Presentan :

Wisi Fauziatun Nasa 12100114012

BAGIAN ILMU RADIOLOGI PROGRAM PENDIDIKAN PROFESI DOKTER (P3D)

FAKULTAS KEDOKTERAN UNISBARUMAH SAKIT UMUM DAERAH AL IHSAN BANDUNG

2015

CLINICAL SCIENCE SESSIONS FOTO EKSTREMITAS

ANATOMI EKSTREMITAS

EKSTREMITAS ATASEkstremitas Atas terdiri dari

beberapa tulang, yaitu: o Os Manus

o Os Radius dan Os Ulna

(Antebrachi)

o Os Humerus

o Os Calvicula

o Os Scapula

Persendian yang menghubungkan tulang-tulang

tersebut, diantaranya:

• Wrist Joint (Articulatio Radiocarpalia) merupakan

persendian antara Os. Radius dan Ossa Carpalia di

manus

• Elbow Joint (Articulatio Cubiti) merupakan

persendian antara Ossa Antebrachi dan Os. Humerus

• Shoulder Joint (Articulatio Glenohumerale)

merupakan persendian antara cavitas Glenoidalis

pada Os Scapula dan Caput Humeri

EKSTREMITAS BAWAH

Ekstremitas Bawah terdiri

dari beberapa tulang, yaitu:

o Os Femur

o Os Pattela

o Os Tibia dan Os Fibula

(Cruris)

o Os Pedis

• Persendian yang menghubungkan tulang-tulang

tersebut, diantaranya:

• Hip Joint (Articulatio Coxae) dibentuk oleh caput

femoris dan acetabulum

• Knee Joint (Atriculatio Genue) merupakan

persendian yang menghubungkan femur, tibia, dan

patella

• Ankle Joint (Articulatio Talocruralis) sendi antara

tulang tungkai bawah dengan talus ( tulang

pergelangan kaki)

TEKNIK PEMERIKSAAN

• Pemeriksaan ini dibuat dengan posisi AP dan

Lateral sedemikian rupa sehingga tampak kedua

sendi pada satu film.

• Pada klinis dislokasi, osteoatritis, dibuat foto

perbandingan kanan dan kiri.

GAMBARAN RADIOLOGI

GAMBARAN RADIOGRAFI

EKTREMITAS ATAS

Shoulder AP Projection

1. Acromion 2. Acromioclavicular joint3. Anatomical neck of

humerus4. Bicipital groove5. Clavicle6. Coracoid process 7. Glenoid cavity 8. Greater tuberosity of

humerus 9. Humeral head10. Humerus11. Lesser tuberosity of

humerus12. Scapula13. Scapular neck14. Scapular spine15. Shoulder joint16. Surgical neck of humerus

Shoulder Axial Projection

1. Acromion 2. Acromioclavicular joint3. Anatomical neck of humerus4. Bicipital groove5. Clavicle6. Coracoid process 7. Glenoid cavity 8. Greater tuberosity of

humerus 9. Humeral head10. Humerus11. Lesser tuberosity of humerus12. Scapula13. Scapular neck14. Scapular spine15. Shoulder joint16. Surgical neck of humerus

Arm AP Projection1. Acromion2. Acromioclavicular joint3. Clavicle4. Coracoid process5. Deltoid tuberosity of

humerus6. Glenoid cavity7. Greater tuberosity of

humerus8. Humeral head9. Humerus10. Lesser tuberosity of humerus11. Olecranon12. Radial head13. Radius14. Ulna

Arm Lateral Projection1. Acromion2. Acromioclavicular joint3. Clavicle4. Coracoid process5. Deltoid tuberosity of

humerus6. Glenoid cavity7. Greater tuberosity of

humerus8. Humeral head9. Humerus10. Lesser tuberosity of

humerus11. Olecranon12. Radial head13. Radius14. Ulna

Elbow AP Projection1. Capitulum of humerus2. Coronoid process3. Epicondyle, radial (lateral)4. Epicondyle, ulnar (medial)5. Humeroradial joint6. Humeroulnar joint7. Humerus8. Intercondylar fossa9. Olecranon10. Olecranon fossa11. Radial head12. Radial neck13. Radial tuberosity14. Radioulnar joint, proximal15. Trochlea of humerus16. Trochlear notch of ulna17. Ulnar tuberosity

Elbow Lateral Projection

1. Capitulum of humerus2. Coronoid process3. Epicondyle, radial (lateral)4. Epicondyle, ulnar (medial)5. Humeroradial joint6. Humeroulnar joint7. Humerus8. Intercondylar fossa9. Olecranon10. Olecranon fossa11. Radial head12. Radial neck13. Radial tuberosity14. Radioulnar joint, proximal15. Trochlea of humerus16. Trochlear notch of ulna17. Ulnar tuberosity

Wrist AP Projection1. Capitate2. Carpometacarpal joints3. Distal radioulnar joint4. Hamate5. Hook of the hamate6. Lunate7. Metacarpal bones 1–58. Pisiform9. Radiocarpal joint10. Radius11. Scapho-trapezio-trapezoid (STT)

joint12. Scaphoid13. Styloid process of radius14. Styloid process of ulna15. Trapezium 16. Trapezoid17. Triquetrum18. Ulna

