Is this a fracture on the plain film?
There is this query which we all radiologists find in plain films in this era of MRIs and PETs and this section of ours is usually dealing with apparently innocuous questions like in this case “is this a fracture?” Professor Resident series by Dr MGK Murthy.
What is it?
There is vertical line across the metaphysis of 1st metatarsal with no significant soft tissue swelling or articular abnormality
Is it fracture in view of history of injury ?
No you can clearly see on invert image it is not identified and hence represents vessel
Any further imaging is needed?
No , we need to take radiological call at this stage it is not fracture
How to write report?
There is vertical lucency seen across the middle of metaphysis of 1st Metatarsal possibly representing vessel with no soft tissue or joint involvement – represents vessel. However if there is local tenderness, MRI / follow-up Xray after 2 weeks would help
Is this a fracture on the plain film?
Reviewed by Sumer Sethi
on
Thursday, August 25, 2011
Rating:
Reviewed by Sumer Sethi
on
Thursday, August 25, 2011
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
3 comments:
Nice post sir. There is always a doubt with a fracture line like this but in future I would look into the inverted image and confirm it.
Thanks a lot for this post.
i am enthused by some one taking the cue , i am learning daily
the important thing is not to stop questioning=Einstein
iam lucky someone else keeps asking me questions
thx pankaj
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