shoulder review Flashcards

1
Q

which of the following bones connects the upper limb to the trunk

A

clavicle & scapula

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2
Q

which of the following bones make up the shoulder girdle

A

scapula & clavicle

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3
Q

the acromial extremity of the clavicle articulates with the

A

acromion process of the scapula

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4
Q

the area of the proximal humerus located directly below the tubercles, which is the site of many fractures, is called

A

the surgical neck

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5
Q

the large rounded elevated process prominently located on the lateral surface of the proximal humerus is the

A

greater tubercle

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6
Q

the articulation between the glenoid cavity and the head of the humerus is called the

A

scapulohumeral joint

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7
Q

patients often arrive in the radiology department with trauma to the shoulder, which of the positions is recommended for x ray examination of the shoulder on these patients

A

upright

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8
Q

which of the following positions of the humerus are commonly used when performing an AP projection of the shoulder

A

external, internal, and neutral rotation

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9
Q

In order to demonstrate the greater tubercle of the humerus on an AP projection of the shoulder the epicondyles must be

A

parallel with the plane of the IR

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10
Q

the respiration phase for an AP projection of the shoulder should be

A

suspended

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11
Q

for an AP projection of the shoulder the CR should be directed

A

perpendicular to the IR

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12
Q

for an AP projection of the shoulder, the CR should enter

A

1 inch below the coracoid process

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13
Q

what is prominently shown in profile on an AP projection of the shoulder with the humerus in external rotation

A

greater tubercle

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14
Q

the greater tubercle will be partially superimposed over the humeral head on which projection/ position

A

AP, neutral rotation

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15
Q

the greater tubercle will be completely superimposed over the humeral head on which projection/ position

A

AP, internal rotation

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16
Q

for an AP projection of the shoulder with the arm in a neutral position the epicondyles of the humerus should be

A

45 degrees with the plane of the IR

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17
Q

if the patient places the palm of the hand against the thigh, the humerus will be in

A

neutral position

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18
Q

for an AP projection of the shoulder with the humerus in internal rotation, the epicondyles of the humerus should be

A

perpendicular to the plane of the IR

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19
Q

what is prominently shown in profile on an AP projection of the shoulder with internal rotation

A

lesser tubercle

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20
Q

if the patient places the back of the hand against the hip, the humerus will be in

A

internal rotation

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21
Q

landmark on clavicle to help position

A

jugular notch

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22
Q

lower margin of scapula

A

T7

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23
Q

name for the front part of the scapula

A

costal

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24
Q

surface the coracoid process sits on

A

anterior

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25
Q

most posterior part of scapula

A

acromion

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26
Q

the pearson method is an AP projection of the

A

acromioclavicular articulation

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27
Q

how many pounds of weight should be added to each wrist for an AP projection of the AC joint

A

5 to 8

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28
Q

How should the central ray be angled for an AP projection of the AC joints

A

0 degrees

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29
Q

the CR is directed ___ to the ___ of the AP clavicle

A

perpendicular, midshaft

30
Q

what size IR should be used for the AP clavicle? How should the IR be placed

A

10 by 12 landscape or crosswise

31
Q

what breathing instructions are given to the patient for the clavicle

A

inspiration

32
Q

what structures form the AC joints

A

acromion & acromion end of clavicle

33
Q

body position for AP scapula

A

hand on forehead

34
Q

body position for lateral scapula

A

hand on back , angle 30-40 degrees

35
Q

most anterior process of scapula

A

coracoid process

36
Q

where should the top of the IR be placed for the AP scapula

A

2 inches above top of shoulder

37
Q

CR location for the AP scapula & lateral scapula

A

2 inches below coracoid process

38
Q

The preferred arm positioning for the lateral projection of the scapula if scapular body is the area of interest

A

hand on back, other grabs

39
Q

bone shape of clavicle

A

long

40
Q

bone shape of scapula

A

flat

41
Q

The prominent structure on the posterior scapula which adds strength to the body of the scapula

A

spine of scapula

42
Q

what is the name of the joint connecting the two bones of the shoulder girdle

A

AC joint

43
Q

which projection of the clavicle does the bone appear more horizontally 

A

axial projection

44
Q

name the two joints that must be included on the AP clavicle

A

AC & SC

45
Q

What markers should be included on a radiograph of the AC joint

A

side marker
with or without weights marker

46
Q

Sternoclavicular joint type

A

plane (gliding)

47
Q

acromioclavicular joint type

A

plane (gliding)

48
Q

scapohumeral joint / glenohuneral joint
(shoulder joint) type

A

ball n socket

49
Q

40-44inch SID is preferred except for AC joints which may require

A

72 inch SID

50
Q

shoulder will most likely dislocate

A

anteriorly
the scapula helps for posterior

51
Q

nuclear medicine best assess

A

physiologic aspect as opposed to anatomic aspect

52
Q

CT is best to

A

determine the extent of a fracture

53
Q

MRI best diagnosis

A

rotator cuff injuries

54
Q

ultrasound allows for

A

dynamic evaluation of joints while being imaged

55
Q

most common bone cancer

A

multiple myeloma

56
Q

what projection is best for bankart lesions

A

grashey method

57
Q

hill sachs defect

A

compression fracture of the posterolateral humeral head, often associated with an anterior dislocation of humeral head

58
Q

bankart lesion

A

injury of the anteroinferior aspect of the glenoid labrum, often caused by anterior dislocation of proximal humerus

59
Q

to see glenoid labrum best

A

grashey method

60
Q

axial clavicle common angle

A

20-25 cephalic

61
Q

axial clavicle rotation for hyperstenic

A

15 degree angle

62
Q

axial clavicle angle for astenic patient

A

30 degrees

63
Q

trauma to the upper shoulder region resulting in a partial or complete tear of the AC or coracoclavicular ligament or both

A

AC joint separation

64
Q

refers to an injury in which the distal clavicle usually displaced superiorly

A

acromioclavicular dislocation

65
Q

(frozen shoulder) is a disability of the shoulder joint that is caused by chronic inflammation in and around the joint

A

idiopathic chronic adhesive capsulitis

66
Q

impingement of greater tuberosity and soft tissues in the coracoacromial ligamentous and osseous arch, generally during abduction of the arm

A

impingement syndrome

67
Q

posterior part of scap Y

A

acromion

68
Q

anterior part of scap Y

A

coracoid process

69
Q

to see intertubicluar groove (bicipital groove)

A

fisk method

70
Q

another name for inferosuperior axial projection

A

lawrence method