Wrist Lateral Projection

1. Capitate2. Carpometacarpal joints3. Distal radioulnar joint4. Hamate5. Hook of the hamate6. Lunate7. Metacarpal bones 1–58. Pisiform9. Radiocarpal joint10. Radius11. Scapho-trapezio-trapezoid (STT)

joint12. Scaphoid13. Styloid process of radius14. Styloid process of ulna15. Trapezium 16. Trapezoid17. Triquetrum18. Ulna

Hand AP Projection1. Capitate2. Carpometacarpal joints3. Distal interphalangeal joints4. Distal phalanges5. Distal radioulnar joint6. Hamate7. Hook of the hamate8. Lunate9. Metacarpal bones 1–510. Metacarpo-phalangeal joints11. Middle phalanges12. Pisiform13. Proximal interphalangeal joints14. Proximal phalanges15. Radius16. Scaphoid17. Sesamoid bones (of thumb)18. Trapezium19. Trapezoid20. Triquetrum21. Ulna

GAMBARAN RADIOGRAFI

EKTREMITAS BAWAH

Hip AP Projection1. Acetabulum2. Anterior inferior iliac spine3. Anterior superior iliac spine4. Femoral head5. Femoral neck6. Femur7. Greater trochanter 8. Hip joint9. Ilium10. Inferior pubic ramus11. Ischial spine12. Ischial tuberosity 13. Ischium14. Lesser trochanter 15. Obturator foramen16. Pubis17. Superior pubic ramus

Hip Lateral Projection1. Acetabulum2. Anterior inferior iliac spine3. Anterior superior iliac spine4. Femoral head5. Femoral neck6. Femur7. Greater trochanter 8. Hip joint9. Ilium10. Inferior pubic ramus11. Ischial spine12. Ischial tuberosity 13. Ischium14. Lesser trochanter 15. Obturator foramen16. Pubis17. Superior pubic ramus

Thight AP Projection1. Acetabulum2. Femoral head3. Femoral neck4. Femur5. Greater trochanter6. Ischium7. Lateral femoral

condyle8. Lesser trochanter9. Medial femoral

condyle10.Patella

Knee AP Projection1. Fabella2. Femoropatellar joint3. Femorotibial joint, lateral

compartment4. Femorotibial joint, medial

compartment5. Femur6. Fibula7. Fibular head8. Lateral femoral condyle9. Lateral patellar joint10. Medial femoral condyle11. Medial patellar joint12. Patella13. Proximal tibiofibular joint14. Tibia15. Tibial spine16. Tibial tuberosity

Knee Lateral Projection

1. Fabella2. Femoropatellar joint3. Femorotibial joint, lateral

compartment4. Femorotibial joint, medial

compartment5. Femur6. Fibula7. Fibular head8. Lateral femoral condyle9. Lateral patellar joint10. Medial femoral condyle11. Medial patellar joint12. Patella13. Proximal tibiofibular joint14. Tibia15. Tibial spine16. Tibial tuberosity

Leg AP Projection1. Femur2. Fibula3. Fibular head4. Lateral femoral

condyle5. Medial femoral

condyle6. Patella7. Patellar tendon8. Proximal tibiofibular

joint9. Talus10.Tibia11.Tibial tuberosity

Leg Lateral Projection1. Femur2. Fibula3. Fibular head4. Lateral femoral

condyle5. Medial femoral

condyle6. Patella7. Patellar tendon8. Proximal tibiofibular

joint9. Talus10.Tibia11.Tibial tuberosity

Ankle AP Projection1. Calcaneus2. Fibula3. Lateral malleolus4. Medial malleolus5. Navicular6. Posterior process of

talus7. Posterior tibial process8. Talar head9. Talar neck10.Talus11.Tibia12.Tibiofibular

syndesmosis

Ankle Lateral Projection

1. Calcaneus2. Fibula3. Lateral malleolus4. Medial malleolus5. Navicular6. Posterior process of

talus7. Posterior tibial process8. Talar head9. Talar neck10.Talus11.Tibia12.Tibiofibular

syndesmosis

Foot AP Projection1. Calcaneus2. Cuboid3. Distal interphalangeal joint4. Distal phalanx5. Fibula6. Intermediate cuneiform7. Lateral cuneiform8. Lateral malleolus9. Medial cuneiform10. Metatarsal bones11. Metatarsophalangaeal joint12. Middle phalanx13. Navicular14. Proximal interphalangeal joints15. Proximal phalanx16. Sesamoids17. Talar head18. Talar neck19. Talus20. Tarsometatarsal joint21. Tibia22. Tuberosity of the fifth metatarsal23. Tuberosity of the navicular

Foot AP Projection

1. Calcaneus2. Cuboid3. Distal interphalangeal joint4. Distal phalanx5. Fibula6. Intermediate cuneiform7. Lateral cuneiform8. Lateral malleolus9. Medial cuneiform10. Metatarsal bones11. Metatarsophalangaeal joint12. Middle phalanx

13. Navicular14. Proximal interphalangeal joints15. Proximal phalanx16. Sesamoids17. Talar head18. Talar neck19. Talus20. Tarsometatarsal joint21. Tibia22. Tuberosity of the fifth metatarsal23. Tuberosity of the navicular

TERIMAKASIH