

Nigel Raby, MB ChB, MRCP, FRCR Consultant Radiologist, Western Infi rmary, Glasgow Laurence Berman, MB BS, FRCP, FRCR Lecturer and Honorary Consultant Radiologist, University of Cambridge and Addenbrooke’s Hospital, Cambridge Simon Morley, MA, BM BCh, MRCP, FRCR Consultant Radiologist, University College Hospitals, London Gerald de Lacey, MA, MB BChir, FRCR Consultant to Radiology Red Dot Courses, London, (www.radiology- courses.com) Edinburgh • London • New York • Oxford • Philadelphia • St Louis • Sydney • Toronto 2015 1kitap1.com/en Table of Contents Cover image Title page Copyright Preface Acknowledgements 1 Key principles Basic radiology Describing injuries References 2 Particular paediatric points Bones in children are different– Fracture sites, Sports injuries– Chest emergencies– Child abuse: skeletal injuries– References 3 Paediatric skull—suspected NAI Normal anatomy Analysis: suture recognition References 4 Adult skull Anatomy Analysis: false positive diagnoses Analysis: recognising a fracture A frequent pitfall References 5 Face Normal anatomy: midface & orbit Normal anatomy: mandible Analysis: the checklists The common injuries Pitfalls References 6 Shoulder Standard radiographs Normal anatomy Analysis: the checklists The common fractures– The common dislocations,, Uncommon but important injuries Pitfalls References 7 Paediatric elbow Anatomy Analysis: four questions to answer The common injuries Rare but important injuries Pitfalls References 8 Adult elbow Normal Anatomy Analysis: three questions to answer The common injuries A rare but important injury Pitfalls References 9 Wrist & distal forearm Normal anatomy Analysis: the checklists The common fractures Subluxations and dislocations Rare but important injuries Normal variants that can mislead References 10 Hand & fingers Normal anatomy Analysis: the checklist The common injuries Uncommon but important injuries Pitfalls References 11 Cervical spine Normal anatomy Analysis: the checklists The common injuries Pitfalls References 12 Thoracic & lumbar spine Normal anatomy Analysis: the checklists The common injury Less frequent but important injuries Pitfalls References 13 Pelvis Normal anatomy Analysis: the checklist Common fractures, high energy Common fractures, low energy Sports injuries: specific avulsions– Pitfalls References 14 Hip & proximal femur Normal anatomy Analysis: the checklists The common injuries Uncommon but important injuries Pitfall References 15 Knee Normal anatomy Analysis: the checklists The common fractures Small fragments around the knee A common dislocation Infrequent but important injuries Pitfalls References 16 Ankle & hindfoot Normal anatomy Analysis: the checklists,, Common fractures/torn ligaments Ligamentous injuries Infrequent but important injuries Pitfalls References 17 Midfoot & forefoot Normal anatomy Analysis: the checklists The common fractures Infrequent but important fractures Dislocations/subluxations Pitfalls References 18 Chest Normal anatomy Analysis: the checklists Ten clinical problems References 19 Abdominal pain & abdominal trauma The AXR—its usefulness Analysis: plain film checklists The common problems- Infrequent but important problems References 20 Penetrating foreign bodies Appearances on plain radiographs Suspected foreign bodies References 21 Swallowed foreign bodies The most common foreign bodies Infrequent but important FBs References 22 Test yourself Test Yourself—answers 23 Glossary Index 1kitap1.com/en Copyright SAUNDERS an imprint of Elsevier Limited © 2015, Elsevier Limited.

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