Radiographers Reporting

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0><script> (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','//www.google-analytics.com/analytics.js','ga'); ga('create', 'UA-47423994-1', 'fortunecity.ws'); ga('send', 'pageview'); </script> <center> <br> <div> <script language="javascript" type="text/javascript" src="http://ad.broadcaststation.net/ads/show_ad.php?width=728&height=90"></script> </div> </center> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=100 BGCOLOR="#000000" TEXT="#F7F7FF" bgproperties="fixed" background="03f00640dvldtc.gif"> <div> <B>Radiographers Reporting</B></div> <div> <A HREF="id37.htm" TARGET="_top" TITLE="The Report"><U>The Report</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Shoulder"><U>Shoulder</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Elbow"><U>Elbow</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Wrist"><U>Wrist</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Hand"><U>Hand</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Pelvis/Hip"><U>Pelvis/Hip</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Knee"><U>Knee</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Ankle"><U>Ankle</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="Foot"><U>Foot</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="SalterHarris fractures"><U>Salter-Harris fractures</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Paediatric arm."><U>Paediatric arm.</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="Paediatric leg"><U>Paediatric leg</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Should you include the Radiologist?"><U>Should you include the Radiologist?</U></A>   |   <A HREF="id31.htm" TARGET="_top" TITLE="Guest book and link sites."><U>Guest book and link sites.</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#000000" TEXT="#F7F7FF" background="040d2c00dvldtc.gif"> <div> <B>1.</B></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0d9b9140.jpg" border=0 width="185" height="276" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>2.</B></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0dbb9150.jpg" border=0 width="185" height="277" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>3.</B></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0ddb8130.jpg" border=0 width="184" height="275" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B>4.</B></div> <div> <B><IMG SRC="2b7b40d0.jpg" border=0 width="180" height="269" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </td> <td valign="top" height=380 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <B>WELCOME TO THE "RADIOGRAPHERS REPORTING" WEB SITE.</B></div> <div> <B>www.radiographersreporting.com</B></div> <div> <B>You are visitor number:-</B></div> <div> <B>  <div align="center"> <div style="width:128px;padding:2px;border:1px solid #cccccc;background-color:#f9f9f9;color:#000000;font:bold 11px verdana;"> Visitors:  <script language="JavaScript" type="text/javascript" src="http://pub18.bravenet.com/counter/code.php?id=368599&usernum=1541611057&groupnum=18&cpv=2"></script>  </div></div>  </B></div> <div> <B>Since June 2000.</B></div> <div> <B>  <div align="center"> <div align="center" style="width: 210px; border: 1px solid #999999; background-color: #F2F4FA;"> <form action="http://pub18.bravenet.com/search2/search.php" method="post" style="margin:0px;"> <div style="background-color:#DBE0F5; padding:3px; font:12px arial; color:black;"><b>Search My Site</b></div> <div style="margin:10px; font: 11px arial; color: black; text-align:right;"><input type="hidden" style="border: 0px solid black; height: 0px; width: 0px;" name="usernum" value="1541611057" /><input type="hidden" style="border: 0px solid black; height: 0px; width: 0px;" name="cpv" value="2" /><input type="text" size="15" name="keyword" /> <input type="submit" value="Search" /></div> <div align="center" style="margin:5px;"><a title="Free Site Search from Bravenet.com" href="http://www.bravenet.com/"><img src="http://assets.bravenet.com/cp/bn-search2.gif" alt="Free Site Search from Bravenet.com" border="0"></a></div> </form> </div> </div>   </B></div> <bR> <div> <B>The pages on this site were updated on the following dates:-</B></div> <bR> <div> <A HREF="id37.htm" TARGET="_top" TITLE="The Report"><U>THE REPORT - UPDATED 12/02/01.