Optimal Site for Bone Graft Harvesting from the Iliac Bone

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Optimal Site for Bone Graft Harvesting from the Iliac Bone"

Transcription

1 Optimal Site for Bone Graft Harvesting from the Iliac Bone Poster No.: P-0095 Congress: ESSR 2015 Type: Scientific Poster Authors: B. Batohi 1, A. Isaac 1, J. Edwin 1, A. Hussain 1, J. Kumaraguru 1, L. M. Meacock 1, R. Powell 2, D. A. Elias 1, J. Compson 1 ; 1 London/UK, 2 Exeter/UK Keywords: DOI: Bones, CT, Surgery, Grafts /essr2015/P-0095 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 14

2 Purpose Cancellous and corticocancellous bone graft is commonly retrieved from a site just posterior to the anterior superior iliac spine (ASIS) or just anterior to the posterior superior iliac spine (PSIS). Studies have shown harvest volumes from the ASIS are 13cm 3 and of the PSIS 30cm 3 on average 1. Occasionally larger volumes are required depending on the indication for harvesting. Orthopaedic surgeons often use a site approximately 10mm inferior to the iliac tubercle, to obtain grafts of varying types and quantity. The iliac tubercle (Fig 1) is a bony prominence arising from the iliac crest just posterior to the ASIS. The iliac ridge is a ridge of bone extending vertically along the lateral iliac bone from the iliac tubercle down to the acetabulum. The iliac tubercle and adjacent ridge are easily palpable and approached laterally. In some patients the iliac tubercle however is not palpable and an understanding of its relationship to the ASIS and PSIS would be of value. The aim of this study was to identify whether the site 10mm inferior to the iliac tubercle is the widest point along the iliac ridge from which bone could be harvested. The relationship of the iliac tubercle to the ASIS and PSIS was also evaluated. Images for this section: Page 2 of 14

3 Page 3 of 14

4 Fig. 1: Iliac tubercle (arrow) and iliac ridge (arrowheads) on 3D surface reconstruction of the bony pelvis. Page 4 of 14

5 Methods and Materials The study included 20 CTs performed on adults aged years old who had a CT of the pelvis performed as part of a major trauma CT protocol. Patients with acute or previous pelvic bony trauma, surgery, or significant congenital anomalies were excluded from the study. The 2mm axial bone reconstructions from each CT were manipulated on a workstation (Advantage windows, GE). A 3D surface reconstruction of the bony pelvis was used to identify the iliac tubercle (Fig 1). Using the workstation software, the identified location of the iliac tubercle was then transferred onto the corresponding axial images (Fig 2). A site along the iliac ridge 10mm (i.e. 5 slices) inferior to the iliac tubercle was then identified (Fig 3). The width of the widest portion of cancellous bone at this level was measured perpendicular to the axis of the bone from endosteal surface to endosteal surface (Fig 4). If there was a wider point along the iliac ridge inferior to this, it was also measured (Fig 5). The distance from this widest point to the iliac tubercle was determined by calculating the difference in the number of 2mm slices between the iliac tubercle and the slice with the widest point along the iliac ridge. The images were then reformatted to the original sagittal and coronal planes. The anterosuperior distance from ASIS to the iliac tubercle (Fig 6) and the PSIS to the iliac tubercle were measured (Fig 7). This study was conducted as an observational study with two observers independently recording measurements for each case. Intraobserver variability was calculated to determine the reliability of the data collected. The data was tested for normality using Shapiro Wilk's test and mean and median 95% confidence intervals were determined. Images for this section: Page 5 of 14

6 Fig. 2: Axial image of the iliac tubercle (arrow). Page 6 of 14

7 Fig. 3: Axial image showing a site along the iliac ridge 10mm inferior to the iliac tubercle. Page 7 of 14

8 Fig. 4: Axial image showing measurement of the width of the widest portion of cancellous bone at 10mm inferior to the iliac tubercle. Page 8 of 14

9 Fig. 5: Axial image showing the iliac ridge (arrow) which was assessment for a wider part of cancellous bone Page 9 of 14

10 Page 10 of 14

11 Fig. 6: Sagittal reformat showing anterosuperior distance from the ASIS (arrow) to level of the iliac tubercle. Fig. 7: Sagittal reformat showing measurement from the PSIS (arrow) to the level of the iliac tubercle. Page 11 of 14

12 Results 20 patients were included in this study. The age range was from years old with a mean of 35.7 years. There were 6 female and 14 male patients. Measurements were taken from the right side of the pelvis apart from 5 cases where the right side was obscured due to artifact from something outside the patient. Measurements of distance from the iliac tubercle to the widest point on the iliac ridge: Reader 1 Reader 2 Mean 11.7mm 11.4mm Standard deviation 1.6mm 2.1mm Minimum 10mm 10mm Maximum 14mm 16mm Lower endpoint of 95% confidence interval 10.9mm 10.4mm Upper endpoint of 95% confidence interval 12.5mm 12.4mm There was no statistical difference between the two readers with a p-value of Measurements of distance from the iliac tubercle to the ASIS: Reader 1 Reader 2 Mean 56.3mm 59.8mm Standard deviation 11.0mm 8.9mm Minimum 39.7mm 42.7mm Maximum 74.1mm 73.4mm Lower endpoint of 95% confidence interval 51.1mm 55.6mm Upper endpoint of 95% confidence interval 61.4mm 64.0mm There was a statistical significance between the two readers in these measurements with p= Measurements of distance from the iliac tubercle to the PSIS: Page 12 of 14

