X-Ray Questions

Try the X-ray of the Upper Limb Quiz.|
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X-Ray Quiz 6: Upper Limb

1 / 5

A 13 yo presents to the emergency department, following an injury with external rotation of the ankle. He cannot walk and has significant pain on palpation of the medal aspect joint.

The limb is neurovascularly intact.

You perform an X-ray which is shown below. What is your diagnosis and management?

There is metaphaseal fracture with a a small displaced fragment. Te treatment is moonboot and fracture clinic.

There is significant displacement of the joint. Admit under oath.

This is a normal X-ray. Mobilise as tolerated and review with local doctor in 1-2 weeks.

This is a normal Xray. Immobilise the joint and review with the local doctor or ED within 2 days.

This is a normal X-ray, however given that the patient cannot mobilise they should have the joint mobilised and be reviewed early.

This is a normal X-ray, however given that the patient cannot mobilise they should have the joint mobilised and be reviewed early.

2 / 5

The Xray in the previous question as shown below is reported as normal by the radiologist also.

Due to this normal report, the patient's local doctor has discharged them. The patient is brought into the ED by his parents, because the ankle is still painful when weight bearing. You xray the ankle again. The image is shown below. What does it show?

This is a normal x-ray

This metaphaseal fracture has healed

There is a periosteal reaction indicating a tibial fracture

There is a shift in the mortice of the joint.

There is a healing fracture

There is a healing fracture.

3 / 5

A 69 yo patient presents following a fall onto outstretched hand. He has significant distal radial pain, but there is no pain in the anatomical snuffbox.

You only have this xray. Is there anything to concern you about this Xray? The radiologist looks at it and reports it as normal.

There is a fracture through the hamate bone. This patient requires orthopaedic or plastics review

There is a distal radial fracture and the patient requires a CT scan.

There is evidence of a scapholunate dislocation and a CT scan is required.

There is no fracture in this X-ray and the patient can be sent home with tubigrip and review by LMO in 1-2 weeks.

There is a distal radial fracture. Remember that when the patient is having paion out of proportion to what we see, then we need to investigate further. The repeat x-ray 4 weeks later is shown:

Well done. There is a distal radial fracture. Remember that when the patient is having paion out of proportion to what we see, then we need to investigate further.

4 / 5

A 30 yo woman presents with a painful elbow following a fall from her bicycle. There are no other injuries.

Her elbow xray is shown below. Is there a fracture seen? What is the sign that is seen?

There is a positive anterior sail sign

There is a positive posterior sail sign

There is an obvious bending of the distal humerus

This is a supracondylar fracture

There is an anterior sail sign.

Right. There is an anterior sail sign.

5 / 5

An anterior fat pad sign and no fracture seen means that there is probably... what type of fracture?

A radial head fracture

A supracondylar fracture

A condyle fracture

A trochlear fracture

In a child it may be a supracondylar fracture. However in an adult patient it is most likely to be a radial head fracture as it was here.

In a child it may be a supracondylar fracture. However in an adult patient it is most likely to be a radial head fracture as it was here.

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