humerus Flashcards
Humeral epicondyles parallel with plane of film
HUMERUS AP
Best demonstrate the Greater tubercle in profile
HUMERUS AP
Epicondylar line perpendicular to the film
HUMERUS LATERAL
Best demonstrate the lesser tubercle in profile
HUMERUS LATERAL
A true lateral is confirmed by _____
by the superimposed epicondyles
Instruct the patient to do shallow breathing to blur out ribs and lung structures to better visualize the proximal humerus
HUMERUS/SHOULDER JOINT TRANSTHORACIC LATERAL PROJECTION LAWRENCE METHOD
central ray of HUMERUS/SHOULDER JOINT TRANSTHORACIC LATERAL PROJECTION LAWRENCE METHOD
- Perpendicular to the surgical neck.
- 10°-15° cephalad if the patient cannot elevate the unaffected shoulder.
What is seen in the HUMERUS/SHOULDER JOINT TRANSTHORACIC LATERAL PROJECTION LAWRENCE METHOD
Lateral view of the proximal 2/3 of the humerus
Alternative position taken primarily in cases of trauma to the upper arm or shoulder or when the patient is otherwise unable to rotate or abduct the arm.
HUMERUS/SHOULDER JOINT TRANSTHORACIC LATERAL PROJECTION LAWRENCE METHOD
SHOULDER JOINT AP PROJECTION 3 rotations
neutral rot, internal rot, external rot
EPICONDYLES - Neutral Rotation
45 deg angle to plane of cassette
EPICONDYLES - Internal Rotation
perpendicular to the plane of cassette
EPICONDYLES - External Rotation
parallel to the plane of the cassette
BD - Neutral Rotation
greater tubercle (partially superimposed)
BD - Internal Rotation
lesser tubercle (medially)
BD - External Rotation
greater tubercle (laterally)
CR - Neutral rot
perpendicular to the coracoid process - 1 inch (2.5 cm) inferior to the coracoid process
Oblique view of the proximal humerus
SHOULDER JOINT AP PROJECTION neutral rotation
The true AP projection of the humerus in the anatomic position
SHOULDER JOINT AP PROJECTION external rotation
Lateral view of the humerus
SHOULDER JOINT AP PROJECTION internal rotation
CR of inferosuperior axial projection - lawrence method
Horizontally through the axilla to the acromioclavicular joint
Profile image of site of insertion of the supraspinatus tendon
SHOULDER JOINT AP PROJECTION external rotation
CR if hindi kaya ng patient abduct hand ng 90 sa inferosuperior axial projection - lawrence method
15-30
BD inferosuperior axial projection - lawrence method
Best demonstrate the lesser tubercle in profile directed anteriorly
Compression fracture of the articular surface of the humeral head with anterior dislocation of the humeral head
Hill-Sachs Defect
CR - SHOULDER JOINT INFEROSUPERIOR AXIAL PROJECTION WEST POINT METHOD
25 anteriorly / 25 medially
CR Clements Modification
- CR horizontal to the midcoronal plane passing through the midaxillary region of the shoulder
- 5°-15° medially when the patient cannot abduct the arm for a full 90°
projection of scapular y
PA OBLIQUE PROJECTION
Patient in lateral recumbent position lying on the unaffected side
SHOULDER JOINT INFEROSUPERIOR AXIAL PROJECTION CLEMENTS MODIFICATION
Lesser tubercle in profile
clements modification
CR PA OBLIQUE PROJECTION Scapular Y
CR perpendicular to the scapulohumeral joint
Demonstrate an oblique image of the shoulder
PA OBLIQUE PROJECTION Scapular Y
True lateral view of the scapula, proximal humerus
PA OBLIQUE PROJECTION Scapular Y
Alternate view of the shoulder used primarily with trauma patients to demonstrate possible shoulder dislocations
PA OBLIQUE PROJECTION Scapular Y
Glenoid Cavity - Grashey Method what projection
AP Oblique Projection
CR Grashey Method
CR perpendicular to glenoid cavity
Glenoid cavity in profile without superimposition of the humeral head
Grashey Method
projection of neer method
tangential
BD - SUPRASPINATUS “OUTLET’ TANGENTIAL PROJECTION NEER METHOD
coracoacromial arch
CR - SUPRASPINATUS “OUTLET’ TANGENTIAL PROJECTION NEER METHOD
10°-15° caudad entering the superior aspect of the humeral head
projection of STRYKER NOTCH METHOD
AP AXIAL PROJECTION
CR STRYKER NOTCH METHOD
10° cephalad entering the coracoid process
BD STRYKER NOTCH METHOD
Demonstrate the posterosuperior and posterolateral areas of the humeral head
projection of GLENOID CAVITY APPLE METHOD
AP OBLIQUE PROJECTION
CR GLENOID CAVITY
AP OBLIQUE PROJECTION APPLE METHOD
CR perpendicular to level of the coracoid process
Similar to the Grashey method except for the use of the 1 pound weight
Apple Method
Garth Method Projection
AP AXIAL OBLIQUE PROJECTION
CR Garth Method
CR 45° caudad through the scapulohumeral joint
Recommended projection for acute shoulder trauma
Garth Method
Anterior dislocation-Humerus projected ________
inferiorly
Posterior dislocation- Humerus projected ________
superiorly
PROJECTION of INTERTUBURCULAR GROOVE - fisk modif
TANGENTIAL PROJECTION
Patient standing at the edge
fisk
CR Tangential Intertuburcular Groove Fisk Modif
CR 10-15° posterior to the long axis of the humerus
Projection - ACROMIOCLAVICULAR ARTICULATIONS PEARSON METHOD
AP PROJECTION
Upright with equal weights _____ affixed to each wrist
(5-8 lb) Pearson Method Ap projection
This projection is used to demonstrate AC joint disclocation, separation and function of the joints
Pearson Method
Alexander Method Projection
AP Axial
CR - Alexander Method AP axial
15° cephalic to the coracoid process (this angulation projects the AC joint above the acromion)
Demonstrate the AC Joint projected slightly superiorly compared with an AP projection
Alexander Method AP axial