13 Reader 1 Reader 2 Mean 100.8mm 97.0mm Standard deviation 10.3mm 10.1mm Minimum 81.8mm 76.0mm Maximum 123.1mm 121.4mm Lower endpoint of 95% confidence interval 96.0mm 92.2mm Upper endpoint of 95% confidence interval 105.7mm 101.7mm There was no statistical difference between the two readers with a p-value of Conclusion The study demonstrates that in our study group of CTs the widest point along the iliac ridge lies on average 11.5mm inferior to the iliac tubercle, with a range of 10-16mm. This information supports the current local orthopaedic practice of harvesting bone graft from 10mm below the iliac tubercle and suggests that a slightly more inferior (approx. 2mm) location may also be utilized. In patients with no palpable iliac tubercle, the widest point along the iliac ridge can be approximated 56-60mm posterosuperior to the ASIS and mm anterior to the PSIS. This study should advance the surgical approach to bone graft harvesting by improving the understanding of the anatomy of this site on the pelvis, thereby reducing complications and maximising bone graft yield. References 1. Hall MB, Vallerand WP, Thompson D, Hartley G. Comparative anatomic study of anterior and posterior iliac crests as donor sites. Journal of Oral and Maxillofacial Surgery (6): Ropars M et al. How can we optimize anterior iliac crest bone harvesting? An anatomical and radiological study. European Spine Journal (5): Page 13 of 14

14 3. Ebraheim NA, Yang H, Lu J, Biyani A, Yeasting RA. Anterior iliac crest bone graft. Anatomic considerations. Spine (8): S Kukreja, H Raza, A Agrawal. Iliac Crest Bone Graft Harvesting: Prospective Study Of Various Techniques And Donor Site Morbidity. The Internet Journal of Orthopedic Surgery (1). 5. Myeroff C and Archdeacon M. Autogenous Bone Graft: Donor Sites and Techniques. J Bone Joint Surg Am (23): Ebraheim NA, Elgafy H, Xu R. Bone-graft harvesting from iliac and fibular donor sites: techniques and complications. J Am Acad Orthop Surg : Sittitavornwong S, Falconer DS, Shah R, Brown N, Tubbs RS. Anatomic considerations for posterior iliac crest bone procurement. J Oral Maxillofac Surg 2013; 71(10): Cooper MT, Coughlin MJ. Surgical technique: iliac crest corticocancellous bone graft harvest using a trap-door technique. Méd. Chir. Pied 2009; 25: Personal Information Page 14 of 14

CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion

CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion Poster No.: E-0084 Congress: ESTI 2012 Type: Scientific Exhibit Authors: S. S. Shim, Y. Kim; Seoul/KR Keywords:

More information

Interactive radiology tutorials - self made!

Interactive radiology tutorials - self made! Interactive radiology tutorials - self made! Poster No.: C-1129 Congress: ECR 2013 Type: Educational Exhibit Authors: R. Talanow; Lincoln, CA/US Keywords: Computer applications, Anatomy, Image manipulation

More information

A new dynamic technique for assessing acromio-clavicular joint instability with ultrasound

A new dynamic technique for assessing acromio-clavicular joint instability with ultrasound A new dynamic technique for assessing acromio-clavicular joint instability with ultrasound Poster No.: C-596 Congress: ECR 2009 Type: Educational Exhibit Topic: Musculoskeletal Authors: P. Peetrons; Brussels/BE

More information

Learning objectives. Background. Imaging findings OR Procedure details

Learning objectives. Background. Imaging findings OR Procedure details A comparison of limited MRI of the axial skeleton (lumbar spine and pelvic bones) with whole body bone scintigraphy in detecting bone metastasis from prostate carcinoma Poster No.: C-659 Congress: ECR

More information

Superiority of multi-energy color X-ray for breast specimen radiography.

Superiority of multi-energy color X-ray for breast specimen radiography. Superiority of multi-energy color X-ray for breast specimen radiography. Poster No.: C-2119 Congress: ECR 2011 Type: Scientific Exhibit Authors: I. Willekens 1, B. Dierickx 2, N. Buls 3, C. Breucq 4, A.

More information

An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies

An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies Poster No.: C-1050 Congress: ECR 2012 Type: Educational Exhibit Authors: R. Talanow; Lexington, KY/US Keywords:

More information

Paediatric Knee Radiographs: Normal Appearances of the Knee Joint in the Growing Patient

Paediatric Knee Radiographs: Normal Appearances of the Knee Joint in the Growing Patient Paediatric Knee Radiographs: Normal Appearances of the Knee Joint in the Growing Patient Poster No.: P-0124 Congress: ESSR 2015 Type: Educational Poster Authors: C. Chisholm, D. Mak, M. Thyagarajan; Birmingham/UK

More information

Utilization management for successful process optimization in radiology

Utilization management for successful process optimization in radiology Utilization management for successful process optimization in radiology Poster No.: C-0737 Congress: ECR 2011 Type: Scientific Paper Authors: H.-P. Busch 1, W. Frewer 1, A. van Est 2 ; 1 Trier/DE, 2 Eindhoven/NL

More information

Eye lens dose measurements in Interventional Cardiology

Eye lens dose measurements in Interventional Cardiology Eye lens dose measurements in Interventional Cardiology Poster No.: 479 Congress: ESCR 2014 Type: Scientific Poster Authors: N. Kollaros 1, E. Carinou 2, C. Plemmenos 1, I. Stathopoulos 1, V. Keywords:

More information

Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program

Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Poster No.: C-0591 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific

More information

Patterns of nodal spread in thoracic malignancies

Patterns of nodal spread in thoracic malignancies Patterns of nodal spread in thoracic malignancies Poster No.: C-0977 Congress: ECR 2010 Type: Educational Exhibit Topic: Chest Authors: R. dos Santos, M. Duarte, J. Alpendre, J. Castaño, Z. Seabra, Â.

