Trauma Shoulder

Question 1

What are the three tion’s to demonstrate the shoulder

Answer 1

Dislocation
Separation
Function

Question 2

How do we properly give the weights for AC exams

Answer 2

At the same time 5-10 lbs cause less muscles are being contracted

Question 3

Where is the CR for AC

Answer 3

Level of manubrium notch

Question 4

What do the letters c, s, and 0 stand for ?

Answer 4

C-with

S, 0 - without

Question 5

What is the method name for AC joints

Answer 5

Pearson method

Question 6

Where is the affected arm positioned for an AP projection of the scapula and why ?

Answer 6

Abducted laterally at a 90 degree angle and to get the scapula lateral

Question 7

What 2 scapula borders are superimposed for the lateral scapula

Answer 7

Medial and lateral borders

Question 8

What three things can be determined for mid-clavicle

Answer 8

Bisecting AC and SC joints
Bisecting sternal and acroimion extremity
Lateral and medial portion

Question 9

What positioning modification makes the shoulder a “true” AP and what occurres ?

Answer 9

Slightly rotate pt. To affected side and scapula is getting more parallel

Question 10

Why is a longer SID used for AC joints

Answer 10

To reduce magnification and to get both AC joints on one film

Question 11

What is the proper respiration for AP or PA clavicle and why ?

Answer 11

Suspend on expiration to even out densities

Question 12

What is the proper respiration for a AP axial and why ?

Answer 12

Full inspiration to elevate the clavicles from the apices and angle them

Question 13

The CR projection for AP axial and lordotic position for clavicle

Answer 13

AP axial - 15-30 degrees cephalad

Lordotic- 0-30 degrees cephalad

Question 14

For AP scapula where is the IR and CR directed

Answer 14

IR- 2” above shoulder

CR- 2” inferior to Coracoid process

Question 15

What respirations can be used for AP scapula

Answer 15

Slow breathing to blur out lung and rib markings

Suspend on expiration for more uniform density

Question 16

What two arm positions are used for the lateral scapula

Answer 16

1. ) to demonstrate acromion and coracoid. Flex elbow and place back of hand behind back may also place at pt. Side
2. ) dem body. Reaching hand across the opp. Shoulder or extend arm upward and rest forearm on the head

Question 17

What tells you if the pt is not rolled or rolled to much for the lateral scapula

Answer 17

Rolled too much- narrow portion of lung

Not rolled enough- wider lung field

Question 18

Why is an AP clavicle more essential than a PA

Answer 18

Less mag and OID

Question 19

What can you do if pt can’t be placed in upright pos. , a FX, or destructive disease for clavicle

Answer 19

Use supine position to reduce the possibility of fragment displacement or add injury

Question 20

How do you know if you got the whole scapula on the radiograph ?

Answer 20

Acromion process to inferior angle