ANATOMI RADIOLOGI

TULANG DAN SENDI

Oleh : Yeti Kartikasari, ST,M.Kes

RADIOGRAM TULANG EXTREMITAS
SUPERIOR
SHOULDER GIRDLE

 Gelang bahu (shoulder girdle):

Os scapula
Os clavicula
PERSENDIAN PADA SHOULDER
GIRDLE
SCAPULA
OS SCAPULA (Proyeksi AP)

A Acromion
B Proc. coracoideus
C Incisura sacpularis
D Angulus superior
E Margo medialis
(vertebralis)
F Angulus inferior
G Margo lateralis (axillaris)
H Cavitas (fossa) glenoidalis
OS SCAPULA (Proyeksi Y / Lateral)

A Acromion
B Proc coracoideus
C Angulus inferior
D Spina scapula
E Corpus scapula

“Y” dibentuk oleh A-B-C

OS CLAVICULA
OS CLAVICULA (Proyeksi AP)

A Sendi sternoclavicularis
B Extremitas sternalis
C Corpus (diaphysis)
D Extremitas acromialis
E Sendi acromiocla-
vicularis
PARS LIBERA

 Pars libera :
 Humerus
 Ulna
 Radius
 Ossa manus :

Ossa carpalia
Ossa metacarpalia
Ossa digitorum
(phalanges)
OS HUMERUS
(Proksimal, proyeksi AP)
A Caput humeri
B Tuberculum majus
C Sulcus intertubercularis
D Tuberculum minus
E Collum anatomicum
F Collum chirurgicum
G Diaphysis
OS HUMERUS (Proyeksi AP)
ARTICULATIO CUBITI (ELBOW JOINT)
(Proyeksi AP) A Epicondylus medialis humeri
B Trochlea humeri
C Tuberculum coronoideum ulnae
D Capitulum radii
E Capitulum humeri
F Epicondylus lateralis humeri
ARTICULATIO CUBITI (ELBOW JOINT)
(Proyeksi Lateral)

H Epicondylus lat-med humeri

(superposisi)
I / J / L Sulcus trochlearis
K Olecranon ulnae
M Processus coronoideus
N Capitulum radii
O Collum radii
P Tuberositas radii
ARTICULATIO CUBITI (ELBOW JOINT)
(Proyeksi Oblique)
OSSA ANTEBRACHII
(Os radius dan Os ulna)
OSSA ANTEBRACHII
(Proyeksi AP, tampak 2 sendi)
OSSA ANTEBRACHII
(Proyeksi Lateral, tampak 2
sendi)
OSSA MANUS

• Ossa carpalia
• Ossa metacarpalia
• Ossa digitorum
OSSA CARPALIA
 PROKSIMAL :
(Lateral ke medial)
 Scaphoideum (Naviculare manus)
 Lunatum
 Triquetrum
 Pisiforme

• DISTAL :
(Lateral ke medial)
• Trapezium (Multangulum majus)
• Trapezoideum (Multangulum minus)
• Capitatum
• Hamatum
 OSSA METACARPALIA DAN
OSSA DIGITORUM
 Ossa metacarpalia I-V
 Digiti :
 Digiti I : phalanx proximalis, distalis
 Digiti II-V : phalanx proximalis, medialis,
distalis
 Pada phalanges distalis : tuberositas unguicularis
ARTICULATIO RADIOCARPEA
(WRIST JOINT) – Proyeksi PA
A Os scaphoideum
B Os lunatum
C Os triquetrum
D Os pisiforme
E Os trapezium
F Os trapezoideum
G Os capitatum
H Os hamatum
1-5 Ossa metacarpalia I-V
ARTICULATIO RADIOCARPEA
(Proyeksi PA dengan Fleksi Radial)
A Os scaphoideum
B Os lunatum
C Os triquetrum
D Os pisiforme
E Os trapezium
F Os trapezoideum
G Os capitatum
H Os hamatum
h Hamulus (proc hamularis)
ossis hamatum
1-5 Ossa metacarpalia I-V
ARTICULATIO RADIOCARPEA
(Proyeksi PA dengan Fleksi Ulnar)
A Os scaphoideum
B Os lunatum
C Os triquetrum
D Os pisiforme
E Os trapezium
F Os trapezoideum
G Os capitatum
H Os hamatum
h Hamulus (proc hamularis)
ossis hamatum
1-5 Ossa metacarpalia I-V
ARTICULATIO RADIOCARPEA
(Proyeksi Lateral)

A Os scaphoideum
B Os lunatum
E Os trapezium

1 Os metacarpalia I
ARTICULATIO RADIOCARPEA
(Proyeksi Tangential)

A Os scaphoideum
D Os pisiforme
E Os trapezium
G Os capitatum
h Hamulus (proc hamularis) ossis
hamatum
1 Os metacarpalia I
OSSA MANUS
(Proyeksi PA)
OSSA MANUS
(Proyeksi Oblique)
OSSA DIGITORUM
(Proyeksi PA dan Oblique)
RADIOGRAM TULANG
EXTREMITAS INFERIOR
EXTREMITAS INFERIOR

 Femur
 Patella
 Tibia
 Fibula
 Ossa pedis :
 Ossa tarsalia
 Ossa metatarsalia
 Ossa digitorum (phalanges)
FEMUR
 Proksimal :
 Caput
 Fovea capitis
 Collum
 Trochanter major – minor
 Linea intertrochanterica
 Distal
 Condylus – epicondylus medialis dan
lateralis
 Tuberculum adductorium
 Facies articularis
 Planum popliteum
TIBIA
 Proksimal :
 Condylus lateralis – medialis
 Eminentia intercondylaris
 Tuberculum
 Facies articularis

 Distal :
 Malleolus medialis
 Facies articularis
FIBULA

 Proksimal :
 Capitulum
 Collum
 Facies articularis b
 Distal :
 Malleolus lateralis
 Facies articularis
 PATELLA

Basis
Apex
Facies articularis
ARTICULATIO GENU

 Articulatio femorotibialis
 Articulatio femoropatellaris
ARTICULATIO GENU
KNEE JOINT – POSISI AP
POSISI LATERAL
POSISI TANGENTIAL

 Untuk melihat celah sendi

Femoropatellar

A Patella
B Celah sendi femoropatellar
C Condylus lateralis femur
D Facies patellaris femur
E Condylus medialis
OS TIBIA – FIBULA
POSISI AP
POSISI LATERAL
 OSSA PEDIS
(Facies Medialis)

 Talus
 Calcaneus
 Naviculare pedis (scaphoideum)
 Cuboideum
 Ossa cuneiforme I,II,III (medialis, intermedialis, lateralis)
 Ossa digitorum
 OSSA PEDIS
(Facies Lateralis)

 Ossa digitorum (Digiti I-V) :

 Digiti I : Phalanx proximalis, distalis
 Digiti II-V : Phalanx proximalis, medialis, distalis
PEDIS
POSISI LATERAL
POSISI OBLIQUE
OS CALCANEUS
POSISI PLANTODORSAL
ANKLE JOINT

 Artic. talofibularis
 Artic. tibiofibularis inf.
 Artic. talotibialis
 Artic. talocalcaneus
(Artic. subtalaris)
ANKLE JOINT
POSISI AP
AP – 15 DERAJAT MEDIAL OBLIQUE
(MORTISE VIEW)
 Untuk melihat “ankle mortise”
A Fibula
B Mallolus lateralis
C “Ankle mortise”
D Talus
E Malleolus medialis
F Tibia
POSISI LATERAL
Terima kasih