PC. Imaging the Lower Limb (HA) - Part 2.pptx
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Brighton and Sussex Medical School
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LOWER LIMB ANATOMY Helen Anderson LEARNING OBJECTIVES • Explore imaging modalities and anatomy of :• Pelvis and Hips • Thigh • Knee • Calf • Ankle • Foot MODALITIES • X-ray • Two planes for a joint • CT • Axial plane and reconstruct in Coronal and Sagittal planes • MRI • acquire images in Axial,...
LOWER LIMB ANATOMY Helen Anderson LEARNING OBJECTIVES • Explore imaging modalities and anatomy of :• Pelvis and Hips • Thigh • Knee • Calf • Ankle • Foot MODALITIES • X-ray • Two planes for a joint • CT • Axial plane and reconstruct in Coronal and Sagittal planes • MRI • acquire images in Axial, Coronal and Sagittal planes. No reconstruction possible. PELVIS X-RAY PELVIC X-RAY iIleum Sacrum Superior Pubic Ramus Femur Inferior Pubic Ramus MUSCLE ATTACHMENTS • Anterior superior iliac spine • Sartorius muscle • Anterior inferior iliac spine • Rectus Femoris Muscle • Ischial tuberosity • Hamstrings : semimembranosis, semitendinosis and biceps femoris PELVIS X-RAY ASIS AIIS Ischial tuberosity LATERAL X-RAY OF FEMUR HIP X-RAY Femoral head Acetabulum PELVIC CT PELVIS CT Sacrum SIJ SAGITTAL CT HIP PELVIS MRI Acetabulum Femoral neck PELVIC MRI Femoral head and neck FRACTURED NECK OF FEMUR HIP ADDUCTORS • Pectineus • Adductor Longus • Adductor Brevis • Adductor Magnus HIP ADDUCTORS HIP ADDUCTORS HIP ABDUCTORS HIP ABDUCTORS Gluteus maximus HIP ABDUCTORS Gluteus minimus Gluteus medius Gluteus maximus KNEE-X-RAY KNEE-X-RAY Femur Femur Patella Patella Tibia Tibia Fibula Fibula KNEE-X-RAY - OA KNEE CT Femur Tibia Fibula Femur Tibia Fibula Patella Femur Tibia Fibula KNEE MRI Femur ACL Tibia PCL KNEE MRI Femur Tibia LOWER LIMB X-RAY LOWER LIMB X-RAY Tibia Fibula Talus Calcaneum Talus Tibia MRI LOWER LIMB Fibula ANKLE X-RAY ANKLE X-RAY Tibia Fibula Talus Calcaneum Navicular ANKLE MRI Talus Fibula Tibia FOOT X-RAY 1. Proximal Phalanx 2. Middle Phalanx 3. Distal Phalanx FOOT X-RAY 2 3 DIPJ 1 PIPJ MCPJ Metatarsals TMTJ FOOT CT FOOT MRI Cuneiforms Navicular Cuboid Talus Calcaneum FOOT MRI Tibia Talus Calcaneum THANK YOU