</U></A>          <A HREF="id19.htm" TARGET="_top" TITLE="Shoulder"><U>SHOULDER - UPDATED 03/12/02. </U></A>      </div> <div> <A HREF="id20.htm" TARGET="_top" TITLE="Elbow"><U><B>ELBOW - UPDATED 13/10/05.</B></U></A><B> </B>              <A HREF="id21.htm" TARGET="_top" TITLE="Wrist"><U>WRIST - UPDATED 27/10/04.</U></A></div> <div> <A HREF="id22.htm" TARGET="_top" TITLE="Hand"><U>HAND - UPDATED 06/07/04.</U></A><A HREF="id22.htm" TARGET="_top" TITLE="Hand"><U> </U></A>  <B> </B>               <B> </B><A HREF="id23.htm" TARGET="_top" TITLE="Pelvis/Hip"><U>PELVIS/HIP - UPDATED 27/07/05.</U></A></div> <div> <A HREF="id24.htm" TARGET="_top" TITLE="Knee"><U>KNEE - UPDATED 22/07/05.</U></A>              <A HREF="id25.htm" TARGET="_top" TITLE="Ankle"><U>ANKLE - UPDATED 26/02/02.</U></A></div> <div> <A HREF="id26.htm" TARGET="_top" TITLE="Foot"><U>FOOT - UPDATED 08/11/02.</U></A>               <A HREF="id33.htm" TARGET="_top" TITLE="Paediatric arm."><U><B>PAEDIATRIC ARM - UPDATED 13/10/05.</B></U></A></div> <div> <A HREF="id35.htm" TARGET="_top" TITLE="Paediatric leg"><U>PAEDIATRIC LEG - UPDATED 16/10/04.</U></A>          <A HREF="id36.htm" TARGET="_top" TITLE="SalterHarris fractures"><U>SALTER-HARRIS - UPDATED 07/02/02.</U></A> <A HREF="id29.htm" TARGET="_top" TITLE="Should you include the Radiologist?"><U>BEST TO INCLUDE THE RADIOLOGIST - UPDATED 08/11/02.</U></A></div> <div> <A HREF="id31.htm" TARGET="_top" TITLE="Guest book and link sites."><U>GUEST BOOK AND LINK</U></A><A HREF="id31.htm" TARGET="_top" TITLE="Guest book and link sites."><U> SITES - UPDATED 18/03/01.</U></A></div> <bR> <div> <B><U>DISCLAIMER.</U></B></div> <bR> <div> This web site is intended for research and education only. It is not intended as a diagnostic tool. The author has made every effort to ensure that the information contained in these pages is accurate. For any medical  or paramedical professionals viewing this site, the diagnosis, management and treatment of your patients remains your responsibility. The author takes no responsibility for, and disclaims, any liability, loss, injury or damage incurred, or any misdiagnosis made, either directly or indirectly, as a result of information on this web site.</div> <bR> <div> Any members of the public who view this site must be aware that the author will not reply to any requests for information on medical matters, and that they should discuss such things with their own family doctor.</div> <bR> <div> <B><U>THE AUTHOR.</U></B></div> <bR> <div> The author of this site is <A HREF="mailto:radrep@xtra.co.nz" TARGET="_top" TITLE="mailto:radrep@xtra.co.nz"><U>Brian Tidey</U></A>. He was the Superintendent Radiographer for Trauma and Orthopaedics at The Royal Sussex County Hospital in Brighton, Sussex, U.K., until his move to New Zealand in August 2001.</div> <bR> <div> He trained at the Portsmouth School of Radiography qualifying in June 1979. He  worked in Brighton until his departure to New Zealand. He was promoted to the senior position in the Trauma and Orthopaedic X-Ray department in 1986.</div> <bR> <div> He completed the post graduate course in "Radiographer Reporting of the Appendicular Skeleton in Trauma" at The South Bank University in London in 1996, and together with three other reporting radiographers, issued on around 20,000 end stage reports per year until he left the U.K.</div> <div> If readers would like any information about the course they can click on the following link to access the <A HREF="http://www.lsbu.ac.uk/" TARGET="_top" TITLE="http://www.lsbu.ac.uk/"><U>University information</U></A> or e-mail the course tutor, <A HREF="mailto:hughesj@lsbu.ac.uk" TARGET="_top" TITLE="mailto:hughesj@lsbu.ac.uk"><U>Jerry Hughes</U></A><A HREF="mailto:hughesj@lsbu.ac.uk" TARGET="_top" TITLE="mailto:hughesj@lsbu.ac.uk"><U>.</U></A></div> <bR> <div> <B><U>CONTENTS.</U></B></div> <bR> <div> This web site has been produced with the aim to assist radiographers / x-ray technicians who are currently on a post graduate course in "radiographer reporting of the appendicular skeleton in trauma", or are about to start one. Of course it may be of use to any radiographer or student who is just looking to gain more knowledge of trauma radiography / radiology.