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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
most posterior part of scapula
acromion
26
the pearson method is an AP projection of the
acromioclavicular articulation
27
how many pounds of weight should be added to each wrist for an AP projection of the AC joint
5 to 8
28
How should the central ray be angled for an AP projection of the AC joints
0 degrees
29
the CR is directed ___ to the ___ of the AP clavicle
perpendicular, midshaft
30
what size IR should be used for the AP clavicle? How should the IR be placed
10 by 12 landscape or crosswise
31
what breathing instructions are given to the patient for the clavicle
inspiration
32
what structures form the AC joints
acromion & acromion end of clavicle
33
body position for AP scapula
hand on forehead
34
body position for lateral scapula
hand on back , angle 30-40 degrees
35
most anterior process of scapula
coracoid process
36
where should the top of the IR be placed for the AP scapula
2 inches above top of shoulder
37
CR location for the AP scapula & lateral scapula
2 inches below coracoid process
38
The preferred arm positioning for the lateral projection of the scapula if scapular body is the area of interest
hand on back, other grabs
39
bone shape of clavicle
long
40
bone shape of scapula
flat
41
The prominent structure on the posterior scapula which adds strength to the body of the scapula
spine of scapula
42
what is the name of the joint connecting the two bones of the shoulder girdle
AC joint
43
which projection of the clavicle does the bone appear more horizontally 
axial projection
44
name the two joints that must be included on the AP clavicle
AC & SC
45
What markers should be included on a radiograph of the AC joint
side marker with or without weights marker
46
Sternoclavicular joint type
plane (gliding)
47
acromioclavicular joint type
plane (gliding)
48
scapohumeral joint / glenohuneral joint (shoulder joint) type
ball n socket
49
40-44inch SID is preferred except for AC joints which may require
72 inch SID
50
shoulder will most likely dislocate
anteriorly the scapula helps for posterior
51
nuclear medicine best assess
physiologic aspect as opposed to anatomic aspect
52
CT is best to
determine the extent of a fracture
53
MRI best diagnosis
rotator cuff injuries
54
ultrasound allows for
dynamic evaluation of joints while being imaged
55
most common bone cancer
multiple myeloma
56
what projection is best for bankart lesions
grashey method
57
hill sachs defect
compression fracture of the posterolateral humeral head, often associated with an anterior dislocation of humeral head
58
bankart lesion
injury of the anteroinferior aspect of the glenoid labrum, often caused by anterior dislocation of proximal humerus
59
to see glenoid labrum best
grashey method
60
axial clavicle common angle
20-25 cephalic
61
axial clavicle rotation for hyperstenic
15 degree angle
62
axial clavicle angle for astenic patient
30 degrees
63
trauma to the upper shoulder region resulting in a partial or complete tear of the AC or coracoclavicular ligament or both
AC joint separation
64
refers to an injury in which the distal clavicle usually displaced superiorly
acromioclavicular dislocation
65
(frozen shoulder) is a disability of the shoulder joint that is caused by chronic inflammation in and around the joint
idiopathic chronic adhesive capsulitis
66
impingement of greater tuberosity and soft tissues in the coracoacromial ligamentous and osseous arch, generally during abduction of the arm
impingement syndrome
67
posterior part of scap Y
acromion
68
anterior part of scap Y
coracoid process
69
to see intertubicluar groove (bicipital groove)
fisk method
70
another name for inferosuperior axial projection
lawrence method

positioning (7 decks)

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