1. Shoulder Flashcards

1
Q

What is the SID for shoulder projections

A

SID = 110cm

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2
Q

what is the kV for shoulder views

for with and without grids

A

70-75kV (w/ grid)

70-85kV (no grid)

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3
Q

do you use a grid for shoulder projections

A

yes

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4
Q

What is the breathing technique for shoulder views

A

Suspend respiration at end of inhalation

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5
Q

How can you tell that its a anterior shoulder dislocation

A

humeral head not aligned with glenoid fossa

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6
Q

How can you tell that its a posterior shoulder dislocation

A

light bulb sign

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7
Q

What are the 2 components of a Hill-Sach lesion

A

Posterolateral humeral head compression #

Humeral head rests against anteroinferior glenoid

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8
Q

what is a Bankarts trauma and what type of shoulder dislocation is it due to

A

Anterior-inferior labrum shoulder injury

Due to anterior shoulder dislocation

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9
Q

What direction are the Greater and Lesser tubercles when the shoulder is externally rotated?

Can you see the tubercles

A

G-Tubercle lateral

L-tubercle anterior (not seen)

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10
Q

What direction are the Greater and Lesser tubercles when the shoulder is internally rotated?

Can you see the tubercles

A

G-tubercle anterior (not seen)

L-tubercle medial

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11
Q

What direction are the Greater and Lesser tubercles when the shoulder is neutrally rotated?

Can you see the tubercles

A

G-tubercle & L-tubercle (anterior) not in profile

both cant be seen

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12
Q

what are the 3 points to consider when positioning a patient for the AP Shoulder

A

Affected shoulder touching IR

Scapulohumeral joint @ centre of IR

Abduct extended arm slightly

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13
Q

How should the shoulder be rotated for an AP shoulder view

which rotation should be used if hill-sachs is suspected

A

internally or externally

internal if hill sachs

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14
Q

What is the CP for a AP Shoulder view

A

perpendicular 2.5cm inferior to coracoid

5cm inferior to acromion (& a bit lateral)

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15
Q

What are the 2 positioning evaluation things to look for in a AP Shoulder external rotation

A

G-tubercle in profile lateral

L-tubercle superimposed over humeral head

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16
Q

What are the 2 positioning evaluation things to look for in a AP Shoulder internal rotation

A

L-tubercle in profile medial

G-tubercle superimposed over humeral head

17
Q

What are the 3 area of interest evaluation things to look for in a AP Shoulder

A

Proximal humerus

Lateral 2/3 of clavicle & upper scapula

Humeral head & glenoid fossa

18
Q

how should the body be rotated when positioning a patient for the Glenoid shoulder view

A

Body rotated 35-45* toward affected side

19
Q

how should the arm be rotated when positioning a patient for the Glenoid shoulder view

A

Abduct arm slightly in neutral rotation

20
Q

For a glenoid view centre ___ & IR to CR

Collimation light ___cm above ____ and ___cm from ____ border

A

Centre mid-scapulohumeral joint & IR to CR

Collimation light 5cm above shoulder and 5cm from lateral humerus border

21
Q

Whats the CP for a glenoid shoulder view

A

perpendicular to the Scapulohumeral joint

5cm inferior & 5cm medial from superolateral shoulder border

2.5cm inferior to coracoid

22
Q

What are the 2 positioning evaluation things to look for in a Glenoid shoulder view

A

Scapulohumeral & Glenohumeral joint space open

No rotation = ant/post glenoid cavity superimposed

23
Q

What is the area of interest evaluation for in a AP Shoulder

A

Glenoid cavity seen in profile (no hum head superimposition)

24
Q

what are the 3 points to consider when positioning a patient for the Y lateral scapula view

A

PA, affected shoulder 45-60* post-oblique against IR

Unaffected arm up/in front, affected arm down

Centre scapulohumeral joint and CR

25
Q

What is the CP for a Y lateral scapula view

A

perpendicular to the Scapulohumeral joint

26
Q

What are the 3 positioning evaluation things to look for in a Y lateral scapula view

A

Acromion and coracoid symmetrical upper Y arms

Humeral head superimposed over base of Y

Thin scapula body seen on end w/out rib superimposition

27
Q

What is the area of interest evaluation for in a Y lateral scapula view

A

Scapular Y (scapula, proximal humerus, scapulohumeral joint)

28
Q

what are the 3 points to consider when positioning a patient for the Infero-superior Axial (Lawerence) view

A

Supine, head turn away from IR

Shoulder 5cm raised from tabletop w/ support

Arm supinated (external rotation), abducted to 90*

29
Q

What is CP for the Infero-superior Axial (Lawerence) view

A

25-30* medial to axilla

30
Q

What are the 2 positioning evaluation things to look for in a Infero-superior Axial (Lawerence) view

A

Arm abducted 90* from body

Lateral view of proximal humerus relative to scapulohumeral cavity

31
Q

What are the 2 features that are part of the area of interest evaluation for in a Y lateral scapula view

A

Coracoid & lesser tubercle see in profile

Scapula spine on edge below scapulohumeral joint