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Hand Flashcards

1
Q

Radiography of Hand

Patient Pos’n

A

seated lateral-beside RT

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2
Q

Radiography of Hand

Comfort Position

A

Unaffected UE-raised-flex-elbow-hand-lap

Both LE: flex knee-feet-floor

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3
Q

PA PROJ. (DORSOPALMAR) of Hand

Part

A

Arm-affected side-top RT-flex-elbow-90 deg-hand pronated

Digits-separated-equal

LA-hand-parallel-LA-IR

RP-3rd MCPJ

Immobilize-tape-positioning sponge

Draw head from tube

(DARIL Draw)

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4
Q

PA PROJ. (DORSOPALMAR) of Hand

IR & CRD

A

8x10/10x12-top RT-LA-parallel-LA-hand

MP-coincide-RP-3rd MCPJ

Consider masking technique

CRD: Perp-36-40”-RP-3rd MCPJ-exit-MP-IR

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5
Q

Demo carpals, metacarpals, interarticulations of hand, distal radius and ulna, thumb in oblique

A

PA PROJ. (DORSOPALMAR) of Hand

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6
Q

Demo MCP joint/metacarpals for injured hand

A

AP proj of Hand

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7
Q

PAO (lateral rotation) of Hand

Part

A

Arm-affected side-top RT-flex-elbow-90 deg-hand pronated-rotate lateral

MCPJ-45 deg

45 deg foam wedge-support extended digits-demo interphalangeal joints

Finger tips-in contact-IR-demo metacarpals

LA-hand-parallel-LA-IR RP-3 rd MCPJ

Immobilize-tape-positioning sponge

Draw head from tube

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8
Q

45 deg foam wedge-support extended digits-demo interphalangeal joints

A

PAO (lateral rotation) of Hand

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9
Q

PAO (lateral rotation) of Hand

IR & CRD

A

8x10/10x12-top RT-LA-parallel-LA-hand

MP-coincide-RP-3rd MCPJ

Consider masking technique

CRD: Perp-36-40”-RP-3rd MCPJ-exit-MP-IR

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10
Q

Objective: oblique image of hand

A

PAO (lateral rotation) of Hand

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11
Q

PAO (lateral rotation) of Hand

Lane, Kennedy, Kuschner rec

A

Reverse oblique

Proj-hand rotated 45 deg medial from pronated hand

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12
Q

Demo severe metacarpal deformity/fx

A

Lane, Kennedy, Kuschner rec

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13
Q

PAO (lateral rotation) of Hand

Kallen rec

A

From PA-MCPJ flex-75-80 deg-dorsum-digits-in contact-IR-rotate 40-45 deg towards ulna and rotated 40-45 deg forward until affected MCPJ-projected beyond-proximal phalanx

CRD-Perp and tangential-affected MCPJ

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14
Q

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

Part

A

Arm-affected side-top RT-flex-elbow-90 deg-ulnar surface/radial-IR

Digits extended and thumb abducted at right angle-LA-hand/palm

Palm-perp-IR

LA-hand-parallel-LA-IR

RP-2nd MCPJ

Immobilize-tape-positioning sponge

Draw head from tube

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15
Q

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

IR & CRD

A

8x10/10x12-top RT-LA-parallel-LA-hand

MP-coincide-RP-2nd MCPJ

Consider masking technique

CRD: Perp-36-40”-RP-2nd MCPJ-exit-MP-IR

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16
Q

Objective: localize FB, metacarpal fracture displacement

A

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

17
Q

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

Added note: For fan lateral

A

Use a sponge wedge to separate the digits assuming a fan-shape to demo individual lateral image of digits except proximal part

18
Q

To better demo fractures of 5th metacarpals

A

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

LEWIS REC

19
Q

ADDED. LATERAL PROJ (mediolateral/lateromedial) of Hand

LEWIS REC

A

Rotate hand 5 deg posterior from lateral-thumb extended

CRD is parallel-thumb-level mid shaft of 5th metacarpal

20
Q

ADDED. LATERAL PROJ (lateromedial in flexion) of Hand

Part

A

Arm-affected side-top RT-flex-elbow-90 deg-ulnar surface-IR

Hand in lateral and assume normal arch

Thumb-parallel-LA-IR

RP-2nd MCPJ

immobilize-tape-positioning sponge

Draw head from tube

21
Q

Detect early radiologic changes to diagnose rheumatoid arthritis

A

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

22
Q

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

reqts

A

Fine grain IS. For high resolution (60-65kVp)

23
Q

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

In a more recent article, (1) recommended this projection for the demonstration of (2).

A
  1. Stapczynski
  2. fracture of the fifth metacarpal
24
Q

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

Patient pos’n

A

Conventional seating/comfort

25
Q

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

Part

A

Both UE-top-RT-dorsum-hand-in-contact-supinated-hands –assume- ball catcher’s pos’n/ 2 (45 deg foam wedge)-placed-under dorsum-hands-digits extended

RP-midway bet both MCPJ

26
Q

ADDED. NORGAARD METHOD (Ball Catcher’s position) of Hand

IR & CRD

A

10x12/11x14-top-RT-CW-MP-RP

CRD-perp (v)-36-40”-RP-MP-IR

27
Q

A break of the lower part of the 1st metacarpal bone

A

Bennett’s fracture

28
Q

A break in the neck of the 5th metacarpal bone

A

Boxer’s fracture

213 (12 decks)

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