Bahasa Inggris Radiologi (Case Report)

                                                                                             

PEDIS RADIOGRAPHIC EXAMINATION IN PATIENT WITH OSTEOARTHRITIS IN HOGWARTS HOSPITAL

Introduction

Radiographic Examination is examination using X-Ray to provide information about anatomy and phatology. One of radiographic examination that often performed is Pedis radiographic examination. There are three basic projections in pedis; anteroposterior (AP), lateral, axial, oblique, and weight bearing (Bontrager, Fifth Edition 2001)

There are  3 projections used in radiographic examination in Hogwarts Hospital, there are anteroposterior (AP), lateral, and oblique, it can cause inaccurate diagnosis.

The purpose of this case report is to describe Pedis radiographic examination procedure in patient with osteoarthritis in Hogwarts Hospital.

Osteoarthritis (OA) is an abnormality of a joint caused by imbalance physiology which causes damage joints. It’s also known as degenerative arthritis or degenerative joint disease or osteoarthrosis, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. Osteoarthritis (OA) commonly affects the hands, feet, spine, and the large weight bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As OA progresses, the affected joints appear larger, are stiff and painful, and usually feel better with gentle use but worse with excessive or prolonged use, thus distinguishing it from rheumatoid arthritis.

Case Presentation

            Mrs. Ceres (40 years old, 165 cm tall, 50 weight) felt pain since she got high sugar levels in 2010. In her right foot there was a wound in her fingers. That wound was getting worse until now. Injuries incurred after she wearing shoes that were routinely used by her to the workplace. Trauma history denied. Wound pain is felt as throbbing. There was complaint of fever. Every day, she took care of wounds herself at home, and then the wound grew fast and growing pains. She then treated to a clinic, given antibiotics. She diagnosed got osteoarthritis. The doctor suggested her to have radiographic examination first. In this hospital, radiographic examination was done using two projections, AP axial weight bearing and oblique.

Position of patients of AP Axial Weight Bearing Projection was erect, both hands beside the body as comfortable as possible. Flexions legs and soles of the feet facing the desk examination. Put the tape on the floor. The patient stands on the tapes. Position the marker according to the position of the foot. Place a ruler measuring (scale) to make it easier to position the feet so symmetrical. FFD was 90-100cm. CR in 10º (toward os calcaneus), and CP on 3rd of Metatarsal and it’s used imaging plate size 24 cm x 30 cm.

Position of patient of oblique projection was supine. Both hands beside the body as comfortable as possible. Give a pillow under the head. Flexions legs and soles of the feet facing the desk examinations. The object was endo rotation foot with 30º angle  to the tape on the lateral side. With FFD 90-100cm. CR was 10º (toward os calcaneus) and CP on 3rd of Metatarsal. And imaging plate’s size was 24 cm x 30 cm.

Discussion

            In literature stated that radiographic examination in Pedis use three projections. But in Hogwarts Hospital only used two projections, AP axial weight bearing and oblique are needed to provide information of base of Pedis that indicate the osteoarthritis.

This radiographic projection is used to see joints space in patient’s pedis.

Conclusion

Indication of osteoarthritis is the occurrence of aging process of the body organs especially is pedis who was the greatest burden has to sustain weight.

            Pedis radiographic examination in patient with osteoarthritis in Hogwarts Hospital was same to the literature, but for osteoarthritis only used two projections, it’s AP axial weight bearing and oblique that might cause accurate diagnosis. It’s used AP axial weight bearing because this radiographic examination of osteoarthritis in cases of very important for the purpose of comparing the state of both the pedis. The assessment is done by comparing the injured joint space with normal joint space, therefore certain radiographic examination is performed with the patient's position. It’s not used lateral projection because this projection not give more benefit for osteoarthritis, it’s used to see corpus alienum.