Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

56 results found
Article

AAST injury scoring scales

The American Association for the Surgery of Trauma (AAST) injury scoring scales are the most widely accepted and used system of classifying and categorising traumatic injuries. Injury grade reflects severity, guides management, and aids in prognosis. At the time of writing (mid 2016), 32 differe...
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AAST kidney injury scale

The American Association for the Surgery of Trauma (AAST) renal injury scale 3-4 is the most widely used grading system for renal trauma at the time of writing (late 2016). Severity is assessed according to the depth of renal parenchymal damage and involvement of the urinary collecting system a...
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AAST liver injury scale

The 1994 revision of the AAST (American Association for the Surgery of Trauma) liver injury scale is the most widely used liver injury grading system at the time of writing (late 2016).  Classification grade I haematoma: subcapsular, <10% surface area laceration: capsular tear, <1 cm  parenc...
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AAST spleen injury scale

The 1994 revision of the American Association for the Surgery of Trauma (AAST) splenic injury scale is the most widely used grading system for splenic trauma at the time of writing (late 2016).  Classification grade I subcapsular haematoma <10% of surface area capsular laceration <1 cm depth...
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American Academy of Orthopedic Surgeons classification of periprosthetic hip fractures

The American Academy of Orthopedic Surgeons classification of periprosthetic hip fractures divides the femur into three separate regions: level I: proximal femur distally to the lower extent of the lesser trochanter  level II: 10 cm of femur distal to level I  level III: femur distal to level...
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Anderson and D'Alonzo classification of odontoid process fracture

The Anderson and D'Alonzo classification is the most commonly used classification of fractures of the odontoid process of C2. Classification type I rare fracture of the upper part of the odontoid peg above the level of the transverse band of the cruciform ligament usually considered stable...
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Ankle fractures

Ankle fractures account for ~10% of fractures encountered in trauma, preceded only in incidence by proximal femoral fractures in the lower limb. They have a bimodal presentation, involving young males and older females. Ankle injuries play a major part in post multitrauma functional impairment t...
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Anterior cruciate ligament avulsion fracture

Anterior cruciate ligament (ACL) avulsion fractures or tibial eminence avulsion fractures are a type of avulsion fracture of the knee. This typically involves separation of the tibial attachment of the ACL to variable degrees. Separation at the femoral attachment is rare 5. Epidemiology It is ...
Article

Biffl scale for blunt cerebrovascular injury

The Biffl scale or grade illustrates the spectrum of blunt cerebrovascular injury (BCVI) seen on angiography (both CTA and DSA). Some authors refer to the grading scale as the Denver scale, which is not to be confused with the Denver criteria, a set of clinical and risk factors for BCVI.  Class...
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Cervical spine fracture classification systems

There are several cervical spine fracture classification systems: ​Anderson and D'Alonzo classification (odontoid fracture) Roy-Camille classification (odontoid fracture) Levine and Edwards classification (for traumatic injuries to axis) Allen and Ferguson classification (subaxial spine inju...
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Chauffeur fracture

Chauffeur fractures (also known as Hutchinson fractures or backfire fractures) are intra-articular fractures of the radial styloid process. The radial styloid is within the fracture fragment, although the fragment can vary markedly in size. Pathology Mechanism These injuries are sustained eit...
Article

Classification of gamekeeper thumb

This classification of gamekeeper thumb (also known as skier thumb) was proposed by Hintermann et al 1 in 1993 and is based on whether a fracture is present and whether the injury is stable: type I fracture present, which is non-displaced and stable in flexion typically treated with a splint/...
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Classification of sacral fractures

There are several classification systems for sacral fractures, but the most commonly employed are the Denis classification and subclassification systems, and the Isler classification system. These classification systems are important to understand as proper classification can impact management. ...
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Complex midfacial fracture

Complex midfacial fractures consist of multiple facial fractures that cannot be classified as any of the known complex facial fracture (e.g. Le Fort, zygomaticomaxillary complex fracture, naso-orbital-ethmoid fracture).
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Cooke and Newman classification

The Cooke and Newman classification of periprosthetic hip fractures is a modification of the Bethea classification proposed several years earlier. type I explosion type fracture, comminuted around the stem of the implant the prosthesis is always loose and the fracture is inherently unstable ...
Article

Degloving injury

Degloving injuries can refer to a number of conditions: degloving soft tissue injury Morel-Lavallee lesion (closed degloving soft tissue injury) intramuscular degloving injury degloving bowel injury
Article

Deltoid ligament injury

Deltoid ligament injuries involve the deltoid ligament that forms the medial part of the ankle joint. It attaches the medial malleolus to multiple tarsal bones. Pathology Mechanism of injury It occurs due to eversion and/or pronation injury, or can be associated with lateral ankle fractures. ...
Article

Distal fibula fracture (basic)

Distal fibula fractures are the commonest fracture at the ankle and are usually the result of an inversion injury with or without rotation. They are the extension of a lateral collateral ligament injury. Background Pathophysiology Most ankle injuries occur because of an inversion injury. A pu...
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Facial fractures

