GenRad Clinical Flashcards
True DP projection of hand achieved when ___
- equal midshaft concavity & soft tissue width on both sides of phalanges & metacarpals
- thumb in oblique 45 degree position
- IP & MTP joints shown
- phalanges not foreshortened
True DPO hand achieved when ____
- 1st & 2nd metacarpal heads not superimposed
- 3rd - 5th metacarpal heads slightly superimposed
- varying degree of space between 2nd to 5th metacarpal midhsafts
True Lateral hand achieved when ___
- thumb shown w/o superimposition
- 2nd to 5th metacarpals superimposed
- 2nd to 5th proximal bony & soft tissues superimposed
True lateral thumb achieved when
- palmar aspect of phalanges show midshaft concavity
- dorsal aspect of phalanges & metacarpals show slight convexity
- IP& MTP joints shown
- minimal superimposition of proximal 1st metacarpal on proximal 2nd metacarpal
True AP thumb achieved when
- equal midshaft concavity & soft tissue width on both sides of phalanges & metacarpal midshafts
- IP & MTP joints shown
- minimal superimposition of soft tissues of proximal 1st metacarpal & CMC joint
True PA finger achieved when
- equal midshaft concavity & soft tissue width on both sides of phalanges
- IP & MTP joints shown
- no overlapping of soft tissues of adjacent digits
True lateral finger achieved when
- palmar aspect of phalanges show mid-shaft concavity
- dorsal aspect of phalanges shown slight convexity
True PA wrist is achieved when
- radial & ulnar styloid processes are at extreme lateral & medial edges of each bone
- open radioulnar articulation
- lunate appears trapezoidal
- minimal superimposition of metacarpal bases
- scaphoid slightly foreshortened
True lateral wrist is achieved when
palmar cortex of pisiform bone overlays central third of interval between palmar cortices of distal scaphoid pole & capitate head
ulnar styloid process in middle of ulnar head
True AP radius & ulna is achieved when
- radial styloid process shown laterally
- olecranon process situated within olecranon fossa
- ulnar styloid process projected to midline of ulnar head
- radial tuberosity shown medially
For AP radius & ulna, medial & lateral epicondyles are equidistant to IR when ____
- radial styloid process shown laterally
- ulnar styloid process projected to midline of ulnar head
- radial tuberosity shown medially
For AP radius & ulna, one can tell that elbow is fully extended when ___
olecranon process situated within olecranon fossa
True lateral radius & ulna achieved when
- ulnar styloid process shown posteriorly
- 1/3 radial head superimposed with olecranon process
- distal radius/ulna superimposed
- elbow joint space appears open
For lateral radius/ulna, one can tell that the palm is perpendicular to IR when
- ulnar styloid process shown posteriorly
- 1/3 radial head superimposed with coronoid process
- distal radius/ulna superimposed
For lateral radius/ulna, one can tell that the distal humerus & forearm are on the same plane when
elbow joint space appears open
True AP elbow is achieved when
- radial tuberosity superimposed on ulna & shown medially
- olecranon process situated within olecranon fossa
- medial/lateral epicondyles shown
- 1/8 radial head superimposes ulna
For AP elbow, one can tell that the medial & lateral epicondyles are equidistant from IR when __
- radial tuberosity superimposed on ulna & shown medially
- medial & lateral epicondyles shown
- 1/8 radial head superimposes ulna
For AP elbow, one can tell that the elbow is fully extended when
olecranon process situated within olecranon fossa
True lateral elbow is achieved when
- 3 concentric arcs shown (medial trochlea, trochlear sulcus, capitulum)
- radial tuberosity not shown
- 1/3 radial head superimposes ulna
For lateral elbow, shoulder, elbow & wrist are on the same plane and ulnar aspect of arm is in contact with table top when ___
3 concentric arcs seen & radial tuberosity not shown
For lateral elbow, palm is perpendicular to IR when
1/3 radial head superimposes ulna
True AP humerus is achieved when
- medial/lateral epicondyles shown
- greater tubercle shown
True lateral humerus achieved when
- lesser tubercle shown
- anterior surfaces of capitulum & medial trochlea nearly aligned
True AP shoulder achieved when
- humerus not abducted
- clavicle not foreshortened
- greater tubercle shown
- glenoid cavity partially shown with superimposition of humeral head
For AP shoulder, one can tell that the patient is not over rotated when
- clavicle not foreshortened
- glenoid cavity partially shown with superimposition of humeral head
For AP shoulder, one can tell that the palm is supinated when
greater tubercle shown
True Y-scapular achieved when
- body of scapula in lateral position forms Y shape
- humeral head projected over outlet
- humeral shaft clear of scapula
For Y-scapular, one can tell that the patient’s body is not rotated when
- body of scapula in lateral position forms Y shape
- humeral head projected over outlet
True outlet view achieved when
- open supraspinatus outlet
- humeral shaft cleared of scapula
For outlet view, supaspinatus outlet is open when
angulation is adequate
For outlet view, humerus shaft is clear of scapula when
humerus is abducted
True AP clavicle
- clavicle not foreshortened
- clavicle & superior scapular angle seen at same transverse level