Professional Documents
Culture Documents
The first step, when presented any X-Ray, is to verify the simple details about the X-Ray:
You need to start by making sure you have the right patient and the correct date. Next you need to
identify you what bone you are viewing and the type/angle of the X-Ray (e.g. lateral or AP).
“This is a lateral view X-Ray of Mr. X’s left forearm, taken on the 2/5/2011”
Is there good exposure and can you see the joint above and below the bone of interest?
“The X-Ray has acceptable exposure and the elbow and wrist joints are visible”
Main findings
The main findings need to outline what you see with the fracture. This will include the location,
morphology, number of fragments/part and if it is displaced. More specifically:
o Which bone?
o The will usually describe the mechanism of injury (e.g., direct, wedge, oblique, spiral)
o Number of parts (e.g. simple, comminuted (lots of parts), multifragmented; or say 2,3,4 or
more parts
“This appears to be simple oblique fracture at the junction of the middle and lateral third of the
radius”
o Translation = (how much in percentage has it lateralised from the original bone position)
o Angulations = the degree the distal fragment piece has moved from the direction the
proximal bone in pointing NOTE: comment as radial or ulnar and/or, frontal or dorsal)
o Rotation = look at the lower joint and report in degrees the amount of rotation of the distal
fragment)
“There is 50 percent radial translation of the fracture without significant shortening. The distal
fragment is dorsally angulated 20 degrees with no obvious rotation”
1. Greenstick fracture
2. Colle’s fracture
3. Smith’s fracture
Other types
Comment on any other soft tissue swelling or lytic lesions, change in density of bone or other radiological
changes such as signs of osteoarthritis or joint malformations
“There is no other abnormality noted.”
Summary
Summary example:
“This is a X-Ray of Mr. X’s left forearm taken on the 2/5/10. The X-Ray has acceptable exposure and the
elbow and wrist joints are visible. The main finding is a fracture in the metaphysis of the radial bone. This
appears to be simple oblique fracture at the junction of the middle and lateral third of the radius. There is
50 percent radial translation of the fracture without significant shortening. The distal fragment is dorsally
angulated 20 degrees with no obvious rotation. There is no other abnormality noted.”