Facial fractures are commonly caused by blunt or penetrating trauma sustained during motor vehicle accidents, assaults, and falls. The facial bones are thin and light making them susceptible to injury. Epidemiology Males are affected more commonly than females and facial fractures are most com...
Article

Genant classification of vertebral fractures

The Genant classification of vertebral fractures is based on the vertebral shape, with respect to vertebral height loss involving the anterior, posterior, and/or middle vertebral body. grade 0: normal grade 1: mild fracture, 20% to 25% loss of height grade 2: moderate fracture, 25% to 40% los...
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Gustilo Anderson classification

The Gustilo Anderson classification, sometimes referred to as the Gustilo classification is the most widely accepted classification system of open (or compound) fractures. The grading system is used to guide management of compound fractures, with higher grade injuries associated with higher ris...
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Johansson classification

The Johansson classification of periprosthetic hip fractures was the first classification system proposed and is the simplest. It is based on the level of the fracture in relation to the prosthesis. type I: fracture proximal to the tip of the prosthesis with the stem still in contact with the m...
Article

Judet and Letournel classification for acetabular fractures

The Judet and Letournel classification is the most widely used classification of acetabular fractures. It is based on three radiographic views (anteroposterior view, obturator oblique view and Iliac oblique view)  and classifies acetabular fractures into ten major fracture patterns, which cons...
Article

Lateral humeral condylar fracture

Lateral humeral condyle fractures are relatively common elbow fractures that predominantly occur in children.  Epidemiology They represent ~12.5% (range 5-20%) of elbow fractures in children and are the second most common paediatric elbow fracture after supracondylar fractures. They occur in ...
Article

Le Fort fracture classification

Le Fort fractures are fractures of the midface, which collectively involve separation of all or a portion of the midface from the skull base. In order to be separated from the skull base the pterygoid plates of the sphenoid bone need to be involved as these connect the midface to the sphenoid bo...
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Magerl classification of thoracolumbar spinal fractures

The Magerl classification of thoracolumbar spinal fractures is based on the three column concept by Denis, and the McAfee classification. It relies exclusively on CT findings. Classification A: compression injuries A1: impaction fractures A1.1: endplate impaction A1.2: wedge impaction A1.3...
Article

Marshall classification of traumatic brain injury

The Marshall classification of traumatic brain injury is a CT scan derived metric using only a few features and has been shown to predict outcome in patients with traumatic brain injury.  This system was first published in 1992 1 building on findings from a large cohort of head injury cases des...
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Mayfield classification of carpal instability (perilunate instability)

Mayfield classification of carpal instability, also known as perilunate instability classification (carpal dislocations), describes carpal ligament injuries.  Instability has been divided into four stages 1-2: stage I: scapholunate dissociation (rotatory subluxation of the scaphoid) disruptio...
Article

Mayo classification of scaphoid fractures

Mayo classification of scaphoid fractures divides them into three types according to anatomic location of the fracture line: middle (70%) distal (20%) proximal (10%) Fractures of the distal third are further divided into distal articular surface or the distal tubercle fractures: distal tube...
Article

Modified Memphis criteria for blunt cerebrovascular injury

The modified Memphis criteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) in trauma. The presence of one or more of these criteria makes necessary a complementary CTA or DSA study to exclude a BCVI. The screening protocol criteria for BCVI are: base of skull fractur...
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Neer classification of proximal humeral fractures

The Neer classification of proximal humeral fractures is probably the most frequently used along with the AO classification of proximal humeral fractures. Even if an exact knowledge of this classification system is beyond the everyday use of many radiologists, the terminology and factors which i...
Article

Nerve injury classification

Nerve injury classification describes the various features of nerve injury on MRI with respect to pathological events. Classification neuropraxia grade I: there is increased T2/STIR signal in the nerve, however the muscle appears normal axonotmesis grade II: increased T2/STIR signal in ne...
Article

Occipital condyle fracture

Occipital condylar fractures result from high-energy blunt trauma. Epidemiology The exact incidence of these fractures is unknown but are reported to occur in 3-4% patients with moderate-severe traumatic brain injuries 3. Clinical presentation History and examination are unreliable, and high...
Article

Open book fracture

Open book fracture of the pelvis is a pelvic fracture that results from an anteroposterior compression injury to the pelvis. Pathology This causes disruption of pubic symphysis and the pelvis opens like a book. The pubic rami may be fractured in vertical orientation instead of the disruption o...
Article

Pancreatic trauma injury grading

A number of pancreatic injury grading systems have been proposed. Classifications American Association for the Surgery of Trauma (AAST) grade 1: haematoma with minor contusion/laceration but without duct injury grade 2: major contusion/laceration but without duct injury grade 3: distal lace...
Article

Pathological fracture risk (Harrington criteria)

Harrington criteria can be used to predict which skeletal metastases are at high risk of pathological fracture and should undergo prophylactic internal fixation. It preceded the Mirel classification for impending pathological fracture but has not been validated and its use is debated. Classific...
Article

Pathological fracture risk (Mirel classification)

Mirel classification is a system used to predict the highest risk of pathological fracture among bones affected by metastases. Classification 1 point upper limb involving <1/3 of bone diameter blastic/sclerotic lesion mild pain 2 points lower limb involving 1/3-2/3 of bone diameter mix...
Article

