Hands Fingers and thumb Flashcards

1
Q

What is the standard series for Hand

A

PA, Lateral Oblique

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2
Q

Where is the centring for PA hand

A

As close to the third MCP joint as possible

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3
Q

Evaluation Criteria for PA hand

A
  • NO rotation
  • No superimposed ulna and radius
  • Metacarpophalangeal and interphalangeal joints open
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4
Q

What is the required anatomy for PA hand

A

tips of digits to distal radius and ulna, including soft tissue

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5
Q

What is the centring for PA oblique hand

A

At the level of the MCP joint, Approx over 2nd MCP

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6
Q

evaluation criteria for PA oblique hand

A
  • ## No overlap of distal second and third metacarpals
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7
Q

what is the centreing for lateral hand

A

To the level of the MCP joint

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8
Q

what does the position look like for lateral hand

A
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9
Q

evaluation criteria for lateral hand

A
  • Thumb free of motion
  • Metacarpals are superimposed
  • Distal radius and ulna are superimposed
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10
Q

what is the centring for ball catchers view

A

Between hands at level of MCP joints

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11
Q

evaluation criteria for ball catchers

A

MCP joints should be open

Thumb free of superimposition

Midshafts of the 2 nd to 5th metacarpals and base of phalanges should not be superimposed

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12
Q

standard series for Finger

A
  • PA Digits 2-5
  • PA oblique
  • Lateral
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13
Q

Whats the centring for all finger projections

A

To the joint in focus- PIPJ or DIPJ

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14
Q

evaluation criteria for PA finger

A

No rotation
Joints open
Digits free of superimposition

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15
Q

Evaluation criteria for PA Oblique finger

A

tip of digit to distal metacarpal, including soft tissue

Digit free of superimposition

Metacarpophalangeal and interphalangeal joints open

Digit at 45 o angle

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16
Q

Evaluation criteria for lateral finger

A

tip of digit to distal metacarpal, including soft tissue

Metacarpophalangeal and interphalangeal joints open

True lateral position – concave appearance of anterior surface of shaft of phalanges

Least possible overlap of other digits

Digit free of motion

17
Q

Standard series for thumb x-ray

A

AP/PA, Oblique, lateral

18
Q

Centring for thumb

A

To the MCP joint

19
Q

do the position for AP thumb

A
20
Q

do position for PA thumb

A
21
Q

Evaluation criteria for AP/PA thumb

A

tip of thumb to trapezium, including soft tissue

Thumb free of superimposition

Thumb free of motion

Metacarpophalangeal and interphalangeal joints open

No rotation – symmetry

22
Q

Do the position for PA oblique thumb

A
23
Q

evaluation criteria PA oblique Thumb

A

tip of thumb to trapezium, including soft tissue

Thumb free of superimposition

Thumb free of motion

Metacarpophalangeal and interphalangeal joints open

Thumb at 45 o angle

24
Q

Lateral Thumb position

A
25
Q

Evaluation criteria for Lateral thumb

A

Metacarpophalangeal and interphalangeal joints open

True lateral position – concave appearance of anterior surface of proximal phalanx and
metacarpal

Thumb free of motion

26
Q

describe a boxers fracture

A

fracture on the 4th and 5th metacarpals

27
Q

describe avulsion

A

bone is pulled off tendon

28
Q

what is a salter harris fracture

A

Growth plate
S= Straight (type 1)
A = above (type 2)
L = lower
T = through
E/ R = cRush

29
Q

what are the intra-articular fractures on a hand

A

bennets anf rolandos

30
Q

what are the extra=articular fractures of the hand

A

transverse, oblique, salter harris