Jason Weiden MD, Presenter: Nothing to Disclose

Justin Matthew Rafael MD, Abstract Co-Author: Nothing to Disclose

The Purpose of this exhibit is to: 1. Familiarize viewer with the commonly seen axial loading injuries in the trauma patient. 2. By presenting multiple injuries effecting different parts of the body, but which share a common mechanism of injury, we aim to make the viewer more likely to detect multiple injuries in patients having suffered an axial loading event. 3. To demonstrate the utility of Multidetector CT in diagnosing multiple axial load injuries.

Axial Loading as a Common Mechanism of Injury Axial Loading Injuries, including pathophysiology and imaging findings: Vertebral Burst Fracture, Axial Load Tear Drop Fracture, Occipital Condyle Fracture, Jefferson Fracture, Sacral U-shaped Fracture, Vertical Shear Pelvic Fracture, Posterior Hip Dislocation/acetabular fracture, Tibial Plateau Fracture, Tibial Pilon Fracture, Calcaneal Fractures, Achilles Tendon Rupture, Commonly Associated Injuries Approach to Imaging the Axial Load Trauma Victim Review of Key Concepts

1. By considering mechanism of injury, the viewer should suspect and actively exclude multiple injuries to different parts of the body in the axial load trauma victim. 2. MDCT is exam of choice in detecting and characterizing axial load injuries. Viewer should be familiar with imaging findings of the axial load injuries presented in exhibit.  

Weiden, J, Rafael, J, Axial Loading Injuries in the Multitrauma Patient.  A Review of the Most Common Injuries Seen from Head to Toe.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12030894.html