Chapter 4 Flashcards
Total hand, wrist, finger bones
27
Digits
14, # starts from thumb (1), index (2), etc
Radius side
Side with thumb
Ulnar side
Pinky side
Singularly digits called
phalanx- head, body, base
Metacarpal
Bones of palm (5)- head, body, base
Carpals
8 wrist bones
Steve left the party to take Carol home
scaphoid lunate triquetrum pisiform trapezium trapezoid capitate hamate
Scaphoid
Navicular, most fractured, articulates with radius
Lunate
Semilunate, articulates with radius
Triquetrum
Cuniform, articulates with pisiform
Pisiform
Smallest carpal bone, articulates with triquetrum
Trapezium
Greater Multtangular
Trapezoid
Lesser multangular
Capitate
Largest carpal bone- OS magnum
Hamate
Uncifor- hook like process called hamulus
IP
Interphalangeal Joints
DIP
Distal interphalangeal joints
PIP
Proximal Interphalangeal Joints
MCP
Metacarpophalangeal Joint
CMC
Carpometacarpal Joints
Radius
Thumb side, shorter of 2 forearm bones. Turns the wrist.
Styloid Process
Projections on distal ends of radius and ulna
Ulnar Notch
Medial side of radius. Head of ulna fits into this notch.
Head of radius
proximal end of radius
Ulna
Pinky side, formation of the elbow joint
Pointy process of proximal ulna
Olecranon, Coronoid
Coronoid tubercle
Process on medial side
Trochlear Notch
articulates with distal end of humerus
Radial Notch
depression on lateral ulna
humeral condyle
distal end of humerus
trochlea
articulates with ulna, shaped like a pulley
Capitulum
articulates with head of radius
Lateral epicondyles
small projection on later humerus
Medial epicondyles
Larger of 2 condyles, more prominent on medial
Coronoid & Radial fossas
Coronoid process & radial head fits into when arm is flexed
Olecranon fossa
posterior side of humerus, sits on olecranon process when arm is extended
Ulnar deviation
Scaphoid or navicular view- open bones on radial side
Radial deviation
Open wrist bones on ulnar side
Why are forearms most done AP
Radial & Ulnar bones cross
Trick to use PA wrist to get bones closer to film
Make a fist
Fat pads
Indicate disease of injury. Result of excess fluid, slightly darker than surrounding tissue, hard to see
Wrist fat pad
2- scaphoid fat stripe, pronator fat stripe
Elbow joint fat pad
3- Anterior, posterior, supinator
Fingers technique
60 KVP @ 1.5 MAS
Hand technique
60 KVP 2 MAS
Wrist technique
60 KVP @ 2.5 MAS
Forearm technique
65 KVP @ 3 MAS
Elbow technique
65 KVP @ 3 MAS
Humerus technique
70 KVP @ 6 MAS
Distance from film
40”
Pediatric patients
Less technique, held with tape or sponge
Casts
Increase exposure-
Small 5-7 KVP
Large 8-10 KVP
Fiberglass 3-4 KVP
Markers
Lateral side of body part
Other rules
Lengthwise, 2 joints for longbones, no grid, small focal spot
Fracture
Break in a bone
Contusion
Type of injury without a fracture or break in skin
Simple (closed) fracture
Bone doesn’t break through the skin
Compound (open) fracture
Bone protrudes through skin
Incomplete (partial) fracture
fracture doesn’t traverse through the entire bone
Complete fracture
Break is complete and includes the entire cross section of bone
Transverse fracture
Fracture line is tranverse at near right angle to long axis of bone
Oblique fracture
Line passes through bone at oblique angle
Spiral fracture
bone has been twisted apart and the fracture line is spiral shaped
Comminuted fracture
Bone is splintered or crushed resulting in 2 or more fragments
Avulsion fracture
Results from severe stress to a tendon or ligament in joint. Fragment of bone is separated/pulled away by attached tendon/ligament
Chip fracture
Fracture involving an isolated bone fragment
Tuft/Burst
Comminuted fracture of distal phalanx from crushing blow to distal finger
Epiphyseal fracture
Through epiphyseal plate. Easily fractured in long bone of children
Torus fracture
in children, a buckle of cortex with localized expansion of torus of cortex
Greenstick fracture
in children, incomplete fracture on one side cortex on 1 side of bone is broken and other side is bent
Open reduction
severe fractures with significant displacement or fragmentation- surgery required
Closed reduction
fractures in which the misalignment requires restoration to a normal position- done without surgery
baseball fracture
fracture of distal phalanx from a ball striking end of extended finger
barton’s fracture
intra-articular fracture of posterior lip of distal radius
Bennett’s fracture
longitudinal fracture at base of 1st metacarpal with fracture line entering the carpometacarpal joint
boxer’s fracture
involves 5th distal metacarpal
colles fracture
fracture of adult wrist in which distal radius is fractured with distal fragment displaces posteriorly. fall on outstretched arm
carpal tunnel syndrome
compression of median nerve as it passes through center of wrist
joint effusion
accumulated fluid in joint cavity
osterarthritis (DJD)
non inflammatory joint disease- type of arthritis
osteopetrosis
abnormally dense bone- increase tech factors
osteoporosis
reduction in quantity of bone- decrease tech factors
rheumatoid arthritis
disease with inflammatory changes occurring throughout connective tissues- decrease tech factors