Articles

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146 results found
Article

AP Meary's angle

AP Meary's angle or AP talus-first metatarsal angle is used to assess for midfoot abduction/adduction in pes planus and pes cavus to assist with pre-operative planning 1.  Measurement On a weight-bearing AP foot radiograph, a line is drawn down the longitudinal axis of the first metatarsal to ...
Article

Posterior tibial line

The posterior tibial line is drawn along the posterior aspect of the distal tibial shaft on a lateral ankle x-ray and can be used to assess the sagittal alignment of the talus when comparing side-to-side and/or calculate the posterior tibial line-talar ratio 1,2.
Article

Friedman line

The Friedman or scapular line can be used to determine glenoid version and glenoid bone loss 4. Glenoid version angle measured by the Friedman method has better inter-reader reliability than the scapular body method 2.  Measurement The Friedman line is drawn along the long axis of the scapula ...
Article

Fourth-fifth intermetatarsal angle

The fourth-fifth intermetatarsal angle is used to assess for a bunionette deformity. It should not be confused with the first intermetatarsal angle, used to assess for hallux valgus deformity.  Measurement The fourth-fifth intermetatarsal angle is formed between the long axis of the fourth and...
Article

Acromiohumeral interval

Acromiohumeral interval is a useful and reliable measurement on AP shoulder radiographs and when narrowed is indicative of subacromial impingement, rotator cuff tear and/or tendinopathy. In patients with rotator cuff repair, a narrow acromiohumeral interval is a risk factor for re-tear 7. Meas...
Article

Hibbs angle

The Hibbs angle, a.k.a. lateral calcaneo-first metatarsal angle, has been used to identify the apex of deformity in patients with pes cavus on lateral weight-bearing radiographs. Measurement The Hibbs angle is formed by the lines running along the axes of the calcaneus and the first metatarsal...
Article

First metatarsal declination angle

The first metatarsal declination angle can be used to assess for metatarsus primus elevatus in hallux rigidus.  Measurement The first metatarsal declination angle is formed between the longitudinal axis of the first metatarsal and the supporting surface 1-4.  Interpretation normal: 20-21° 1-...
Article

Talocrural angle

The talocrural angle can be used to assess for fibular shortening after a fracture. Measurement The talocrural angle is measured on the mortise view as the angle between a line along the distal tibial plafond articular surface and another line joining the tips of both malleoli 3,4.  Interpret...
Article

Lateral tibiotalar distance

Lateral tibiotalar distance is a measurement on an ankle anterior drawer lateral view to assess for ankle instability.  Measurement On an ankle anterior drawer lateral view (typically performed using a Telos device 2-4), the distance between the posterior tip of the distal tibial articular sur...
Article

Medial cuneiform to second metatarsal distance

Medial cuneiform to second metatarsal distance is the measurement of the distance between the lateral aspect of the medial cuneiform and the medial aspect of the base of the second metatarsal bone 1,2. Usage Medial cuneiform to second metatarsal distance is an important measurement used in ass...
Article

Medial cuneiform-fifth metatarsal height

Medial cuneiform-fifth metatarsal height is the distance between the most inferior part of the medial cuneiform and the most inferior part of the base of the 5th metatarsal and is used to evaluate the height and integrity of the medial vertical arch 1. Usage Medial cuneiform-fifth metatarsal h...
Article

Tibiofibular overlap

The tibiofibular overlap (TFO) is the overlapping area between the anterior distal tibial prominence and the medial edge of the distal fibula 1-3. Usage Together with the tibiofibular clear space (TFCS) and the medial clear space, the tibiofibular overlap space has been used in the diagnosis a...
Article

Tibiofibular clear space

The tibiofibular clear space is a radiographic measure and defined as the space between the groove of the distal tibial prominence and the medial margin of the distal fibula 1-3. Usage Together with the tibiofibular overlap and the medial clear space, the tibiofibular clear space has been used...
Article

MRI of the shoulder (an approach)

MRI of the shoulder is one of the more frequent examinations faced in daily radiological practice. This approach is an example of how to create a radiological report of an MRI shoulder with coverage of the most common anatomical sites of possible pathology. Systematic review A systematic revie...
Article

Lateral humeral line

The lateral humeral line is used to confirm the alignment of the pediatric radiocapitellar joint in the coronal plane 1. This is particularly important in injuries such as a Monteggia fracture-dislocation or in a radial neck fracture. Measurement The lateral humeral line is drawn on a pediatri...
Article

Gissane angle

Gissane angle, also known as the "critical angle of Gissane", is a measurement on lateral foot radiographs used to evaluate the severity of calcaneal fractures. Measurement The Gissane angle is measured by drawing lines along the superior surfaces of the anterior process and the posterior face...
Article

Capitolunate angle

The capitolunate angle is the angle between the long axis of the capitate and the mid axis of the lunate on the sagittal imaging of the wrist. In a normal situation it should be less than 30° in the resting (neutral) position. The angle is increased in carpal instability such as with a dorsal i...
Article

Sinus tract

Sinus tracts are an abnormal connection between a fluid collection with a mucous mucosal surface and/or skin 1,2. It can result from acute or chronic processes and occasionally extend into the joints and bones 1. Terminology The term sinus tract is non-specific; however, when used in soft tiss...
Article

Sonographic Mulder sign

The sonographic Mulder sign is the ultrasound correlate of the clinical Mulder sign during examination of the forefoot to investigate causes of metatarsalgia associated with Morton neuroma 1. The intermetatarsal space is predominantly composed of fat inferiorly and also contains the neurovascula...
Article

Ultrasound of the shoulder

Ultrasound of the shoulder is a fast, relatively cheap, and dynamic way to examine the rotator cuff and is particularly useful in diagnosing: shoulder impingement shoulder instability rotator cuff disorders The examination requires attention to technique and appropriate patient positioning. ...

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