RAD 210 Ch.4 Upper Limb Flashcards
Proximal Row of Carpal bones - Beginning of Row.
Scaphoid
Proximal Row of Carpal Row- Second
Lunate
Proximal Row of Carpal Bones- Third
Triquetrum
Proximal Row of Carpal Bones- Fourth
Pisiform
Distal Row of Carpal Bones- First
Trapezium
Distal Row of Carpal Bones- Second
Trapezoid
Distal Row of Carpal Bones- Third
Capitate
Distal Row of Carpal Bones- Fourth
Hamate
Clinical Indications
• Fractures and dislocations of the distal, middle, and proximal phalanges; distal metacarpal; and associated joints
• Pathologic processes, such as osteoporosis and osteoarthritis
Pa Projection—Fingers
Clinical Indications
• Fractures and dislocations of the distal, middle, and proximal phalanges; distal metacarpal; and associated joints
• Pathologies such as osteoporosis and osteoarthritis
Pa Oblique Projection—Medial or Lateral Rotation: Fingers
Clinical Indications
• Fractures and dislocations of the distal, middle, and proximal phalanges; distal metacarpal; and associated joints
• Pathologic processes, such as osteoporosis and osteoarthritis
Lateromedial or Mediolateral Projections—Fingers
Clinical Indications
• Fractures and dislocations of the distal and proximal phalanges, distal metacarpal, and associated joints
• Pathologic processes, such as osteoporosis and osteoarthritis
Ap Projection—Thumb
Clinical Indications
• Base of first metacarpal is demonstrated for ruling out Bennett fracture.
Ap Axial Projection (Modified Robert Method) —Thumb
Clinical Indications
• Fractures, dislocations, or foreign bodies of the phalanges, metacarpals, and all joints of the hand
• Pathologic processes such as osteoporosis and osteoarthritis
PA Projection—Hand
Clinical Indications
• Fractures and dislocations of the phalanges, metacarpals, and all joints of the hand
• Pathologic processes, such as osteoporosis and osteoarthritis
PA Oblique Projection—Hand
Clinical Indications
• Fractures and dislocations of the phalanges, anterior/posterior displaced fractures, and dislocations of the metacarpals
• Pathologic processes, such as osteoporosis and osteoarthritis especially in the phalanges
FAN” Lateral—Lateromedial Projection: Hand
Clinical Indications
• The lateral in either extension or flexion is an alternative to the fan lateral for localization of foreign bodies of the hand and fingers; it also demonstrates anterior or posterior displaced fractures of the metacarpals.
The lateral in a natural flexed position may be less painful for the patient.
Lateral in Extension and Flexion—Lateromedial Projections: Hand
Clinical Indications
• Fractures of distal radius or ulna, isolated fractures of radial or ulnar styloid processes, and fractures of individual carpal bones
• Pathologic processes, such as osteomyelitis and arthritis
PA Oblique Projection—Lateral Rotation: Wrist
Clinical Indications
• Fractures or dislocations of the distal radius or ulna, specifically anteroposterior fragment displacements for Barton, Colles, or Smith fractures
• Osteoarthritis also may be demonstrated primarily in the trapezium and first CMC joint
Lateromedial Projection—Wrist
Clinical Indications
• Fractures and dislocations of the radius or ulna
• Pathologic processes such as osteomyelitis or arthritis
AP Projection—Forearm