More information

Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management

Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management Poster No.: C-1464 Congress: ECR 2010 Type: Topic: Scientific Exhibit GI Tract Authors: A. Pinto,

More information

Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery.

Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery. Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery. Poster No.: C-2145 Congress: ECR 2014 Type: Scientific

More information

Determination of bone age using MRI of hand/wrist: a pilot study

Determination of bone age using MRI of hand/wrist: a pilot study Determination of bone age using MRI of hand/wrist: a pilot study Poster No.: C-0963 Congress: ECR 2011 Type: Scientific Exhibit Authors: E. Tomei, M. Marini, A. Stagnitti, A. sartori, L. bertana, N. Al

More information

OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements

OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements Poster No.: C-0007 Congress: ECR 2012 Type: Scientific Exhibit

More information

Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience

Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience Poster No.: C-2409 Congress: ECR 2013 Type: Authors: Keywords:

More information

Angio-CT preoperative planning of inferior limb free flaps in plastic surgery

Angio-CT preoperative planning of inferior limb free flaps in plastic surgery Angio-CT preoperative planning of inferior limb free flaps in plastic surgery Poster No.: C-3046 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular Authors: L. Saba, M. Atzeni, D. Ribuffo, G.

More information

DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study

DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study Poster No.: B-0276 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Paper M. R.

More information

Normal vascular variants of the upper extremity

Normal vascular variants of the upper extremity Normal vascular variants of the upper extremity Poster No.: C-1039 Congress: ECR 2014 Type: Educational Exhibit Authors: P. Paixao, A. P. Gomes, M. S. C. Sousa, I. Santiago, A. S. C. C. Germano; Amadora/PT

More information

Diffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging

Diffuse infiltration in multiple myeloma treatment response assessment with total-spine contrast enhanced MR imaging Diffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging Poster No.: C-0276 Congress: ECR 2011 Type: Scientific Paper Authors: P. P. Arcuri,

More information

Needle crystal detector technology in mammography further dose reduction and clinical image quality with

Needle crystal detector technology in mammography further dose reduction and clinical image quality with Needle crystal detector technology in mammography further dose reduction and clinical image quality with different beam qualities (W/Rh vs. Mo/Rh) Poster No.: C-1461 Congress: ECR 2013 Type: Scientific

More information

Pancreatic masses: What is there besides cancer

Pancreatic masses: What is there besides cancer Pancreatic masses: What is there besides cancer Poster No.: C-0201 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid Organs) Authors: M. A. Portilha, C. Ruivo, I. Santiago, M.

More information

MRI scanning of the claustrophobic patients

MRI scanning of the claustrophobic patients MRI scanning of the claustrophobic patients Poster No.: C-0549 Congress: ECR 2014 Type: Educational Exhibit Authors: M. minov, A. Doreski, M. Popovska, G. Markoski, S. 1 2 3 2 2 1 2 2 3 Jovanoska, I. miladinovski

More information

Diffusion-weighted MR imaging in lymphadenopathy for differentiation of malignant lymphoma, metastatic lymph node and benign lymphadenopathy

Diffusion-weighted MR imaging in lymphadenopathy for differentiation of malignant lymphoma, metastatic lymph node and benign lymphadenopathy Diffusion-weighted MR imaging in lymphadenopathy for differentiation of malignant lymphoma, metastatic lymph node and benign lymphadenopathy Poster No.: R-0089 Congress: RANZCR-AOCR 2012 Type: Scientific

More information

Ultrasound findings in the skin and subcutaneous tissue of the breast

Ultrasound findings in the skin and subcutaneous tissue of the breast Ultrasound findings in the skin and subcutaneous tissue of the breast Poster No.: C-1431 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Quintana 1, L. Martinez Comín 1, C. Garcia Mur 1, A. Alconchel

More information

Simple ovarian cysts in pre and post menopausal women: what, where and when.

Simple ovarian cysts in pre and post menopausal women: what, where and when. Simple ovarian cysts in pre and post menopausal women: what, where and when. Award: Certificate of Merit Poster No.: C-1438 Congress: ECR 2012 Type: Educational Exhibit Authors: R. A. Gray, S. Higgins,

More information

We developed and evaluated an alternative cloud-based diagnostic image viewing and storage system we call LOOKREC

We developed and evaluated an alternative cloud-based diagnostic image viewing and storage system we call LOOKREC Cloud-based diagnostic image viewer and storage system: Evaluation of image transaction speed and monthly storage costs in comparison with conventional off-internet system. Poster No.: C-0095 Congress:

More information

Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image.

Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image. Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image. Poster No.: C-0564 Congress: ECR 2011 Type: Scientific Exhibit Authors: S. Matsushima, Y.

