Trauma & Misc. Elbow

Question 1

The CR should remain ________ to the forearm when performing the AP partial flexion elbow (forearm down) on a patient with adequate extension of the arm

Answer 1

Perpendicular

Question 2

When performing the trauma oblique elbow series on a patient who cannot rotate their arm, the CR should be angled _____ degrees

Answer 2

45

Question 3

The Coyle Method for demonstration of the radial head requires that the arm be flexed ______ degrees

Answer 3

90

Question 4

The CR should be angles 45 degrees ________ the shoulder to demonstrate the radial head when performing the Coyle Method

Answer 4

Toward

Question 5

When performing the PA projection auto flexion Jones Method for the proximal forearm, the CR will __________

Answer 5

Remain perpendicular to the forearm

Question 6

When the arm is in _______ the coronoid process will be within the coronoid fossa

Answer 6

Flexion

Question 7

When the arm is in _______ the olecranon process will be within the olecranon fossa

Answer 7

Extension

Question 8

The 4 views that should be performed for the radial head series…

Answer 8

Hand supinated
Hand lateral - thumb up
Hand pronated
Hand extreme internal rotation

Question 9

What do the four views of the radial head series demonstrate?

Answer 9

Demonstrate entire circumference of radial head free of superimposition

Question 10

When performing the Coyle Method on the recumbent patient, the CR should first be directed ________ and then may be angled _____ degrees either caudal or cephalic

Answer 10

Horizontal

45

Question 11

Why are AP partial flexion views of the elbow performed?

Answer 11

If pt cannot fully extend elbow & to demonstrate entire elbow joint

Question 12

What does the “cubical notch” study demonstrate?

Medical & layman’s term

Answer 12

Tennis elbow

Radiohumeral bursitis

Question 13

In order to demonstrate the coronoid process when performing the Coyle Method, the arm will be flexed ____ degrees and the CR should be directed _____ the shoulder joint

Answer 13

80

Away from

Question 14

When the routine medial oblique elbow position is performed, what happens to the radius and ulna?

Answer 14

Superimposed (crossed)

Question 15

When the routine lateral oblique elbow position is performed, what happens to the radius and ulna?

Answer 15

Without superimposition (separated)

Question 16

The positions of the hand for the radial head series that will show the radial tuberosity posteriorly are ___________ and _________.

Answer 16

Pronated

Extreme internal rotation

Question 17

The positions of the hand for the radial head series that will show the radial tuberosity anteriorly are ___________ and _________.

Answer 17

Supination

Later position - thumbs up

Question 18

For the AP a it flexion Jones Method for the distal humerus, the CR should remain…

Answer 18

Perpendicular to the humerus

Question 19

When/why is the Coyle Method performed?

Answer 19

When the pt cannot fully extend the elbow for oblique views

- traumatized elbows

Question 20

When performing the radial head series, what three structures should be placed in the same plane?

Answer 20

Wrist
Shoulder
Elbow

Question 21

Name the lateral structures that make up part of the elbow joint (3)

Answer 21

Radial head
Capitulum (lateral condyle)
Lateral epicondyle

Question 22

Name the medial structures that make up part of the elbow joint (3)

Answer 22

Ulnar head
Medial condyle
Medial epicondyle

Question 23

When performing the AP partial flexion with the humerus in contact with the IR and a patient who is hyper flexed, explain how the CR should be placed/directed for adequate demonstration of the elbow joint

Answer 23

Distally or toward the forearm

Question 24

What structure is being demonstrated when the AP acute flexion Jones Method is performed?

Answer 24

Olecranon

Or distal humerus

Question 25

What is demonstrated when the PA acute flexion Jones Method is performed?

Answer 25

Superimposed bones of the arm and forearm