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ADI: The distance measured is between the posterior margin of the anterior tubercle and the anterior surface of the odontoid. Adult 1 - 3 mm Children 1 - 5 mm |
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Chamberlain's Line: Hard Palate to oposithion Average: Below line to 3 mm above |
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Cobb's angle: End vertebral endplate lines; then intersecting perpendiculars ; measure angle |
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Eisenstein's Method for Sagittal Canal Measurement: Tips of superior and inferior articular processes, SHOULD NOT BE less than 15 mm |
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George's Line: The posterior vertebral body surfaces are connected with a continuous line that traverses the intervertebral disc Anterior to posterior vertebral malpositions when line is not smooth |
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Interpedicular Distance: Shortest distance between inner surfaces of opposing pedicles, L1-L4=minimum 21 mm L5= minimum 23 |
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Lateral Border of Articular Pillars |
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Lumbar Gravity Line: A perpendicular line from the center point of the L3 body, The line should intersect with the anterior one quarter of the sacrum or the same distance anteriorly |
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LumboSacral Disc Angle: Angle between opposing endplates of L5 and S1 NORMAL RANGE 10-15 degrees |
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McGregor's Line: Hard palate to occiput; note relative odontoid apex Maximum is: Males: 8mm; Females: 10mm Basilar impression when odontoid is more than the maximum distances listed above above. |
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Spinolamina Junction Line: If the curve is discontinuous at any level then anterior or posterior displacement may be present |
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Retropharyngeal Space: Measured from anteroinferior body margins of C2, C3, C2, 5 mm; C3, 7 mm Retrotracheal Space: Measured from anteroinferior body margins of C5, C6, C7 less than or=20 mm |
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Risser-Ferguson Method: END VERTEBRAE APICAL VERTEBRA VERTEBRAL BODY CENTER
Construct connecting lines through mid points of vertebrae. Measure acute angle |
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Sacral Base Angle: Endplate of S1 to horizontal line angle NORMAL RANGE 26–57 degrees |
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Sagittal Diameter of Vertebral Canal: Narrowing of the canal (stenosis) may be present when the measurement is <12 mm. |
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Thoracic Kyphosis Measurement: T1 superior end plate to T12 inferior endplate; then intersecting perpendiculars measure the angle. 27-42 F 26-41 M |
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Depth of Cervical curve: Odontoid apex to the posterior C7 body. Measure greatest distance to line, Min/Max: 7-12mm |
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Angle of Cervical curve: Atlas plane line and C7 end plates; then intersecting perpendiculars, Min/Max: 35-45 degrees |
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Method of Gore: A line is drawn through the posterior surface of the C2 body and another through the posterior surface of the C7 body. The acute angle formed by these two lines is measured |
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Method of Jochumsen: C1 anterior tubercle to anterior C7 body; measure distance to anterior C5 body Min/Max:1-9 mm |
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Pre Sacral Space
Soft tissue density between the rectum and anterior sacral surface.
Children 1-5 mm Adults 2-20 mm |
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Risser’s Sign (Iliac Epiphysis) |
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Waldenstrom's Sign TEARDROP DISTANCE
most medial aspect femoral head outer cortex of pelvic teardrop
Normal: min 6 mm max 11 mm |
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FASCIAL PLANE LINES
Gluteus Medius Fascial Plane Line
Obturator Interunus Fascial Plane Line
Iliopsoas Fascial Plane Line |
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Kohler’s line
Line tangential to the cortical margin of the pelvic inlet and the outer border of the obturator foramen
Floor of the acetabulum lies lateral to this line
If the floor crosses this line: Protrusio acetabuli Idiopathic, RA, Paget’s disease and osteomalacia [YR p1514] |
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SHENTON’S LINE
Smooth curvilinear line along medial femoral neck and superior obturator border. Constructed along undersurface of the femoral neck. Should be continuous. Femur dislocation or fracture if line is interrupted. |
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Iliofemoral Line
Smooth curvilinear line along ilium and onto femoral neck; should be bilaterally symmetrical. Asymmetry may denote hip joint abnormality. |
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Lines through the axis of the femoral shaft and neck.
Coxa Vara Less than 120 degrees
Normal Femoral Angle 120-130 degrees
Coxa Valga More than 130 degrees |
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SKINNER’S LINE
Normal: fovea capitus should lie above or at the level of this line |
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KLEIN’S LINE
This line should intersect the femoral head symmetrically. If it is asymmetrical, then slippage of the femoral capital epiphysis should be considered
Straight line along the outer margin of the neck of the femur |
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AC interspace distance or Separation Acromioclavicular Joint Space
Normal: 2-4mm M 3.3 m F 2.9 mm |
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Glenohumeral Joint Space
Normal: 4-5 mm |
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Acromiohumeral Joint Space
Range 7 – 11 mm
May indicate post-traumatic subluxation, dislocation, joint effusion, stroke, brachial plexus lesions |
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Boehler’s Angle
Normal 28-40 degrees |
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Heel pad measurement
Increased - acromegaly |
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