More information

Economic analysis of a mutualized regional PACS solution vs a hospital-based stand-alone PACS solution

Economic analysis of a mutualized regional PACS solution vs a hospital-based stand-alone PACS solution Economic analysis of a mutualized regional PACS solution vs a hospital-based stand-alone PACS solution Poster No.: C-1254 Congress: ECR 2013 Type: Scientific Exhibit Authors: A. KHELIFA 1, J.-C. Dron 1,

More information

Tears at the rotator cuff footprints: imaging characteristic on MRI and ultrasound, evolutions and clinical significance

Tears at the rotator cuff footprints: imaging characteristic on MRI and ultrasound, evolutions and clinical significance Tears at the rotator cuff footprints: imaging characteristic on MRI and ultrasound, evolutions and clinical significance Poster No.: C-0521 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Paper

More information

Metastatic malignant melanoma revisited

Metastatic malignant melanoma revisited Metastatic malignant melanoma revisited Poster No.: C-2446 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: C. Paulino, B. Gonçalves, P. Marques, M. Gonçalo, F. CaseiroAlves;

More information

Accuracy of Preoperative Estimation of Breast Carcinoma Size Using B-mode Ultrasound and Ultrasound Elastography.

Accuracy of Preoperative Estimation of Breast Carcinoma Size Using B-mode Ultrasound and Ultrasound Elastography. Accuracy of Preoperative Estimation of Breast Carcinoma Size Using B-mode Ultrasound and Ultrasound Elastography. Poster No.: C-1796 Congress: ECR 2014 Type: Scientific Exhibit Authors: S. M. Idrus Alhabshi;

More information

Hydrodilatation for the treatment of frozen shoulder - our early experiences

Hydrodilatation for the treatment of frozen shoulder - our early experiences Hydrodilatation for the treatment of frozen shoulder - our early experiences Award: Winner Poster No.: P-0061 Congress: ESSR 2013 Type: Scientific Exhibit Authors: J. Tuckett, N. Rose, E. A. Fatone, G.

More information

Pneumocystis Jiroveci: Imaging Findings on HRCT

Pneumocystis Jiroveci: Imaging Findings on HRCT Pneumocystis Jiroveci: Imaging Findings on HRCT Poster No.: C-2491 Congress: ECR 2015 Type: Educational Exhibit Authors: R. E. Correa Soto, J. M. Fernandez Garcia-Hierro, M. J. Martín 1 1 2 1 1 Sánchez,

More information

Spinal stenosis and lumbar disc pathology: what every radiologist should know.

Spinal stenosis and lumbar disc pathology: what every radiologist should know. Spinal stenosis and lumbar disc pathology: what every radiologist should know. Poster No.: C-1301 Congress: ECR 2011 Type: Authors: Educational Exhibit A. Ovelar Ferrero 1, N. Alvarez de Eulate León 2,

More information

Abdominal CT Perfusion: Effects of Breath Control Technique

Abdominal CT Perfusion: Effects of Breath Control Technique Abdominal CT Perfusion: Effects of Breath Control Technique Poster No.: C-0068 Congress: ECR 2014 Type: Scientific Exhibit Authors: T. Yoshikawa, T. Kanda, Y. Ohno, Y. Fujisawa, N. Negi, M. 1 1 2 1 1 1

More information

Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL)

Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL) Anatomic Percutaneous Ankle Reconstruction of Lateral Ligaments (A Percutaneous Anti ROLL) Mark Glazebrook James Stone Masato Takao Stephane Guillo Introduction Ankle stabilization is required when a patient

More information

Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine

Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Poster No.: C-1399 Congress: ECR 2013 Type: Scientific Exhibit Authors: J. Martel,

More information

for Image Scaling Enabling Digital Orthopaedics

for Image Scaling Enabling Digital Orthopaedics Calibration Devices, Use & Positioning for Image Scaling Enabling Digital Orthopaedics DIGITAL IMAGE SCALING As Radiology becomes filmless. Current planning practices used by surgeons with acetate sheets

More information

Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging

Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging Poster No.: C-0795 Congress: ECR 2013 Type: Scientific Exhibit Authors: A.

More information

A pictorial review of unusual gallstone complications

A pictorial review of unusual gallstone complications A pictorial review of unusual gallstone complications Poster No.: C-1022 Congress: ECR 2014 Type: Educational Exhibit Authors: N. J. Ley, D. M. Raw, N. Skipper; Sheffield/UK Keywords: Biliary Tract / Gallbladder,

More information

Figure 1.7a. Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings

Figure 1.7a. Copyright 2006 Pearson Education, Inc., publishing as Benjamin Cummings Language of Anatomy Anatomical Position Body erect, feet slightly apart, palms facing forward, thumbs point away from body Right, left, front, back, top, bottom are the subject s (cadaver s) P.O.V. NOT

More information

Second look ultrasound examination for breast lesions: MRI and pathologic correlation

Second look ultrasound examination for breast lesions: MRI and pathologic correlation Second look ultrasound examination for breast lesions: MRI and pathologic correlation Poster No.: C-0559 Congress: ECR 2015 Type: Scientific Exhibit Authors: E. Serrano Tamayo, E. López Soriano, M. Muñoz

More information

R/F. Applications and Present Issues of Tomosynthesis in Spine Surgery. 87th Annual Meeting of the Japanese Orthopaedic Association Evening Seminar 4

R/F. Applications and Present Issues of Tomosynthesis in Spine Surgery. 87th Annual Meeting of the Japanese Orthopaedic Association Evening Seminar 4 R/F Applications and Present Issues of Tomosynthesis in Spine Surgery 87th Annual Meeting of the Japanese Orthopaedic Association Evening Seminar 4 Professor and Chairman Department of Orthopaedic Surgery

More information

Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX

Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX Poster No.: C-1893 Congress: ECR 2013 Type: Scientific Exhibit

More information

MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA

MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA Poster No.: C-0019 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid

More information

GENERAL ANATOMY TERMINOLOGIES: ANATOMICAL POSITIONS, ANATOMICAL PLANES, TERMS OF POSITION.

