Radiology

Question 1

clavicle 2 view

Answer 1

AP w/ caudal & cephalic tilt; fx, DJD, ACJ

Question 2

Zanca view of clavicle

Answer 2

AP (of ACJ) w/10 degrees cephalic tilt, ACJ pathology (DJD, fx)

Question 3

Stress view of clavicle

Answer 3

b/l ACJ’s w/w-out weights, ACJ separation/instability

Question 4

Serendipity of clavicle

Answer 4

40 degrees cephalic tilt manubrium, sternoclavicular pathology

Question 5

AP shoulder

Answer 5

plate perpendicular to scapula, Trauma (fx/dx) or arthritis of glenohumeral joint space

Question 6

Axillary lateral of shoulder

Answer 6

Abduct arm, beam into axilla; glenoid/humeral head position for dislocations and hill-sacks lesions

Question 7

Scapular Y view

Answer 7

beam parallel to scapula; humeral head position/ trauma and acromion type

Question 8

Supraspinatus outlet

Answer 8

scapular Y view w/ 10 degrees caudal tilt; acromion type

Question 9

view and acromion type for impingement

Answer 9

hooked type (type 3) seen best in supraspinatus outlet view

Question 10

Stryker notch

Answer 10

hand on head w/ 10 degree cephalic tilt; good for Hill-Sachs lesions

Question 11

West Point

Answer 11

Prone w/ beam into axilla; anterior inferior glenoid for Bony Bankart lesion

Question 12

CT shoulder

Answer 12

axial, coronal, sagittal; see articular congruity and fx fragment position, good for proximal humerus fx and glenoid/intrarticular

Question 13

MRI shoulder

Answer 13

good for soft tissues; rotator cuff and labral tears