Rad Positioning - Humerus & Shoulder Full Deck

Question 1

2 Parts of shoulder girdle

Answer 1

Clavicle
Scapula

Question 2

3 Joints of shoulder girdle

Answer 2

Sternoclavicular joint
Acromioclavicular joint
Scapulohumeral joint

Question 3

Intertubecular groove

Answer 3

Groove between greater tubercle and lesser tubercle

Question 4

Intertubecular groove is a.k.a. ____

Answer 4

Bicipital groove

Question 5

Glenoid cavity

Answer 5

Cavity between humeral head and scapular neck

Question 6

Acromial extremity (end)

Answer 6

Lateral end of clavicle

Question 7

Sternal extremity (end)

Answer 7

Medial end of clavicle

Question 8

3 Borders of scapula

Answer 8

Superior
Medial (vertebral)
Lateral (axillary)

Question 9

Scapulohumeral joint is a.k.a. ____

Answer 9

Glenohumeral joint

Question 10

Glenohumeral joint is a.k.a. ____

Answer 10

Scapulohumeral joint

Question 11

Type of joint - Scapulohumeral

Answer 11

Spheroidal (ball & socket)

Question 12

Type of joint - Sternoclavicular

Answer 12

Plane (gliding)

Question 13

Type of joint - Acromioclavicular

Answer 13

Plane (gliding)

Question 14

Another term for mid area of costal surface of scapula?

Answer 14

Subscapular fossa

Question 15

AP Proximal Humerus (external rotation) - Epicondyles parallel or perpendicular to IR?

Answer 15

Parallel

Question 16

Lateral Proximal Humerus (internal rotation) - Epicondyles parallel or perpendicular to IR?

Answer 16

Perpendicular

Question 17

Oblique Proximal Humerus (neutral rotation) - Epicondyles to IR?

Answer 17

45 degrees oblique

Question 18

CR location of AP Humerus

Answer 18

Midhumerus

Question 19

CR location for Lateral humerus

Answer 19

Midhumerus

Question 20

AP Humerus criteria

Answer 20

Entire humerus
Greater tubercle in profile
Medial & lateral epicondyles in profile

Question 21

Lateral Humerus criteria

Answer 21

Entire humerus
Lesser tubercle in profile
Epicondyles superimposed

Question 22

Shoulder girdle - kVp technique

Answer 22

Analog 70-75 kVp
Digital 75-85 kVp

Question 23

4 Common shoulder pathologies

Answer 23

-AC joint separation/dislocation
-Bursitis
-Rotator cuff tear
-Tendonitis

Question 24

Bursitis

Answer 24

Inflammation of fluid filled sacs enclosing joints

Question 25

Rotator cuff tear - 4 muscles

Answer 25

Muscle injury -teres minor -supraspinous -infraspinous -scubscapularis

Question 26

Tendonitis

Answer 26

Tearing of tendon causing inflammation

Question 27

Bankart lesion

Answer 27

Injury to anterioinferior aspect of labrum Caused by anterior dislocation of humerus

Question 28

Hills-Sachs defect

Answer 28

Compression fracture of posterolateral humeral head during dislocation Caused by anterior dislocation of humeral head

Question 29

Idiopathic chronic adhesive capsulitis

Answer 29

Disability of shoulder joint Caused by chronic inflammation in and around joint Pain & limited motion

Question 30

Glenoid labrum

Answer 30

Ring of fibrocartilage that runs around glenoid cavity

Question 31

Impingement syndrome

Answer 31

Outer border of scapula pinches rotator cuff beneath it

Question 32

Osteoarthritis

Answer 32

Lack of synovial fluid Bone on bone arthritis aka DJD Degenerative Joint Disease

Question 33

Osteoporosis

Answer 33

Bones less dense More porous Bones appear darker on X-ray

Question 34

Rheumatoid arthritis

Answer 34

Chronic autoimmune disease causing inflammation/pain in joints

Question 35

Shoulder dislocation

Answer 35

Traumatic removal of humeral head from glenoid cavity

Question 36

AP Humerus

Answer 36

Taken w/ grid due to thick shoulder Body slightly rotated so shoulder & proximal humerus are in contact w/ IR Arm is slightly abducted, hand supinated Epicondyles parallel to IR

Question 37

Lateromedial humerus

Answer 37

Patient's back to IR Body slightly rotated so humerus in contact w/ IR Rotate arm internally, hand pronated Epicondyles perpendicular to IR

Question 38

Mediolateral humerus

Answer 38

Patient facing IR Body rotated so humerus in contact w/ IR Flex elbow 90 degrees

Question 39

Humerus - external rotation

Answer 39

Greater tubercle in profile on lateral aspect of humeral head Condyles parallel to IR

Question 40

Humerus - internal rotation

Answer 40

Lesser tubercle in profile on medial aspect of humeral head Condyles perpendicular to IR

Question 41

Tubercle locations for External humerus

Answer 41

Greater tubercle - laterally in profile Lesser tubercle - anteriorly

Question 42

Shoulder girdle joints - classification

Answer 42

Synovial

Question 43

Shoulder girdle joints - mobility type

Answer 43

Diarthrodial

Question 44

Projection for Hill-Sachs defect

Answer 44

AP internal shoulder Exaggerated external shoulder Axillary lateral shoulder

Question 45

Projection for Bursitis

Answer 45

AP shoulder Lateral shoulder

Question 46

Projection for Idiopathic chronic adhesive capsulitis

Answer 46

AP shoulder Lateral shoulder

Question 47

Projection for Impingement syndrome

Answer 47

Scapular Y, Neer method

Question 48

Projection for Osteoarthritis

Answer 48

AP shoulder Lateral shoulder

Question 49

Projection for Osteoporosis

Answer 49

AP shoulder Lateral shoulder

Question 50

Projection for Rheumatoid arthritis

Answer 50

AP shoulder Lateral shoulder

Question 51

Projection for shoulder dislocation

Answer 51

Scapular Y Transthoracic lateral Garth method

Question 52

Projection for Bankart lesion

Answer 52

AP internal shoulder Scapular Y Grashey