GENERAL ANATOMY TERMINOLOGIES: ANATOMICAL POSITIONS, ANATOMICAL PLANES, TERMS OF POSITION. GENERAL ANATOMY TERMINOLOGIES: ANATOMICAL POSITIONS, ANATOMICAL PLANES, TERMS OF POSITION. LEARNING OBJECTIVES: At the end of the lecture, students should be able to: Define various anatomical positions

More information

PROPHECY. Preoperative Navigation Guides. ankle ct scan protocol

PROPHECY. Preoperative Navigation Guides. ankle ct scan protocol PROPHECY Preoperative Navigation Guides ankle ct scan protocol 90 FIGURE 1 Examples FIGURE 1 Examples of neutral ankle positioning. PROPHECY Ankle CT Scan Protocol PROPHECY INBONE and PROPHECY INFINITY

More information

Introducing TRUE 3D. Weight Bearing Imaging for Foot & Ankle

Introducing TRUE 3D. Weight Bearing Imaging for Foot & Ankle Introducing TRUE 3D Weight Bearing Imaging for Foot & Ankle You can t know what you don t see. Take a stand for uncompromised vision in foot & ankle diagnosis. The power and precision of pedcat puts optimal

More information

Cycling accidents registered at a department of radiology in 2010

Cycling accidents registered at a department of radiology in 2010 Cycling accidents registered at a department of radiology in 2010 Poster No.: C-0880 Congress: ECR 2013 Type: Authors: Scientific Exhibit J.-H. Opsahl 1, F. Wexels 2, T. E. Gudmundsen 1 ; 1 Drammen/NO,

More information

Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms

Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms Poster No.: C-0760 Congress: ECR 2013 Type: Educational Exhibit Authors: Y. J. Hong, J. Hur, H.-J. Lee, Y. J. Kim, B. W. Choi;

More information

Bone grafting to the maxilla s nuses, nasal floor and anterior maxilla in the atrophic edentulous maxilla

Bone grafting to the maxilla s nuses, nasal floor and anterior maxilla in the atrophic edentulous maxilla Int. J. Oral Maxillofac. Surg. 1997; 26:428~134 Printed in Denmark. All rights reserved Copyright 9 Munksgaard 1997 [ntemationaijoumd of Oral 8c Max~ofacial Surgery ISSN 0901-5027 Bone grafting to the

More information

Introduction of the displaced and crossover type of mattress

Introduction of the displaced and crossover type of mattress Technical note Introduction of the displaced and crossover type of mattress sutures, for hard palate closure C. Dannemann a, *, K.-W. Bütow b a Department of Craniomaxillofacial Surgery, University Hospital

More information

Processed by MTF, designed and available through Synthes Spine. ALIF Spacer. An allograft spacer for anterior lumbar interbody fusion.

Processed by MTF, designed and available through Synthes Spine. ALIF Spacer. An allograft spacer for anterior lumbar interbody fusion. Processed by MTF, designed and available through Synthes Spine ALIF Spacer. An allograft spacer for anterior lumbar interbody fusion. ALIF Spacer Features Designed with curved superior and inferior surfaces

More information

Oftentimes, as implant surgeons, we are

Oftentimes, as implant surgeons, we are CLINICAL AVOIDING INJURY TO THE INFERIOR ALVEOLAR NERVE BY ROUTINE USE OF INTRAOPERATIVE RADIOGRAPHS DURING IMPLANT PLACEMENT Jeffrey Burstein, DDS, MD; Chris Mastin, DMD; Bach Le, DDS, MD Injury to the

More information

P REPLACEMENT SURGERY

P REPLACEMENT SURGERY P REPLACEMENT SURGERY DIRECT ANTERIOR APPROACH M I N I M I Z I N G R E C O V E R Y. M A X I M I Z I N G R E S U L T S. CENTER FOR MINIMAL INVASIVE JOINT SURGERY 2301 25TH STREET SOUTH FARGO ND 58103 701-241-9300

More information

Anatomy and Pathomechanics of the Sacrum and Pelvis. Charles R. Thompson Head Athletic Trainer Princeton University

Anatomy and Pathomechanics of the Sacrum and Pelvis. Charles R. Thompson Head Athletic Trainer Princeton University Anatomy and Pathomechanics of the Sacrum and Pelvis Charles R. Thompson Head Athletic Trainer Princeton University Simplify Everything There are actually only three bones: Two innominates, one sacrum.

More information

Anatomy Lecture Notes Chapters 7 and 8

Anatomy Lecture Notes Chapters 7 and 8 I. axial vs appendicular axial skeleton forms long axis of body: skull, vertebral column, rib cage appendicular - bones of upper and lower limbs including girdles that attach limbs to axial skeleton II.

