Radiology Anatomy of the Spine and Upper Extremity - PowerPoint PPT Presentation

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Radiology Anatomy of the Spine and Upper Extremity

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Title: Radiology Anatomy of the Spine and Upper Extremity


1
Radiology Anatomy of the Spine and Upper Extremity
  • Timothy J. Mosher, MD
  • Department of Radiology
  • Phone 531-4566
  • Email tmosher_at_psu.edu

2
Learning Objective
  • Identify anatomic structures of the spine and
    upper extremities on standard radiographic and
    cross-sectional images

3
SPINE
4
Visual Human Sagittal View
7 Cervical Vertebra
12 Thoracic Vertebra
5 Lumbar Vertebra
5 Sacral Vertebra (fused)
3 Coccygeal Vertebra (fused)
5
Lumbar Vertebral Body
BODY
PEDICLE
TRANSVERSE PROCESS
SPINOUS PROCESS
LAMINA
6
Lumbar Vertebral Body
BODY
PEDICLE
TRANSVERSE PROCESS (fractured)
SPINOUS PROCESS
LAMINA
7
SPINE FROM THE FRONT
BODY
TRANSVERSE PROCESS
8
SPECIMEN RADIOGRAPH L4
BODY
PEDICLES
SPINOUS PROCESS
TRANSVERSE PROCESSES
9
SPINE FROM THE BACK
SUP ART FACET
TRANSVERSE PROCESS
LAMINA
INF ART FACET
SPINOUS PROCESS
10
SPECIMEN RADIOGRAPH L4
Lamina and Facets
11
AP Lumbar Spine
12
AP Lumbar Spine
13
AP Lumbar Spine
BODY
PEDICLE
LAMINA
SPINOUS PROCESS
TRANSVERSE PROCESS
14
Spine Viewed from Side
BODY
PEDICLE
TRANSVERSE PROCESS
LAMINA
SPINOUS PROCESS
15
Spine Viewed from Side
PARS INTRAARTICULARIS
SUPERIOR FACET
INFERIOR FACET
16
Lateral Lumbar Spine
17
Lateral Lumbar Spine
18
Lateral Lumbar Spine
19
CT Lumbar Spine Sagittal Reconstructions
20
Facet Joints Axial View
Cervical
Thoracic
Lumbar
21
Facet Joints Sagittal Reconstructions
22
Intervertebral Disc Space
NEURAL FORAMEN
INTERVERTEBRAL DISC
23
Nerve Roots
INF FACET
SUP FACET
BODY
DISC
PEDICLE
SPINOUS PROCESS
NERVE ROOT
24
Intervertebral Disc
Body
Body
Sagittal Section Lumbar Spine
25
MRI Intervertebral Disc
26
Cauda Equina
MRI Myelogram
27
Neural Foramen
28
Neural Foramina Cervical Spine
Viewed from bottom
29
Spinal Ligaments
30
Spinal Ligament
31
Case Study 17 year-old Male involved in a MVA
Do you see a fracture?
32
Case Study 17 year-old Male involved in a MVA
Right
Left
Bilateral Facet Dislocation at C6/7
What other structures are likely to be injured?
33
Case Study 17 year-old Male involved in a MVA
Spinal Cord Injury Anterior Longitudinal Spinal
Ligament Posterior Longitudinal Spinal Ligament
34
Upper Extremity
35
Radiographic Anatomy
X-RAY BEAM
FILM
36
LEFT SHOULDER (FRONT)
  • CLAVICLE
  • ACROMION
  • CORACOID
  • GLENOID
  • SCAPULA
  • HUMERUS

37
SHOULDER (BACK)
  • CLAVICLE
  • ACROMION
  • SPINE
  • GLENOID
  • HUMERUS

SCAPULA
38
AP Shoulder
Humerus
39
LEFT SHOULDER AXILLARY VIEW
FILM
X-RAY TUBE
40
RIGHT SCAPULA FROM BELOW
CORACOID
GLENOID
SPINE
BODY
ACROMION
41
LEFT SHOULDER (AXILLARY)
Anterior
Humerus
42
Case Study 52 year old male with shoulder pain
Do you identify the cause of the shoulder pain?
43
MRI Anatomy of the Shoulder
44
MUSCLES FROM THE FRONT
45
Rotator Cuff Muscles Sagittal View
Anterior
46
Rotator Cuff Subscapularis
47
Rotator Cuff Supraspinatus
48
MUSCLES FROM THE BACK
49
Rotator Cuff Infraspinatus
50
Rotator Cuff Teres Minor
51
Anatomy Considerations in Rotator Cuff Tears
52
Impingement of the Rotator Cuff
Anterior View
53
MRI Anatomy of the Rotator Cuff
54
MRI Anatomy of the Rotator Cuff
55
Rotator Cuff Tear
Contrast leaking into subacromial bursa through
tear in supraspinatus
Contrast injected into glenohumeral joint
56
ROTATOR CUFF TEAR
57
The Elbow
58
LEFT ELBOW FROM FRONT
Humerus
Lateral
Medial
59
Elbow from the Back
Humerus
60
AP ELBOW
Humerus
Lateral
Medial
61
Medial View of Elbow
Humerus
Ulna
62
Medial View of Elbow
Humerus
Ulna
63
The Wrist
64
The Wrist Palmar ViewCarpal Bones (Proximal Row)
Radius
Ulna
65
The Wrist Palmar ViewCarpal Bones (Proximal Row)
Radius
Ulna
66
The Wrist Palmar ViewCarpal Bones (Distal Row)
Radius
Ulna
67
The Wrist Palmar ViewCarpal Bones (Distal Row)
Radius
Ulna
68
MR Anatomy of the Wrist
Coronal Wrist
69
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