1、orthopedics reading Understanding X-ray 1895，Germany Wilhelm Konrad Rntgen Significance of X-ray examination in Department of orthopedics Understanding fractureUnderstanding fracture、dislocation dislocation and Bone lesions and Bone lesions the minimumthe minimum、foremost accessory foremost accessor
2、y examination of orthopedics examination of orthopedics the first way to check the department of orthopedics injury the basic monitoring method in the treatment of injury in the Department of orthopedics.the basic means to evaluate the therapeutic effect.The basic position of X-ray examination front
3、al position lateral position frontal position lateral position When necessary,oblique position,tangent position,axial position or other special position is ok.include Far and near jointsinclude Far and near joints；Contrast with Contrast with normal sidenormal side。frontal positionfrontal position la
4、teral position lateral position General principles of reading X-ray Imagine the patient standing in front of Imagine the patient standing in front of youyou（Anatomical standard positionAnatomical standard position）In principle,the left and right side of the X-ray In accordance with the manner in whi
5、ch the doctor is used to put the X-ray film Absolutely，dont paint or write on the X-ray film The left and right sides were judged according to the anatomical standard position The information that should be mastered in the first sight What is the location of the X-ray film left or right？The area and
6、 scope of X-ray display What the type of the fracture？Dont ignore soft tissue and other details！Specification and description of the fracture site near eadnear ead？far endfar end？inner jointinner joint？out of jointout of joint？inner joint fracture interior？centre？outboard？Pay attention to the qualit
7、y of bones.sclerosis sag 注意小儿生长板 Growth plates black on x-ray Epiphysis (closed growth plates)white on x-rays the closed epiphysis line Growth plate not yet closed Description of the logical sequence of the X-ray film Length Angulation Rotation Displacement Length normal cripetura separate cripetura
8、 separate Angulation frontal position:ectropion frontal position:ectropion and introversionand introversion？lateral position:Forward or backward？out side inside normal Angle judgment of femoral neck fracture normal collodiaphysial angle：125-135 smaller smaller introversionintroversion bigger bigger
9、ectropionectropion ectropion and introversionectropion and introversion？normal introversionintroversion ectropionectropion Rotation frontal position lateral position frontal position to judge ectropion or ectropion or introversionintroversion：Always refer to Always refer to the far end the far end T
10、o judge whether there is a rotation：Far ead and near end Far ead and near end should be considered should be considered Displacement 外 内 外 内 外 内 外 内 normal normal Medial displacement50%Lateral complete Lateral complete displacement displacement（100%）Medial complete Medial complete transposition transposition（100%）transposition？
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