More information

Appropriate soft tissue closure represents a critical

Appropriate soft tissue closure represents a critical Periosteoplasty for Soft Tissue Closure and Augmentation in Preprosthetic Surgery: A Surgical Report Albino Triaca, Dr Med, Dr Med Dent 1 /Roger Minoretti, Dr Med, Dr Med Dent 1 / Mauro Merli, DMD 2 /Beat

More information

Welcome to Anatomy & Physiology

Welcome to Anatomy & Physiology Welcome to Anatomy & Physiology Chapter 1 -Human Organization What do you need to do to pass this class? MEMORIZE! The Scope of Human Anatomy Human anatomy is the study of the structure of the human body.

More information

Dept. of Medical Imaging University of Ottawa

Dept. of Medical Imaging University of Ottawa ED Visits Related to Bariatric Surgery: Review of Normal Post-Surgical Anatomy as Well as Complications Dept. of Medical Imaging University of Ottawa Disclosures Background Roux-en-Y Gastric Bypass Surgery

More information

LESSON ASSIGNMENT. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 3 Positioning for Exams of the Trunk. LESSON ASSIGNMENT Paragraphs 3-1 through 3-12. LESSON OBJECTIVES After completing this lesson, you should be able to: 3-1. Identify specifications

More information

Product overview and surgical technique

Product overview and surgical technique Product overview and surgical technique Overview Every patient moves differently 1 and their total hip replacement should be optimised to account for this. The orientation of the acetabular cup is one

More information

THE BENJAMIN INSTITUTE PRESENTS. Excerpt from Listen To Your Pain. Assessment & Treatment of. Low Back Pain. Ben E. Benjamin, Ph.D.

THE BENJAMIN INSTITUTE PRESENTS. Excerpt from Listen To Your Pain. Assessment & Treatment of. Low Back Pain. Ben E. Benjamin, Ph.D. THE BENJAMIN INSTITUTE PRESENTS Excerpt from Listen To Your Pain Assessment & Treatment of Low Back Pain A B E N J A M I N I N S T I T U T E E B O O K Ben E. Benjamin, Ph.D. 2 THERAPIST/CLIENT MANUAL The

More information

Osteometry of the Mandible Performed Using Dental MR Imaging

Osteometry of the Mandible Performed Using Dental MR Imaging AJNR Am J Neuroradiol 20:1221 1227, August 1999 Osteometry of the Mandible Performed Using Dental MR Imaging Christian J. O. Nas el, Michael Pretterklieber, Andre Gahleitner, Christian Czerny, Martin Breitenseher,

More information

Long-term success of osseointegrated implants

Long-term success of osseointegrated implants Against All Odds A No Bone Solution Long-term success of osseointegrated implants depends on the length of the implants used and the quality and quantity of bone surrounding these implants. As surgical

More information

Temporomandibular Joint Imaging Using CBCT: Technology Now Captures Reality!

Temporomandibular Joint Imaging Using CBCT: Technology Now Captures Reality! Temporomandibular Joint Imaging Using CBCT: Technology Now Captures Reality! Dale A. Miles BA, DDS, MS, FRCD (C) Diplomate, American Board of Oral and Maxillofacial Radiology Diplomate, American Board

More information

(in: Skeletal Radiology - Vol. 30, n. 3 - March 2001)

(in: Skeletal Radiology - Vol. 30, n. 3 - March 2001) ACUTE AVULSION FRACTURES OF THE PELVIS IN ADOLESCENT COMPETITIVE ATHLETES: PREVALENCE, LOCATION AND SPORTS DISTRIBUTION OF 203 CASES COLLECTED Folco Rossi - Stefano Dragoni (in: Skeletal Radiology - Vol.

More information

Use of Three-Dimensional Computerized Tomography Reconstruction in Complex Facial Trauma

Use of Three-Dimensional Computerized Tomography Reconstruction in Complex Facial Trauma Use of Three-Dimensional Computerized Tomography Reconstruction in Complex Facial Trauma Kapil Saigal, M.D., 1 Ronald S. Winokur, B.S., 2 Steven Finden, D.D.S., M.D., 3 Daniel Taub, D.D.S., M.D., 4 and

More information

Imaging of Thoracic Endovascular Stent-Grafts

Imaging of Thoracic Endovascular Stent-Grafts Imaging of Thoracic Endovascular Stent-Grafts Tariq Hameed, M.D. Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana Disclosures: No relevant financial

More information

PATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION

PATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION PATIENT SPECIFIC PLATES FOR MANDIBLE: CUSTOM MADE PLATES FOR TRAUMA AND RECONSTRUCTION Derived from patient CT Data Customizable design features Strength with low profile This publication is not intended

More information

Zimmer Gender Solutions NexGen High-Flex Implants

Zimmer Gender Solutions NexGen High-Flex Implants Zimmer Gender Solutions NexGen High-Flex Implants Because Women and Men are Different Something new is taking shape It s all about shape. Women and men are different. That s not news to the medical establishment.