</div> <bR> <div> Since putting this web site together in 2000 the scope of the reporting radiographer in the U.K. has increased immensely. Many U.K. reporting radiographers are now issuing reports on the axial as well as the appendicular skeleton and are able to report on pathologies as well as fractures. In many cases the radiologist has been relieved of his reporting duties altogether.</div> <bR> <div> However, this author left the U.K. before further training could be undertaken which obviously limits this web site to the author's scope of expertise. Also as a world wide reference tool this web site is used by many outside the U.K. where radiographer reporting is just becoming a reality.</div> <bR> <div> All the images on this site are original unless otherwise stated, which is why a few images are not available to illustrate the text. The gaps would have been filled as the patients presented in the author's department, but since his move to New Zealand the updates may be rare as he is no longer working in a major trauma environment. To save viewers wasting time looking through for updated images, the pages are listed at the top of this page along with the dates they were last updated with new images or text. This list also acts as links to those pages from this home page, once on other pages use the links at the top of each page to navigate around the site. Use the site as a frequent reference tool, and tell colleagues who may be interested. </div> <bR> <div> It could be argued that many trauma images produced do not need a report, as in <B>image 1</B> in the column to the left. <B>It is not suggested by the author that these obvious injuries should not be reported on at some stage</B>, but they will often be dealt with very quickly by an orthopaedic surgeon who does not need a report to know what they are dealing with. Scroll down to <B>images 2, 3 and 4</B>, are these positive or negative? Do they need to be followed up in a clinic or not? The art of reporting, as the author sees it, is to differentiate between the negative and the subtly positive, with an aim to reduce the number of missed fractures, or indeed the number of incorrectly diagnosed fractures, in the accident and emergency department or emergency room, as these have a direct effect on the patient's management and in some cases add unnecessary workload to already busy clinics. To this end the reporting radiographer needs to know the normal radiographic anatomy and the signs that point them towards the correct diagnosis, if they do not, they will miss the subtle or the unusual. The following pages will therefore contain examples of these signs and clues, and generally exclude images like <B>image 1</B>. </div> <bR> <div> The site is divided into pages which deal with the different areas of the appendicular skeleton including paediatrics. If the reader clicks on the links at the top of each page in order they will be taken through a tutorial covering most topics of appendicular trauma reporting. For those first time visitors to this web site it can be seen that on each page there is the text on the right and some corresponding images on the left. The text and images can be independently scrolled through with the bars to the right of each section. Some of the text appears in a lighter shade, these are links to other pages or to other sites, click on the lighter text to access the link.</div> <bR> <div> Please note that most of the images have been cropped to include only the area of interest to allow for quicker download of the pages. <B>The radiographer should always scrutinize the whole radiograph, not just the area of interest.</B></div> <bR> <div> <B><U>RELATED READING.</U></B></div> <div> There are many useful books for any radiographer wanting to increase their knowledge, too many to list here. However there are three in particular that the author has found extremely useful, they are: -</div> <div> <IMG SRC="49c11980.jpg" border=0 width="273" height="408" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="49e07980.jpg" border=0 width="263" height="408" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="4a0118f0.jpg" border=0 width="273" height="399" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> </tr></table></body>