Elbow

Question 1

Elbow AP Proj

Pt position

Answer 1

Same w AP of FA except
- shoulder jt, humerus, elbow joint in same plane
- humeral epicondyles and anterior surface of the elbow- parallel- plane- IR
- RP; elbow jt

Note: Conventional
Sandbag-under digits-support (elbow is more in contact)

Question 2

Elbow

IR and CRD

Answer 2

IR: 8x10/ 10x12-top-RT-MP-RP

CRD: Perp-36-40” SID-RP-exit-MP-IR

Question 3

Demo frontal image-elbow jt/ distal humerus and proximal FA

Answer 3

Elbow AP Proj

Question 4

Elbow Lat Projection (Lateromedial)
(Griswold Method)

Pt position

Answer 4

Affected limb-top RT-flex elbow-90deg-ulnar surface-IR

RP: elbow joint

humeral epicondyles-perp-IR

hand-lateral position

Question 5

Demo elbow joint, distal arm, proximal FA

Answer 5

Elbow Lat Projection (Lateromedial)
(Griswold Method)

Question 6

Elbow Lat Projection (Lateromedial)
(Griswold Method)

Modification

Answer 6

When injury to the soft tissue around the elbow is suspected, the joint should be flexed only 30 or 35 deg. This partial flexion does not compress or stretch the soft structures

Question 7

Olecranon process can be seen in profile

Answer 7

Elbow Lat Projection (Lateromedial)
(Griswold Method)

Question 8

Elbow fat pads are the least compressed
*** emphasizing more on jt spaces

Answer 8

Elbow Lat Projection (Lateromedial)
(Griswold Method)

Question 9

Elbow Added Proj
APO (Medial Rotation)

Pt and part position

Answer 9

Same conventional lat seating/ comfort except:

affected limb-top RT-extended-medially rotate/ pronate hand-anterior surface-elbow-45deg

sandbag-under pronated hand

obliquity-clears coronoid process of radial hand

RP: elbow jt

Question 10

Demo oblique img-elbow/ coronoid process free of superimposition

Answer 10

Elbow APO (Medial Rotation)

Question 11

Elbow Added Proj
APO (Lateral Rotation)

Pt and part position

Answer 11

Same convetional lat seating/ comfort except:

affected limb-top-RT-extended-hand-supinated-(lateral rotation)-posterior surface-elbow-45deg

45deg sponge wedge-under supinated hand

1st-2nd digits in contact-RT

RP: elbow jt

Question 12

Demo oblique image of elbow and the radial head and neck are free of superimposition

Answer 12

Elbow APO (Lateral Rotation)

Question 13

Elbow Added Proj
AP Proj (Partial Flexion- Distal Humerus)

Pt and part position

Answer 13

Conventional lat seating/ comfort

Affected limb-top RT-entire humerus same plane-elbow-partial flexion-hand-supinated-supported

RP; elbow jt

Question 14

Demo elbow jt in partial flexion w distal humerus

Answer 14

Elbow Added Proj
AP Proj (Partial Flexion- Distal Humerus)

Question 15

Elbow Added Proj
AP Proj (Partial and Acute Flexion- Distal Humerus)

CRD

Answer 15

Perp-humerus-36-40” SID-RP-exit-MP-IR

Question 16

Elbow Added Proj
AP Proj (Partial Flexion- Proximal FA)

Pt and part position

Answer 16

Conventional lat seating/ comfort

Affected limb-top-RT-FA (dorsal surface)-same plane-elbow-partial flexion-hand supinated-supported

RP; elbow jt

Question 17

Demo elbow jt in partial flexion w proximal FA

Answer 17

Elbow Added Proj
AP Proj (Partial Flexion- Proximal FA)

Question 18

Elbow Added Proj
AP Proj (Partial and Acute Flexion- Proximal FA)

CRD

Answer 18

Perp-FA-36-40” SID-RP-exit-MP-IR

Question 19

Elbow Added Proj
AP Proj (Partial Flexion)

Holly Recommendation

Answer 19

Same w AP partial flexion distal humerus except:

FA supinated enough to place horizontal plane of wrist-30deg from horizontal to better demonstrate radial head

Question 20

AP projection of the radial head ; What is this modification called?

Answer 20

Holly Recommendation

Question 21

Elbow Added Proj
AP Proj- Jones Orthopedic Technique (Acute Flexion- Distal Humerus)

Pt and part position

Answer 21

Conventional lat seating/ comfort

Affected limb-top-RT-humerus (dorsal surface)-in contact-IR-acute flexion-hand-over shoulder/ LA-humerus and FA-parallel-IR

RP: 2” above olecranon process

Question 22

Demo olecranon process without superimposition

Answer 22

Elbow Added Proj
AP Proj- Jones Orthopedic Technique (Acute Flexion- Distal Humerus)

Question 23

Elbow Added Proj
PA Proj- Jones Orthopedic Technique (Acute Flexion- Proximal FA)

Pt and part position

Answer 23

Conventional lat seating/ comfort

Affected limb-top RT-humerus (dorsal surface)-in contact-IR-acute flection-gand over shoulder/ LA-humerus and FA-parallel-IR

RP: 2” distal-olecranon process

Question 24

Demo a more opened elbow joint

Answer 24

Elbow Added Proj
PA Proj- Jones Orthopedic Technique (Acute Flexion- Proximal FA)

Question 25

Radial Head
What projection?

Answer 25

Lat proj (Lateromedial Four-Position Series)

Question 26

Radial Head Lat Proj
(Lateromedial Four-Position Series)

Pt and part position

Answer 26

Same w conventional lat proj of the elbow except:

4 exposures made with masking technique
1st exposure: hand supinated
2nd exposure-hand in lateral
3rd exposure-hand pronated
4th exposure-hand in internal rotation

Question 27

Demo radial head circumference at varying degrees of rotation

Answer 27

Radial Head Lat Proj
(Lateromedial Four-Position Series)

Question 28

Radial Head Lat Proj
(Lateromedial Four-Position Series)

Modification to demo radial head more clearly

Answer 28

Greenspan and Norman Recommendation

CR-45deg medially-36-40” SID-elbow jt-exit-MP-IR