Rad Positioning - Upper Limb Full Deck Flashcards

1
Q

4 Upper limb structures

A

Hand & wrist
Forearm
Humerus
Shoulder girdle

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2
Q

Area below head of bone is called ____

A

Neck

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3
Q

Number of phalanges

A

14

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4
Q

Nerve that passes thru carpal canal

A

Median nerve

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5
Q

Tendon that passes thru carpal canal

A

Flexor tendon

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6
Q

Compression of median nerve is referred to as _____

A

Carpal Tunnel Syndrome

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7
Q

4 Carpal bones in proximal row

A

Scaphoid
Lunate
Triquetrum
Pisiform

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8
Q

4 Carpal bones in distal row

A

Trapezium
Trapezoid
Capitate
Hamate

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9
Q

3 Carpal bones seen in lateral view

A

Scaphoid
Lunate
Trapezium

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10
Q

1st metacarpal articulates with ____ carpal bone

A

trapezium

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11
Q

2nd metacarpal articulates with ____ carpal bone

A

trapezoid

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12
Q

3rd metacarpal articulates with ____ carpal bone

A

capitate

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13
Q

4th & 5th metacarpal articulates with ____ carpal bone

A

hamate

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14
Q

Which carpal bones articulates with radius?

A

Scaphoid
Lunate

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15
Q

Proximal process of ulna

A

Olecranon process

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16
Q

Anterior & slightly inferior concavity formed by olecranon process

A

Trochlear notch

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17
Q

Radius - head, neck, radial tuberosity located at proximal or distal end?

A

Proximal end

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18
Q

Radial styloid process & ulnar notch located at proximal or distal end?

A

Distal end

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19
Q

What is found on proximal end of radius?

A

Head
Neck
Radial tuberosity

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20
Q

What is found on distal end of radius?

A

Radial styloid process
Ulnar notch

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21
Q

Ulna - head and ulnar styloid process located at proximal or distal end?

A

Distal end

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22
Q

Ulna -

A
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23
Q

Radial head articulates with ____ on ulna

A

Radial notch

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24
Q

Radial tuberosity

A

Roughened process just inferior to the neck on medial side

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25
Q

Radial styloid process

A

Conic projection on lateral surface of distal end

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26
Q

2 Processes on proximal end of ulna

A

Olecranon process
Coronoid process

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27
Q

Olecranon

A

Forms proximal portion of trochlear notch

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28
Q

Coronoid

A

Forms distal portion of trochlear notch

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29
Q

Radial notch

A

Depression on lateral aspect of coronoid process of ulna
Articulates with radius head

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30
Q

Ulnar notch

A

Depression on distal end of radius
Articulates with ulnar head

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31
Q

Ulnar styloid process

A

Conic projection on posteromedial side on distal end

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32
Q

Bursitis

A

Inflammation of bursae (fluid-filled sacs enclosing the joint)

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33
Q

Barton fracture

A

Fracture & dislocation of posterior lip of distal radius involving wrist joint

34
Q

Bennett fracture

A

Fracture of base of 1st metacarpal extending into CMC joint

35
Q

Boxer fracture

A

Transverse fracture extending thru metacarpal neck
Most common in 5th metacarpal

36
Q

Colles fracture

A

Transverse fracture of distal radius
Distal fragment is displaced posteriorly

37
Q

Smith fracture

A

Transverse fracture of distal radius
Distal fragment is displaced anteriorly

38
Q

Joint effusion

A

Accumulated fluid in joint cavity
Swelling due to fracture, dislocation, soft tissue damage or inflammation

39
Q

Osteoarthritis

A

aka Degenerative Joint Disease (DJD)
Noninflammatory joint disease
Gradual deterioration of articular cartilage
Hypertrophic bone formation

40
Q

Osteomyelitis

A

Localized infection of bone/ bone marrow
Caused by bacteria introduced by trauma/surgery

41
Q

Osteopetrosis

A

Hereditary disease
Abnormally dense bone
aka Marble Bone

42
Q

Paget disease

A

Common chronic skeletal disease
Bone destruction followed by repair of dense & soft bones that fracture easily
Most common in men over 40

43
Q

Rheumatoid arthritis

A

Chronic systemic disease
Inflammatory changes in connective tissues
3x more common in women than men

44
Q

Skier’s thumb

A

Sprain/tear of ulnar collateral ligament of thumb near MCP joint of hyperextended thumb

45
Q

Wrist joint is called the ____ joint

A

Radiocarpal joint

46
Q

Type of joint - Radiocarpal joint?

