Radiographs of Upper Extremity and Back Many radiographs are from the collection of the Department of Radiology, Joan C. Edwards School of Medicine; labeling of those images done by Matt Harper, Class of 2010 PA Radiograph of lumbar spine 1- Body of vertebra T12 2- Rib 12 3- Transverse process of L1 4- Spinous process of L1 5- Pedicle of L2 6- Inferior articular facet of L3 vertebra 7- Superior articular facet of L4 vertebra 8- Body of Vertebra L4 9 - Spinous process of L5 10 - Sacroiliac joint 11- Location of intervertebral disc SCOLIOSIS TREATMENT OF SCOLIOSIS Anterior-posterior radiograph of scoliosis patient after insertion of metal rods to 'fuse' adjacent vertebrae. Rods prevent movement between vertebrae due to compression or stretching of lumbar spinal nerves (pain in lower extremities). SHOULDER AND ARM OF 4.5 YEAR OLD CHILD Long bones grow at plates of cartilage called epiphyses (or epiphyseal plates). Epiphyses become ossified at different ages but are readily apparent in young children. Cartilage is not as dense as bone and appears darker in radiographs. DO NOT MISTAKE EPIPHYSES FOR FRACTURES 1. Head of humerus 2. Epiphyseal plate 3. Epiphysis of lateral epicondyle of humerus Healing fracture of humerus LUMBAR VERTEBRAE LATERAL VIEW 1. body of vertebra 2. intervertebral foramen 3. space for intervertebral disc 4. pedicle 5. superior articular facet 6. spine of vertebra Arteriogram of hand 1- Radial artery 2- Ulnar artery 3- Deep palmar arterial arch 4- First metacarpal bone Arteriogram of Brachial Artery and Branches: Elbow Anastomosis 1- Brachial artery 2- Radial artery 3- Radial recurrent artery 4- Ulnar artery 5- Ulnar recurrent artery 6- Common interosseus artery dividing into anterior and posterior interosseus arteries 7- Distal part of Ulnar Artery ANGIOGRAM OF AXILLARY ARTERY 1- Subclavian a. 2- Axillary ax. 3- Thoracoacromial a. 4- Lateral Thoracic a. 5- Subscapular a. 6. Post. Humeral Circumflex a. 7- Brachial a. 8- Profunda brachii (Deep brachial) a. Pin within fractured humerus Hand and wrist of infant 1- Proximal phalanx of fifth digit 2- Fifth metacarpal 3- Carpal bone 4- Radius Dislocation of Elbow Joint Healing fracture of shaft of humerus AP VIEW OF SHOULDER REGION 1- Coracoid process 2- Clavicle 3- Glenoid fossa of scapula 4- First rib Hand and wrist 1- Distal end of radius 2- Scaphoid ' 3- Head of ulna 4- Lunate 5- Pisiform 6- Triquetrum 7- Sesamoid bones of first digit 8- Fracture of shaft of fifth metacarpal 9- Proximal phalanx of thumb Hand and wrist: distal carpal bones 1- Trapezium 2- Trapezoid 3- Capitate 4- Hamate 5- First metacarpal Forearm in supination 1- Styloid process of radius 2- Styloid process of ulna 3- Head of ulna 4- Scaphoid bone (articulates with radius) 5- Lunate 6- Head of radius 7- Radial (bicipital) tuberosity 8- Olecranon process of ulna 9- Olecranon fossa of humerus Hook of Hamate Hamate First Metacarpal Capitate Trapezium Triquetrum Trapezoid Pisiform Scaphoid Lunate Radial Styloid Process Ulnar Styloid Process Radius Ulna Humerus Marrow cavity Olecranon Fossa Olecranon Medial epicondyle Coronoid process of ulna Lateral Epicondyle Head of Radius Neck of Radius Radial Tuberosity Ulna Radius Shaft of Humerus Medial Supracondylar ridge Radial Tuberosity Head of Radius Shaft of Radius Trochlea Shaft of Ulna Coronoid Process Olecranon Humerus Olecranon Trochlea Head of Radius Neck of Radius Radial Tuberosity Ulna Radius Distal phalanges Middle phalanges Proximal phalanges Metacarpal bones Sesamoid bones Hook of hamate Styloid process of Ulna Styloid process of Radius Tenth Rib Body of T12 Eleventh Rib Twelfth Rib Transverse process of L2 Spine of Vertebra Pedicle Body Jewelry Transverse process of L5 Space for Intervertebral disc Sacroiliac joint Clavicle Acromioclavicular joint Acromion Head of humerus Coracoid process Greater tubercle Glenoid fossa Surgical neck of humeru Lateral border of scapula Acromioclavicular joint Acromion Clavicle Coracoid process Glenoid fossa Medial border of scapula Lateral border of scapula Inferior angle of scapula Clavicle Acromioclavicular joint Scapular notch Acromion Coracoid process Glenoid fossa Surgical neck of humerus Lateral border of scapula Humerus Sesamoid bones Proximal phalanx of thumb Second metacarpal First metacarpal Third metacarpal Fourth metacarpal Trapezium Fifth metacarpal Trapezoid Scaphoid Capitate Hamate Pisiform Lunate Radius Triquetral Ulna Clavicle Scapular notch Acromion Greater tubercle Glenoid fossa Medial border of scapula Lateral border of scapula Inferior angle of scapula Shaft of humerus Medial epicondyle Lateral epicondyle Spinal cord T2 weighted MRI image Epidural fat Conus medullaris Body of L2 Cauda equina L3-L4 Intervertebral disc Spine of L4 Sacrum CSF in lumbar cistern Everything will be OK.