Periprosthetic hip fracture classification systems

Several classification systems have been proposed for periprosthetic fractures of the hip: American Academy of Orthopedic Surgeons (AAOS) classification Cooke and Newman (modified Bethea) classification Johansson classification Vancouver classification: most widely used
Article

Piedmont fracture

Piedmont fractures have been variably defined in the literature. Many suggest that Piedmont fractures are synonymous with Galeazzi fractures. That is a fracture of the radius at the middle and distal third with associated disruption of the distal radioulnar joint. The initial report about the s...
Article

Pipkin femoral head fracture classification

Pipkin classification is the most commonly used classification for femoral head fractures, which are uncommon but are associated with hip dislocations. Classification type I: fracture distal to the fovea capitis, a small fracture not involving the weightbearing surface type II: fracture proxi...
Article

Riseborough and Radin classification of intercondylar fractures of the humerus

Riseborough and Radin classification of intercondylar fractures of the humerus can be used to classify this injury, which is the result of direct trauma to the olecranon as it is driven as a wedge between the humeral condyles. Four types of fractures can be identified: type I: no displacement ...
Article

Rotterdam CT score of traumatic brain injury

The Rotterdam CT score of traumatic brain injury is a relatively recently described classification aimed at improving prognostic evaluation of patients admitted with acute traumatic brain injuries.  It was published in 2006 1 and is gaining in popularity. Along with the Marshall classification ...
Article

Roy-Camille classification of odontoid process fracture

The Roy-Camille classification of fractures of the odontoid process of C2 depends on the direction of the fracture line 1. The level of fracture line as described by the Anderson and D’Alonzo classification, is not predictive of the degree of instability or the risk of non-union. This classific...
Article

Sanders CT classification of calcaneal fracture

The Sanders classification system is used to assess intraarticular calcaneal fractures, which are those involving the posterior facet of the calcaneus. This classification is based on the number of intraarticular fracture lines and their location on semicoronal CT images. This classification is ...
Article

Schatzker classification of tibial plateau fractures

Schatzker classification system is one method of classifying tibial plateau fractures. Increase in type number denotes increasing severity, reflecting not only increased energy imparted to the bone at the time of injury but also an increasingly worse prognosis 1. The most common fracture of the...
Article

Supracondylar fracture

Supracondylar fractures are a classic paediatric injury which require vigilance as imaging findings can be subtle. Epidemiology Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults; 90% are seen in children younger than 10 years of age, with a peak ...
Article

Temporal bone fractures

Temporal bone fractures are usually a sequela of blunt head injury, generally from severe trauma. Associated intracranial injuries, such as extra-axial haemorrhage, shear (or diffuse axonal) injury, and cerebral contusion are common. Early identification of temporal bone trauma is essential to m...
Article

Thoracolumbar injury classification and severity score (TLICS)

The thoracolumbar injury classification and severity score (TLICS) has been developed by the Spine Trauma Group to overcome some of the perceived difficulties regarding the use of other thoracolumbar spinal fracture classification systems for determining treatment 1. Classification Classificat...
Article

Thoracolumbar spinal fracture classification systems

There are several thoracolumbar spinal fracture classification systems: three column concept of thoracolumbar spinal fractures (Denis classification) Magerl classification McAfee classification thoracolumbar injury classification and severity score (TLICS)
Article

Thoracolumbar spinal fractures: McAfee classification

McAfee classification of acute traumatic spinal injuries is based on the three column concept of the spine. CT is needed for accurate assessment. Classification wedge compression: isolated anterior column compression  stable burst: anterior and middle column compression but posterior column i...
Article

Three column concept of spinal fractures

The three column concept of thoracolumbar spinal fractures was initially devised by Francis Denis and presently CT is mandatory for an accurate classification. While initially developed for classification of thoracolumbar spinal fractures, it can also be applied to the lower cervical spine 3 as...
Article

Tillaux fracture

Tillaux fractures are Salter-Harris III fractures through the anterolateral aspect of the distal tibial epiphysis, with variable amounts of displacement. Epidemiology It occurs in older children and adolescents when the medial aspect of the distal tibial growth plate has started to fuse. Path...
Article

Triplane fracture

Triplane or triplanar fractures are of the distal tibia only occurring in adolescents. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. The name is due to the fact of the fracture expanding both in frontal and lateral...
Article

Trochanteric fracture

Trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur. Classification Fractures in these region can be classified as: intertrochanteric subtrochanteric greater trochanteric avulsion fracture lesser trochanteric avulsion fracture Intertrochanteric...
Article

Vancouver classification

The Vancouver classification of periprosthetic hip fractures proposed by Duncan and Masri is the most widely used classification system. It takes into account the fracture site, the status of the femoral implant, and the quality of surrounding femoral bone stock. type A: fractures involve the t...
Article

Winquist classification of femoral shaft fractures

The Winquist classification of femoral shaft fractures is based on fracture comminution and was proposed by Winquist in 1980. This classification is used with regards to management decision making, in determining whether a fracture requires an intramedullary nail or open reduction.  Type 0: no ...

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