Imagine Upper Quarter Flashcards

1
Q

Routine radiographs on the cervical spine are done where?

A
  • AP open-mouth
  • AP lower cervical spine
  • Lateral
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2
Q

What is the less common radiograph in the cervical spine?

A

Oblique

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3
Q

What is the AP open mouth radiograph best at showing?

A

Best at demonstrating the AA joint

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4
Q

When taking an AP x-ray of the lower cervical spine, what will you see?

A

Demonstrates lower cervical vertebrae, upper thoracic, associated ribs, and clavicles

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5
Q

When looking at an AP x-ray of the lower cervical spine, what exactly does the vertebral column look like?

A
  • Vertically aligned vertebral bodies
  • Midline spinous processes
  • Lateral column has overlapping articular pillars and Z joints and one smooth bony column lateral to the bodies
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6
Q

What is difficult to see with an AP lower cervical spine x-ray?

A
  • TPs difficult to discern
  • Uncovertebral joints
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7
Q

What color is the air filled trachea on an x-ray?

A

Dark gray, almost black

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8
Q

What does a lateral x-ray show in the upper extremity?

A

Demonstrates alignment of all cervical vertebrae

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9
Q

Normal vertebral alignment on a lateral x-ray can be seen by 3 parallel lines, what are these borders?

A
  • Anterior vertebral borders
  • Posterior vertebral borders
  • Spinolaminar line
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10
Q

What is the spinolaminar line?

A
  • Spinous process and laminae junction
  • Represent posterior extent of central spinal canal
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11
Q

The normal vertebral alignment in a lateral x-ray should remain constant whether the neck is …

A

In neutral, flexed, or extended aka stress views when investigating mechanical instability

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12
Q

What do you notice about intervertebral and interspinous spacing in flexion compared to extension?

A
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13
Q

Vertebral bodies in x-rays are what shape with what kind of edges?

A

Boxed, with smooth edges

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14
Q

What x-ray position gives the best view of the disc spaces?

A

Lateral

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15
Q

What x-ray position gives the best view of the Z joint spaces?

A

Lateral

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16
Q

What is the normal space between the anterior dens and atlas that is kept by the transverse ligament?

A
  • 2.5 mm for adults
  • 4.5 mm for children
  • greater than or equal to 3.5 is a concern for instability in adults
17
Q

Oblique x-rays in the upper extremities are best used for what?

A

Best view for single side intervertebral foramen

18
Q

What is the standard imaging in the ER following head and neck trauma?

A

CT

19
Q

Cervical spine imaging is indicated in trauma patients unless they meet what criteria?

A
  • No posterior midline cervical spine tenderness
  • No evidence of intoxication
  • A normal level of alertness
  • No focal neurologic deficit
  • No painful distracting injuries
20
Q

What are the routine radiographs for the shoulder?

A
  • AP in external rotation
  • AP in internal rotation
21
Q

AP radiographs in external rotation of the shoulder are best used for?

A

Profile of greater tubercle and glenohumeral joint space

22
Q

AP radiographs in internal rotation of the shoulder are best used for?

A

Profile of the lesser tubercle

23
Q

Scapular Y lateral view of the shoulder is most frequently used in assessment of what?

A

Fractures or dislocations of the proximal humerus

24
Q

The axillary view radiograph is most frequently used for?

A

To assess dislocations

25
Q

What is the most commonly missed fracture in the hand?

A

Scaphoid Fracture

26
Q

After trauma if clinical signs and symptoms indicate a fracture what should you do?

A

Immobilize and refer for imaging

27
Q

Following a gradual onset, if clinical signs and symptoms indicate a fracture what should you do?

A

Realize early radiographs may be negative for a stress fracture because density changes take time to occur, and the fracture may not show for 1-2 weeks