Radiology of Fractures

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Radiology of long bones

• Positioning
• Self study
• NB: Two orthogonal views
• Remember: Differs from joints
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Radiography of long bone fractures:

• Wedge filter for femur

• Note: Stifle views
• Be creative: Use
stressed/multiple views if
necessary
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Radiography

• Pitfalls:
• Nutrient foramina and physes
• Immature animals
• Mach lines
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Radiography

• Use the hot-light

• Include proximal and distal
joint
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Radiological # description
• Describe position of distal fragment
relative to proximal fragment
• Compound = open #
• Closed # usually is implied
• Location
• Classification
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 Salter Harris fractures

• Immature animals
• Classified I to VI
• Prognosis worsens as number
increases
 Salter Harris Fractures
• Factors influencing prognosis:
• Age
• Proportional growth potential
• Radius = 35% proximal: 65% distal
• Ulna = 15% proximal: 85% distal
• Shape
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Premature distal ulna physeal closure

• Ulna most commonly affected

(shape)
• Craniomedial bowing of radius
• Proximal displacement of the
styloid process
• Thickening of adjacent R/U
cortices
Premature distal ulna physeal closure

• Subluxation of proximal ulna

• Carpal valgus
 Premature distal radial physeal
closure

• Less dramatic
• Subluxation of proximal ulna
• Increased radio-humeral and
radio-carpal joint spaces
 Premature growth plate closure
• Both growth plates minor
changes (leg shorter)
• Closure of proximal radial
physis