Elbow and humerus Flashcards

1
Q

Describe the movements at the elbow joints

A

Flextion and extension

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2
Q

What type of bone is the humerus

A

long bone

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3
Q

Medial epicondyle(larger than other), lateral epicondyle, trochlea, capitulum, coronoiod fossa, olocrenan fossa

A

anatomy of distal humerus

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4
Q

capitulum located and articulate with

A

condyle that articulates with the radius

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5
Q

trochlea

A

condyle on the medial side of distal end of humerus, articulates with ulna

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6
Q

Epicondyle

A

prominence above or on a condyle

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7
Q

what is significant about the surgical neck?

A

common fracture location

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8
Q

name the essential projection of elbow

A

Ap, lateral, Ap oblique with medial and lateral rotation, axiolateral

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9
Q

AP elbow position/ CR

A

elbow extended, hands supinated , CR perperdicular to elbow joint

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10
Q

AP elbow medial rotation part pos/ CR

A

pronate hand medially/internally on anterior side 45 degree. CR per to elbow joint

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11
Q

AP elbow lateral rotation pos/ CR

A

supinate hand laterally/ externally 45 degree/ 1st and second digit will touch surface. CR PER to elbow joint

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12
Q

AP Elbow Distal Humerus Partial Flexion Position

A

supinate hand, center IR to condyles of of humerus. CR PER humerus

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13
Q

how do you make up a non trauma elbow?

A

ap elbow distal humerus partial flexion/ ap elbow proximal forearm

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14
Q

elbow flexed 80 degree pronated , CR angled away from shoulder

A

axiolateral (Coyle) for coronoid process

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15
Q

for the shoulder projection, is the Bucky and grid utilized ?

A

yes

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16
Q

AP Humerus Projection

A

slightly abduct humerus from body, supinate hand, coronal plane passes through humeral epicondyles parallel to IR. CR PER to MID humerus

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17
Q

where is the trochlea notch located?

A

proximal ulna

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18
Q

Which large bony process is easily located by touching the posterior aspect of the proximal forearm

A

Olecranon process

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19
Q

I’m examination of the humerus, it is most comfortable for the patient to be examined in which position
A) recumbent. B) erect

A

b) erect

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20
Q

With reference to the plane of IR, how should the humeral epicondylar plane be positioned for AP projection of the elbow ?

A

Parallel

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21
Q

Which projection of the elbow best demonstrate the olecranon process in profile ?
A) AP Obligue
b) lateral

A

lateral projection

22
Q

Which evaluation criterion indicates that the humerus was properly positioned for the lateral projection?A) the lesser tubercle is seen in profile B) the humeral epicondyles are superimposed

A

B) the humeral epicondyles are superimposed

23
Q

List the 4 projections of the elbow ( at Hartford hospital and the correct SID and focal spot

A

AP, lateral, AP Oblique medial and lateral rotation

SID- 40 Smal focal spot

24
Q

How much should the elbow be flexed for the lateral projection of the elbow?

A

90 degree

25
Q

Which projection of the elbow best demonstrates the radial head free of bony superimposition?
A) AP oblique lateral rotation
B) AP oblique medial rotation

A

AP Oblique , lateral rotation position

26
Q

What is the direction and amount of central ray angular ion for axiolateral projection ( coyle method ) to demonstrate the radial head and capitulum?

A

45 degrees towards the shoulders

27
Q

Which positioning characteristic best indicates that the humerus is properly positioned for the AP projection of the humerus?

a) the hand is pronated on table
b) the hand is true lateral on on the table
c) the humeral epicondylar coronal plane is is parallel with IR

A

C

28
Q

which evaluation criterion indicates that the humerus was properly positioned for Ap projection?
A) the lesser tubercle is seen in profile
B) the humeral head and greater tubercle are seen in profile

A

B

29
Q

with reference to the plane of of IR, how is it determined that the humerus was properly positioned in true lateral position?

a) the humeral epicondylar coronal plane is parallel
b) the humeral epicondylar coronal plane is perpendicular

A

B

30
Q

Which evaluation criterion indicates that the humerus was properly positioned for the lateral projection?
A) the lesser tubercle is seen in profile
B) beam divergence
C) the humeral head and greater tubercle are both seen in profile

A

A

31
Q

For the Ap projection of the elbow, why should the hand be positioned with the palm facing up?

A

supinate the hand to prevent rotation of the forearm bones

32
Q

Which AP oblique projection positioning movement (medial rotation or lateral rotation) requires the hand to be pronated?

A

medial rotation

33
Q

Name the 3 proper elbow join name s

A

Proximal radio ulnar joint, humeroulnar jointHumeroradial joint

34
Q

head of humerus articulates with

A

glenoid cavity of scapula

35
Q

Lateral elbow part pos/ CR

A

flexed 90 digress, forearm on ulnar side, CR per to elbow joint

36
Q

why is axiolateral (Coyle) use?

A

used in trauma to demonstrate the radial head and coronoid process

37
Q

Classify the type of joint at the elbow

A

Diarthrotic, hinge joint

38
Q

Name the anatomy of the proximal humerus

A

Head, anatomical neck, surgical neck, greater tubercle, lesser tubercle , inter tubercle

39
Q

coronoid fossa articulates in extension or flexion

A

flexion

40
Q

olecranon fossa articulates in flexion or extension

A

extension

41
Q

axiolateral (Coyle) for radial head pos

A

elbow flexed 90, hand pronated, CR angles 45 towards shoulders

42
Q

name the essential projection of the the humerus

A

AP, Lateral

43
Q

when is exposure made concerning breathing for humerus exposure

A

suspend breathing

44
Q

Lateral Humerus Positioning

A

nternally rotate humerus, flex elbow 90, rest palm of hand on hip. coronal plane passing through epicondyles . CR PER to to mid humerus.

45
Q

The coronoid process is located on the —- bone, while the capitulum is located on the ———

A

Ulna, distal humerus

46
Q

Upon flextion of the elbow, the ——of the ulna fits into the ——-of the humerus

A

Coronoid process, coronoid fossa

47
Q

Which of the following should be used to image the radial head on a trauma patient ?
A) lateral projection without flexion
B) Ap elbow, partial flexion
C) Axiolateral projection( Coyle method) of elbow joint

A

C

48
Q

which projection of and position of upper extremity best demonstrates the coronoid process in profile and free of superimposition ?
A)Ap oblique lateral rotation
B) Ap oblique medial rotation

A

B

49
Q

For the axiolateral projection (Coyle method) of the elbow to demonstrate the coronoid process, the elbow is :
A) flexed 80 degree
B) flexed 90 degree

A

flexed 80 degree

50
Q

what is the central orientation for the axiolateral projection of the elbow( Coyle method) to demonstrate the coronoid process when the patient is seated?

A

angled 45 digress away from shoulder