More information

Restoration of the Edentulous Maxilla: The Case for the Zygomatic Implants

Restoration of the Edentulous Maxilla: The Case for the Zygomatic Implants CLINICAL CONTROVERSIES IN ORAL AND MAXILLOFACIAL SURGERY: PART ONE J Oral Maxillofac Surg 62:1418-1422, 2004 Restoration of the Edentulous Maxilla: The Case for the Zygomatic Implants Eric D. Ferrara,

More information

Xia Low Profile Spinal System Ilios Application of the Xia Family. Surgical Technique

Xia Low Profile Spinal System Ilios Application of the Xia Family. Surgical Technique Xia Low Profile Spinal System Ilios Application of the Xia Family Surgical Technique Xia Ilios Application Introduction Introduction The evolution of the XIA Ilios Application is further evidence of Stryker

More information

Laboratory 1 Anatomical Planes and Regions

Laboratory 1 Anatomical Planes and Regions Laboratory 1 Anatomical Planes and Regions Goals: Define the anatomical position, including the application of the terms right and left. List and correctly use the major directional terms used in anatomy.

More information

Posterior Referencing. Surgical Technique

Posterior Referencing. Surgical Technique Posterior Referencing Surgical Technique Posterior Referencing Surgical Technique INTRO Introduction Instrumentation Successful total knee arthroplasty depends in part on re-establishment of normal lower

More information

X-ray (Radiography), Bone

X-ray (Radiography), Bone X-ray (Radiography), Bone What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. Imaging with x-rays involves

More information

Classification of Common Acetabular Fractures: Radiographic and CT Appearances

Classification of Common Acetabular Fractures: Radiographic and CT Appearances urkee et al. Radiographic and T lassification of cetabular Fractures Musculoskeletal Imaging Pictorial ssay M N U T R Y L I M I G O F I N G N. Jarrod urkee 1,2 Jon Jacobson 1 avid Jamadar 1 Madhav. Karunakar

More information

HOW TO CITE THIS ARTICLE:

HOW TO CITE THIS ARTICLE: POST TRAUMATIC INSTABILITY OF SUB-AXIAL CERVICAL SPINE - REDUCTION AND INTERNAL FIXATION BY LATERAL MASS SCREWS A LONG TERM FOLLOW-UP STUDY Godagu Bhaskar 1, Ambarapu Mastan Reddy 2, Akyam Lakshman Rao

More information

CT an Important Diagnostic Tool for ED Patient Management

CT an Important Diagnostic Tool for ED Patient Management CT an Important Diagnostic Tool for ED Patient Management Dr. Nicolas Grenier In recent years, the volume of CT examinations conducted in Emergency Departments (ED) has dramatically increased. CT is now

More information

Surgical Art. Formulaic Drawing Method. DRAWING WORKSHOP Learning to sketch for patient notes

Surgical Art. Formulaic Drawing Method. DRAWING WORKSHOP Learning to sketch for patient notes DRAWING WORKSHOP Learning to sketch for patient notes Surgical Art Formulaic Drawing Method Formulaic figure drawing systems involve using abstract rhythms and interlocking shapes to construct the human

More information

Injuries of the Head and Spine sustained while Surf Board Riding

Injuries of the Head and Spine sustained while Surf Board Riding Injuries of the Head and Spine sustained while Surf Board Riding Poster No.: R-0175 Congress: RANZCR-AOCR 2012 Type: Educational Exhibit Authors: S. Dimmick, D. Brazier, P. Wilson, S. Anderson Keywords:

More information

Multi-slice Helical CT Scanning of the Chest

Multi-slice Helical CT Scanning of the Chest Multi-slice Helical CT Scanning of the Chest Comparison of different low-dose acquisitions Lung cancer is the main cause of deaths due to cancer in human males and the incidence is constantly increasing.

More information

chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute

chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute chronos BOne VOid Filler Beta-Tricalcium Phosphate (b-tcp) bone graft substitute chronos Bone Void Filler Osteoconductive Resorbable Synthetic chronos Granules and Preforms are synthetic, porous, osteoconductive,

More information

Evaluation of Multi-Slice Computed Tomography in Assessment of Cochlear Implant Electrode Position: A pictorial essay

Evaluation of Multi-Slice Computed Tomography in Assessment of Cochlear Implant Electrode Position: A pictorial essay Evaluation of Multi-Slice Computed Tomography in Assessment of Cochlear Implant Electrode Position: A pictorial essay By:Fatemeh Nasri Tehran University Of Medical Science 1 Cochlear Implant The standard

More information

Shoulder Hemiarthroplasty for treating proximal humeral fractures

Shoulder Hemiarthroplasty for treating proximal humeral fractures Shoulder Hemiarthroplasty for treating proximal humeral fractures Aloplastyka połowicza w leczeniu złamań bliższego końca kości ramiennej Michał Łaszczyca, Damian Kusz Katedra i Klinika Ortopedii i Traumatologii

More information

DIAGNOSING SCAPHOID FRACTURES. Anthony Hewitt

DIAGNOSING SCAPHOID FRACTURES. Anthony Hewitt DIAGNOSING SCAPHOID FRACTURES Anthony Hewitt Introduction Anatomy of the scaphoid Resembles a deformed peanut Articular cartilage covers 80% of the surface It rests in a plane 45 degrees to the longitudinal

More information

Beverly E Hashimoto, M.D. Virginia Mason Medical Center, Seattle, WA

Beverly E Hashimoto, M.D. Virginia Mason Medical Center, Seattle, WA Pelvic Floor Relaxation Beverly E Hashimoto, M.D. Virginia Mason Medical Center, Seattle, WA Disclosures Beverly Hashimoto: GE Medical Systems: research support and consultant (all fees given to Virginia

