This 17 year old male football player injured his shoulder following being tackled during football game.  Based on your impression of this image what are the possible injuries that could be shown here?  What other injuries might you want to rule out based on his mechanism of injury?  Based on your impression how would you proceed with therapy during the first several weeks if he came to see you one week after this injury?

Read the article by Love et al in the journal Radiographics the concept of radionuclear imaging is discussed. Describe one thing that you learned about radionuclear imaging from this article, and how it may relate to a patient you have seen during one of your clinicals!

This is a 21 year old male with complaints of shoulder and neck pain.  Carefully review your ABC's and see if you notice anything wrong.  What type of image is this?  Why was it taken?  What would be his symptoms? Describe a few and let your other classmates chime in as you progress.
Please complete the post 4/24/2013. 

Thoracic spine radiograph

From the viewing the image above you can clearly see that it is of the thoracic spine.  However look closely and see if you notice anything unusual!  Use your ABCs of evaluating radiographic images and tell me as much as you can about this image.  Why did they take this image? Is it male or female? What age is the subject? Is the image AP or PA? How can you tell each of these or can you.  You do not all need to comment on everything you see, just pick out one or two.  If you disagree with your classmates that is ok, just explain why!  Each of you should comment about something and please dont just use everyone elses prior comments.  Go out on a limb and make a judgement on your own.  Its ok if you are not right.  Viewing and interpreting images in a skill and art!  Even the best radiologists miss the mark sometimes!  Good luck!
    

This image is of a male defensive back who injured shoulder after an arm tackle in recent game.

He felt pain and immediate dead arm which lasted 5 min. He has since had pain with ER and abduction movements. Additionally he feels as though his shoulder will give out.

What view are you looking at? What pathology exists and how can you tell?

Make sure you look very closely at the outlines of bony structures!

If he is now a week out - what should you be doing regarding therapy?

How conservative or aggressive should you be?

The patient above was seen for upper extremity symptoms of pain, numbness and tingling. Since you know the symptoms, what do you notice unusual about the images? Are these images taken from PA or AP? What would you suspect the medical diagnosis might be?

Read the article by Love et al in the journal Radiographics the concept of radionuclear imaging is discussed. Describe one thing that you learned about radionuclear imaging from this article, and how it may relate to a patient you have seen during one of your clinicals!