Patient name and age
Orientation and location of images
ex. AP and lateral of the right wrist
Skeletal maturity
ex. AP and lateral of the right wrist
Follow the cortex and look for discontinuities
Fractures
Location
Epiphysis, diaphysis, metaphysis
Midshaft, proximal 3rd, mid-3rd, distal 3rd
Joint involvement
Orientation
Transverse, oblique, sagittal
Comminution
Comminuted - small fragments
Segmental - small section of bone boarded by fractures distally and proximally
Butterfly fragment - large triangular segment
Displacement
Percentage of disruption
ex. 50% displacement if bones are half overlapping or 200% displacement if the bones are separated by the distance of one bone-width
Describe displacement of distal fragment relative to proximal
Angulation
Describe angulation as the direction the apex is pointing relative to anatomical long axis of the bone
Shortening
Rotational deformity
Lesions
Lytic/blastic lesion
Important if assessing a pathological fracture
Location
Epiphysis, diaphysis, metaphysis
Midshaft, proximal 3rd, mid-3rd, distal 3rd
Joint involvement
Orientation
Transverse, oblique, sagittal
Comminution
Comminuted - small fragments
Segmental - small section of bone boarded by fractures distally and proximally
Butterfly fragment - large triangular segment
Displacement
Percentage of disruption
ex. 50% displacement if bones are half overlapping or 200% displacement if the bones are separated by the distance of one bone-width
Describe displacement of distal fragment relative to proximal
Angulation
Describe angulation as the direction the apex is pointing relative to anatomical long axis of the bone
Shortening
Rotational deformity
Epiphysis, diaphysis, metaphysis
Midshaft, proximal 3rd, mid-3rd, distal 3rd
Joint involvement
Transverse, oblique, sagittal
Comminuted - small fragments
Segmental - small section of bone boarded by fractures distally and proximally
Butterfly fragment - large triangular segment
Percentage of disruption
ex. 50% displacement if bones are half overlapping or 200% displacement if the bones are separated by the distance of one bone-width
Describe displacement of distal fragment relative to proximal
Describe angulation as the direction the apex is pointing relative to anatomical long axis of the bone
Lytic/blastic lesion
Important if assessing a pathological fracture
Position and alignment
Fracture involving the joint
Obvious degeneration or FB
Gas
Can be present in open fractures or with soft tissue infections
Fat pads
ex. Sail sign
Foreign body
Can be present in open fractures or with soft tissue infections
ex. Sail sign
X-ray interpretation 
Chest x-ray interpretation
Pediatric assessment triangle
Visual diagnosis 
LLSA Readings 
Tongue diagnoses
Anal tags
Cervical spine x-ray interpretation