Elbow Flashcards
Elbow AP Proj
Pt position
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)
Elbow
IR and CRD
IR: 8x10/ 10x12-top-RT-MP-RP
CRD: Perp-36-40” SID-RP-exit-MP-IR
Demo frontal image-elbow jt/ distal humerus and proximal FA
Elbow AP Proj
Elbow Lat Projection (Lateromedial)
(Griswold Method)
Pt position
Affected limb-top RT-flex elbow-90deg-ulnar surface-IR
RP: elbow joint
humeral epicondyles-perp-IR
hand-lateral position
Demo elbow joint, distal arm, proximal FA
Elbow Lat Projection (Lateromedial)
(Griswold Method)
Elbow Lat Projection (Lateromedial)
(Griswold Method)
Modification
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
Olecranon process can be seen in profile
Elbow Lat Projection (Lateromedial)
(Griswold Method)
Elbow fat pads are the least compressed
*** emphasizing more on jt spaces
Elbow Lat Projection (Lateromedial)
(Griswold Method)
Elbow Added Proj
APO (Medial Rotation)
Pt and part position
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
Demo oblique img-elbow/ coronoid process free of superimposition
Elbow APO (Medial Rotation)
Elbow Added Proj
APO (Lateral Rotation)
Pt and part position
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
Demo oblique image of elbow and the radial head and neck are free of superimposition
Elbow APO (Lateral Rotation)
Elbow Added Proj
AP Proj (Partial Flexion- Distal Humerus)
Pt and part position
Conventional lat seating/ comfort
Affected limb-top RT-entire humerus same plane-elbow-partial flexion-hand-supinated-supported
RP; elbow jt
Demo elbow jt in partial flexion w distal humerus
Elbow Added Proj
AP Proj (Partial Flexion- Distal Humerus)
Elbow Added Proj
AP Proj (Partial and Acute Flexion- Distal Humerus)
CRD
Perp-humerus-36-40” SID-RP-exit-MP-IR
Elbow Added Proj
AP Proj (Partial Flexion- Proximal FA)
Pt and part position
Conventional lat seating/ comfort
Affected limb-top-RT-FA (dorsal surface)-same plane-elbow-partial flexion-hand supinated-supported
RP; elbow jt
Demo elbow jt in partial flexion w proximal FA
Elbow Added Proj
AP Proj (Partial Flexion- Proximal FA)
Elbow Added Proj
AP Proj (Partial and Acute Flexion- Proximal FA)
CRD
Perp-FA-36-40” SID-RP-exit-MP-IR
Elbow Added Proj
AP Proj (Partial Flexion)
Holly Recommendation
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
AP projection of the radial head ; What is this modification called?
Holly Recommendation
Elbow Added Proj
AP Proj- Jones Orthopedic Technique (Acute Flexion- Distal Humerus)
Pt and part position
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
Demo olecranon process without superimposition
Elbow Added Proj
AP Proj- Jones Orthopedic Technique (Acute Flexion- Distal Humerus)
Elbow Added Proj
PA Proj- Jones Orthopedic Technique (Acute Flexion- Proximal FA)
Pt and part position
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
Demo a more opened elbow joint
Elbow Added Proj
PA Proj- Jones Orthopedic Technique (Acute Flexion- Proximal FA)
Radial Head
What projection?
Lat proj (Lateromedial Four-Position Series)
Radial Head Lat Proj
(Lateromedial Four-Position Series)
Pt and part position
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
Demo radial head circumference at varying degrees of rotation
Radial Head Lat Proj
(Lateromedial Four-Position Series)
Radial Head Lat Proj
(Lateromedial Four-Position Series)
Modification to demo radial head more clearly
Greenspan and Norman Recommendation
CR-45deg medially-36-40” SID-elbow jt-exit-MP-IR