Routine Shoulder Review Flashcards

1
Q

The –1– position will demonstrate the greater tubercle on the –2– surface of the humerus.

A

External rotation; lateral

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2
Q

To adequately demonstrate the shoulder in a “true” AP, the patient should…?

A

Be rotated slightly toward the side being examined

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3
Q

The SR is directed –1– for an AP projection of the shoulder.

A

1 inch inferior to coracoid

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4
Q

The lesser tubercle will be visualized on the –1– surface with –2– rotation of the arm for an AP shoulder radiograph.

A

Medial; Internal

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5
Q

The inferosuperio axial projection of the glenohumeral joint is known as the –1– Method.

A

 Lawrence

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6
Q

The arm is abducted –1– degrees if possible for the inferosuperior axial projection of the glenohumeral joint.

A

90

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7
Q

The hand is –1– for the AP humerus.

A

Supinated

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8
Q

The transthoracic lateral shoulder requires that the –1– arm be positioned

A

Affected: down at the patient’s side

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9
Q

For the above question, the unaffected arm is termed the –1– arm.

A

Remote

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10
Q

If the patient is unable to adequately separate their shoulders for the transthoracic lateral projection, the CR should be adjusted –1–.

A

10-15 degrees cephalic

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11
Q

Give 2 possible respiration instructions for the transthoracic lateral projection of the shoulder:

A
  1. Deep Inspiration

2. Slow breathing with long exposure

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12
Q
  1. Deep Inspiration-

2. Slow breathing with long exposure

A
  1. Blacks out lungs and increases contrast in the proximal humerus.
  2. Expose 3-4 secs while patient is breathing and use motion to blur out the ribs and surrounding structures
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13
Q

The routine for a humerus is to have the patient rotate their hand and arm for 2 separate radiographs. If the hand is internally rotate, this is considered a –1– of the humerus.

A

Lateral Position

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14
Q

For a routine humerus there is one position that has the hand and arm externally rotated. This position is the…

A

AP

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15
Q

The CR should be directed to the –1– for a PA hand radiograph.

A

Third MCPJ

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16
Q

List the 3 criteria needed for a decubitus radiograph.

A
  1. Vertical IR
  2. Recumbent pt
  3. Horizontal CR
17
Q

The shoulder joint is formed by the articulation of the –1– and the –2–.

A

Humeral head; Glenoid Fossa

18
Q

The scapular Y position is beneficial for dislocations. State the structures that make the Y appearance on the radiograph:

A
  1. Acromion Process
  2. Coracoid Process
  3. Scapular Body
19
Q

State how a scapular Y informs us of an anterior versus posterior dislocation:

A

Anterior- The humerus head will be located underneath the coracoid process.
Posterior- The humerus head will be located underneath the acromion process.

20
Q

If a patient is able to sit or stand up for a scapular Y radiograph, what oblique would be beneficial/preferred if the left shoulder was the injured one?

21
Q

What if the pt was not able to sit up and had to have the scapular Y done recumbent? Then what position would be beneficial for the left shoulder?

22
Q

How many degrees do we need to oblique the pt for a scapular Y radiograph?

23
Q

When performing an axial shoulder position with a seated pt, what projection is being utilized?

A

Superoinferior

24
Q

The CR may be directed –1– degrees –2– when performing the position/projection in number 22 (Superoinferior)

A
  1. 5-15 degrees

2. Toward the Elbow

25
When positioning a scapular on a prone pt, the shoulder --1-- the IR is best demonstrated.
Closest
26
When an LAO or RAO scapular "Y" exam is performed the CR may be directed to the --1-- border of the scapula for easy centering.
Medial
27
When performing an axial Lawrence Method the CR will be....
Horizontal
28
What position should be done on the pt who is ordered for a routine AP shoulder series and they can't rotate their arm at all?
Lawrence Method | Transthoracic
29
List 2 reasons to perform a chest exam in the upright position.
1. Prevent engorgement of pulmonary vessels | 2. Get diaphragm at its lowest point
30
Name the most lateral carpal bone of the distal row.
Hamate/Unciform