More information

X-ray (Radiography) - Bone

X-ray (Radiography) - Bone Scan for mobile link. X-ray (Radiography) - Bone Bone x-ray uses a very small dose of ionizing radiation to produce pictures of any bone in the body. It is commonly used to diagnose fractured bones or

More information

DUKE ORTHOPAEDIC SURGERY GOALS AND OBJECTIVES SPINE SERVICE

DUKE ORTHOPAEDIC SURGERY GOALS AND OBJECTIVES SPINE SERVICE GOALS AND OBJECTIVES PATIENT CARE Able to perform a complete musculoskeletal and neurologic examination on the patient including cervical spine, thoracic spine, and lumbar spine. The neurologic examination

More information

The PROfx Pelvic Reconstruction Orthopedic Fracture Table

The PROfx Pelvic Reconstruction Orthopedic Fracture Table The PROfx Pelvic Reconstruction Orthopedic Fracture Table Positioning Guide by Joel Matta, MD NW0705 REV A The information contained within this Positioning Guide is not intended to be a substitute for

More information

10/25/2013. The Osteomeatal Complex or Unit. Surgical Anatomy of the Paranasal Sinuses. Basal Lamella of the Middle Turbinate

10/25/2013. The Osteomeatal Complex or Unit. Surgical Anatomy of the Paranasal Sinuses. Basal Lamella of the Middle Turbinate Surgical Anatomy of the Paranasal Sinus Outline Surgical Anatomy of the Paranasal Sinuses Relationships Important in Endoscopic Sinus Surgery Todd T. Kingdom, MD University of Colorado School of Medicine

More information

VERSYS HERITAGE CDH HIP PROSTHESIS. Surgical Technique for CDH Hip Arthroplasty

VERSYS HERITAGE CDH HIP PROSTHESIS. Surgical Technique for CDH Hip Arthroplasty VERSYS HERITAGE CDH HIP PROSTHESIS Surgical Technique for CDH Hip Arthroplasty SURGICAL TECHNIQUE FOR VERSYS HERITAGE CDH HIP PROSTHESIS CONTENTS ANATOMICAL CONSIDERATIONS....... 2 PREOPERATIVE PLANNING............

More information

Chapter 5. The Shoulder Joint. The Shoulder Joint. Bones. Bones. Bones

Chapter 5. The Shoulder Joint. The Shoulder Joint. Bones. Bones. Bones Copyright The McGraw-Hill Companies, Inc. Reprinted by permission. Chapter 5 The Shoulder Joint Structural Kinesiology R.T. Floyd, Ed.D, ATC, CSCS Structural Kinesiology The Shoulder Joint 5-1 The Shoulder

More information

Study Of Carrying Angle And Its Correlation With Various Parameters

Study Of Carrying Angle And Its Correlation With Various Parameters Study Of Carrying Angle 28 Study Of Carrying Angle And Its Correlation With Various Parameters Dr. Srushti Ruparelia*, Dr. Shailesh Patel**, Dr. Ankur Zalawadia*, Dr. Shaival Shah*, Dr. S. V. Patel****

More information

Dental Bone Grafting Options. A review of bone grafting options for patients needing more bone to place dental implants

Dental Bone Grafting Options. A review of bone grafting options for patients needing more bone to place dental implants Dental Bone Grafting Options A review of bone grafting options for patients needing more bone to place dental implants Dental Bone Grafting Options What is bone grafting? Bone grafting options Bone from

More information

STATE OF NEVADA DEPARTMENT OF BUSINESS & INDUSTRY DIVISION OF INDUSTRIAL RELATIONS WORKERS COMPENSATION SECTION

STATE OF NEVADA DEPARTMENT OF BUSINESS & INDUSTRY DIVISION OF INDUSTRIAL RELATIONS WORKERS COMPENSATION SECTION STATE OF NEVADA DEPARTMENT OF BUSINESS & INDUSTRY DIVISION OF INDUSTRIAL RELATIONS WORKERS COMPENSATION SECTION NEVADA MEDICAL FEE SCHEDULE MAXIMUM ALLOWABLE PROVIDER PAYMENT February 1, 2012 through January

More information

INFORMATION SOCIETIES TECHNOLOGY (IST) PROGRAMME

INFORMATION SOCIETIES TECHNOLOGY (IST) PROGRAMME INFORMATION SOCIETIES TECHNOLOGY (IST) PROGRAMME Project Number IST-1999-10954 Project Title: Virtual Animation of the Kinematics of the Human for Industrial, Educational and Research Purposes Title of

More information

Introduction. I. Objectives. II. Introduction. A. To become familiar with the terms of direction and location.

Introduction. I. Objectives. II. Introduction. A. To become familiar with the terms of direction and location. E X E R C I S E Introduction I. Objectives A. To become familiar with the terms of direction and location. B. To become familiar with different types of planes and sections. C. To learn the names and locations

More information

Lectures of Human Anatomy

Lectures of Human Anatomy Lectures of Human Anatomy Vertebral Column-I By DR. ABDEL-MONEM AWAD HEGAZY M.B. with honor 1983, Dipl."Gynecology and Obstetrics "1989, Master "Anatomy and Embryology" 1994, M.D. "Anatomy and Embryology"

More information