A

Ellipsoidal (condyloid)

47
Q

Type of joint - Wrist joint?

A

Ellipsoidal (condyloid)

48
Q

Type of joint - Intercarpal joint?

A

Plane (gliding)

49
Q

Type of joint - Interphalangeal joint?

A

Ginglymus (hinge)

50
Q

Type of joint - Metacarpophalangeal joint?

A

Ellipsoidal (condyloid)

51
Q

Type of joint - Carpometacarpal joint of 1st digit?

A

Saddle (sellar)

52
Q

Type of joint - Carpometacarpal joints of 2nd to 5th digits?

A

Plane (gliding)

53
Q

Type of joint - Proximal: radioulnar joint?

A

Pivot (trochoidal)

54
Q

Type of joint - elbow joint?

A

Ginglymus (hinge)

55
Q

Elbow joint is called the ____ and ____ joint

A

humeroulnar and humeroradial

56
Q

Subluxation

A

Partial dislocation

57
Q

Sprain

A

Rupture or tearing of connective tissue

58
Q

Simple fracture

A

Closed fracture

59
Q

Compound fracture

A

Open fracture
Breaks thru skin

60
Q

Comminuted fracture

A

Splintered or crushed fracture

61
Q

Impacted fracture

A

Fragments driven into each other

62
Q

CR location of AP thumb

A

First MCP joint

63
Q

CR location of PA thumb

A

First MCP joint

64
Q

Modified Robert’s - CR location of AP thumb & angulation

A

First CMC joint
15 degrees toward wrist

65
Q

PA Stress projection (Folio method)

A

Bilateral stress projection for possible ulnar collateral ligament injury

66
Q

PA Oblique Wrist - which carpal bone is seen in its entirety?

A

Trapezium

67
Q

Gaynor Hart projection

A

CR - 25-30 degrees to long axis of hand
Rotate hand & wrist 10 degrees toward radius
Pisiform & hamate separated
Scaphoid in profile
Demonstrates carpal canal

68
Q

Trauma Axial Lateromedial projection is aka ____

A

Coyle Method

69
Q

Coyle Method

A

90 degrees flexion
CR - 45 degrees to shoulder
For radial head

80 degrees flexion
CR - 45 degrees away from shoulder
For coronoid process

70
Q

Which projection best demonstrates a Bennett’s fracture?

A

AP Axial projection (Modified Robert’s Method)

71
Q

CR angle for Modified Robert’s Method?

A

15 degrees proximally to wrist

72
Q

CR angle for Gaynor-Hart Method?

A

25-30 degrees

73
Q

Osteoarthritis

A

DJD disease
Non-inflammatory
Gradual deterioration of articular cartilage

74
Q

Osteomyelitis

A

Infection of bone or bone marrow

75
Q

Osteoporosis

A

Reduction in quantity of bone

76
Q

Ballcatcher’s position is used to evaluate ___

A

arthritis

77
Q

Ulnar Deviation projection (Scaphoid projection)

A

CR to scaphoid
10-15 degrees proximally along long axis of forearm toward elbow

78
Q

Posterior fat pad location

A

Olecranon fossa

79
Q

Anterior fat pad location

A

Coronoid & radial fossae

80
Q

Supinator fat stripe location

A

Anterior to proximal radius

81
Q

Fat pads/stripes in elbow are only visualized on ___ projection

A

lateral

82
Q

CR location for Folio Method

A

Midway between MCP joints