Medicine, Nursing and Allied Health Professions


Appendicular Skeletal Reporting

Module titleAppendicular Skeletal Reporting
Module codePAMM102
Academic year2019/0
Module staff

Ms Lucy Banfield (Convenor)

Duration: Term123
Duration: Weeks




Number students taking module (anticipated)


Description - summary of the module content

Module description

This module is to develop your advanced understanding and knowledge of the appendicular skeleton and to develop your image interpretation skills in order to provide accurate written reports. It will allow for a comprehensive understanding of appendicular skeletal trauma and will allow for the application of the knowledge gained in the musculoskeletal pathology module. In addition you will be introduced to clinical examination in the trauma setting which will serve to consolidate your comprehension of typical mechanisms of injury and how this affects the resultant radiographic image. 

Students undertaking this module should be familiar with projection radiography images and be a registered healthcare professional. You will be required to hold employment in a healthcare setting where they have access to images and mentorship for the reporting aspects. Radiographers will be required to demonstrate HCPC registration.

Module aims - intentions of the module

This module aims to support you in developing your knowledge of the appendicular skeleton. This module will introduce you to the clinical examination process, mechanism of injury and will enable you to identify the radiological appearances of trauma commonly associated with the appendicular skeleton. The module will also consolidate knowledge and understanding of various musculoskeletal pathologies in addition to normal variants. 

You will develop and enhance your report writing abilities and will be able to demonstrate a deeper understanding of how the clinical picture relates to the image findings.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Analyse, interpret and critically evaluate radiographic images of the appendicular skeleton including complex cases.
  • 2. Use clinical reasoning and critical judgement in the construction of radiological reports of the appendicular skeleton and demonstrate comprehension of the resultant clinical decision making process.
  • 3. Use the current evidence base to inform knowledge and demonstrate understanding of the pathologies and trauma appearances of the appendicular skeleton.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 4. Demonstrate a systematic understanding of medical vocabulary and use accurate terminology to describe image findings precisely.
  • 5. Undertake analysis of complex image findings and cases and apply advanced theoretical knowledge in the evaluation of findings in the context of the most recent evidence-base.
  • 6. Evaluate the context of the radiological report and how it may impact on the subsequent management of the patient based on the current evidence base.

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 7. Identify, evaluate and maintain qualities to support effective communication in a range of complex and specialised contexts.
  • 8. Exercise initiative and personal responsibility for independent learning and continuing professional development.

Syllabus plan

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

A comprehensive understanding of:

1. Normal appendicular anatomy and normal variants

2. Appendicular musculoskeletal pathology

3. Mechanism of injury and radiological appearances

4. The appearances of minor and major appendicular skeletal trauma

5. Use and apply the correct medical terminology

6. Appropriate construction of radiological reports

7. Demonstrate an awareness of image quality

8. Appropriate diagnostic pathway and clinical decision making

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning & Teaching activities15Tutorials with clinical staff
Scheduled Learning & Teaching activities30Lectures - delivered by a variety of practitioners experienced in clinical image interpretation.. the module will be delivered over five 2-day teaching blocks and will involve; lectures, seminars and small group work delivered via a combination of 1- and 2-hour sessions, and a 90-minute image interpretation session at each visit.
Guided independent study120Portfolio - development of a record of practise radiological reports with a summary sheet demonstrating competence
Guided independent study60Guided reading
Guided independent study75Assignment preparation


Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Practice reports Test bank of appendicular images each teaching block1-8Verbal
Online practice casesTest bank of appendicular images 1-8Written

Summative assessment (% of credit)

CourseworkWritten examsPractical exams

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Portfolio, audit and reflection0600 practice reports – 20% of the total must comprise of shadow reports.1-8Written
Case report10Case report (3,000 word)2-8Written
OSCE90Plain film appendicular radiographic examinations. (2 x 90 mins)1-7Written


Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Portfolio, audit and reflection600 practice reports1-8Typically within twelve weeks of the result
Case report (10%)Case report (3,000 word) resubmission of original assignment2-8Typically within twelve weeks of the result
OSCE (90%)Plain film appendicular radiographic examinations. (2 x 90 mins)1-7Typically within twelve weeks of the result

Re-assessment notes

In the event that you fail to complete sufficient practice reports to pass the portfolio component you will be required to submit any outstanding reports within eight weeks of the original submission date. 

The final OSCE scores will be scaled in order that the final module mark is in line with accepted conventions in regard to the classifications awarded for successful postgraduate study. 

The combined aggregate score (prior to scaling) for the OSCE's must equal 90% or above in order to pass the module.



Indicative learning resources - Basic reading

1.  Adam, A., Dixon, A. K., Gillard, J. H. and Schaefer-Prokop, C. M. eds., 2015.  Grainger And Allison’s Diagnostic Radiology: A Textbook Of Medical Imaging.  6th ed.  Churchill Livingstone Elsevier.  EHL (NHS): WN 100 GRA Vol 1 and WN 100 GRA Vol 2

2.  Blankenbaker, D. G., Davies, K. W., Sonin, A., Crim, J. R., Tuite, M. J. and Andrews, C. L., 2016.  Diagnostic Imaging: Musculoskeletal Trauma.  2nd ed.  Elsevier.  UL: electronic resource.

3.  Dähnert, W., 2017.  Radiology Review Manual.  8th ed.  Wolters Kluwer.  UL: 616.0757 DAH

4.  Davies, S. G. ed, 2014.  Chapman And Nakielny’s Aids To Radiological Differential Diagnosis.  6th ed.  Saunders.  UL: electronic resource.

5.  Fox, J C., ed., 2017.  Clinical Emergency Radiology.  2nd ed.  Cambridge University Press.  UL: electronic resource

6.  Grant, L. A. and Griffin. N., 2018.  Grainger And Allison’s Diagnostic Radiology Essentials.  2nd ed.  Elsevier.  UL: 616.0757 GRA

7.  Helms, C., 2014.  Fundamentals Of Skeletal Radiology.  4th ed.  Elsevier Saunders.  UL: electronic resource.

8.  Keats, T. E. and Anderson, M. W., 2013.  Atlas Of Normal Roentgen Variants That May Simulate Disease.  9th ed.  Elsevier Saunders.  UL: electronic resource.

9.  McConnell, J., Eyres, R. and Nightingale, J., 2005.  Interpreting Trauma Radiographs.  Blackwell.  UL: 616.0757 MAC

10.  Raby, N., Berman, L., Morley, S. and de Lacey, G., 2015.  Accident And Emergency Radiology: A Survival Guide.  3rd ed.  Saunders.  UL: 616.0757 RAB

11.  Renton, P., 1998.  Orthopaedic Radiology: Pattern Recognition And Differential Diagnosis.  2nd ed.  CRC Press.  UL: 616.0757 REN

12.  Resnick, D., 2002.  Diagnosis Of Bone And Joint Disorders.  4th ed.  WB Saunders.  UL: 616.71075 RES (Vol 1 through to Vol 5)

13.  Rogers, L. F. and Clark West, O., 2015.  Imaging Skeletal Trauma.  4th ed.  Elsevier Saunders.  UL: electronic resource.

Module has an active ELE page

Key words search

Image Reporting Appendicular skeleton Lower limb Upper limb

Credit value30
Module ECTS


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