Extremity radiograph unknown 6

Anshuman Bansal

JHU SOM

abansal1@jhmi.edu

David Marker

JHU SOM

dmarker@jhmi.edu

Publication Date: 2009-09-09

Findings

Look carefully at this set of x-ray images.

1. Is there a fracture? If so, which bone has a fracture?

   a	No fracture Incorrect. Try looking at both images, especially the lateral view!
   b	Distal phalanx Correct! This patient has a normal appearing AP x-ray, but the fracture is easily apparent on the lateral view. This is a good example of why it is important to notify the radiologist why you are requesting a study. Remember one view is often not enough to diagnosis many pathologies.
   c	Middle phalanx Incorrect. The parts of the middle phalanx that are visible appear without fracture in both views. Try again!
   d	Proximal phalanx Incorrect. The proximal phalanx is not visible in these images. Try again!