Back Pain Treatment Training Practice Test 2025 - Free Back Pain Treatment Practice Questions and Study Guide

Question: 1 / 400

The “Scottie dog” sign in X-ray analysis indicates potential issues with what?

Intervertebral discs

Facet joints

The "Scottie dog" sign in X-ray analysis serves as an important indicator for assessing the integrity of the lumbar spine, specifically focusing on the facet joints. In this context, the imagery produced appears like a Scottie dog, with the dog's head representing the transverse process and the body corresponding to the vertebral arch. When viewed properly, any disruptions or abnormalities in this characteristic appearance can suggest a condition known as spondylolysis, where there is a defect in the pars interarticularis of the vertebra.

Facet joints, which are located at the back of the spine, are crucial for stability and mobility in the lumbar region. Changes in the alignment or structure of the vertebrae reflected in the "Scottie dog" sign raise concerns about potential dysfunction or degeneration of these joints. Thus, a pronounced "Scottie dog" sign can alert healthcare providers to carefully evaluate the facet joints for any underlying issues, making it a valuable tool in diagnosing back problems.

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Muscle tears

Nerve pathways

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