Upper Extremities Flashcards

1
Q

SID for extremities

A

40”

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2
Q

kVp needs to be (lower or higher) for extremities

A

lower - for a more black and white image

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3
Q

shoulder series

A

AP with internal rotation
(in real world, you’d do AP with external rotation next)
Posterior Oblique with external rotation (Grashey view)
PA Y Scapular view

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4
Q

anatomy viewed on AP shoulder with internal rotation

A

clavicle
corocoid process
acromion
TRUE LATERAL OF HUMERAL HEAD AND LESSER TUBERCLE

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5
Q

arm position on AP shoulder w/ internal rotation

A

arm internally rotated to place epicondyles perpendicular to film

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6
Q

anatomy viewed on Grashey with external rotation

A

GREATER TUBERCLE
GLENOHUMERAL SPACE
intertubercular (bicipital) groove, acromion, clavicle, corocoid process

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7
Q

straight AP with external rotation will not show….

A

glenohumeral space

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8
Q

Posterior oblique (grashey) with external rotation arm placement

A

externally rotate arm until epicondyles are parallel to the film

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9
Q

position of PA “Y” scapular

A

scapula in lateral position, perpendicular to bucky - pt is oblique about 60-75 degrees

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10
Q

why do you do Scapular “Y”?

A

to see shoulder impingement syndrome - the area between the humerus and clavicle

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11
Q

Views in AC joint series

A

Unweighted

Weighted (weights in both hands)

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12
Q

AP Axial Clavicle tube tilt

A

15 degrees cephalic (15 letter in AP Axial Clavicle)

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13
Q

AP Axial Clavicle CR placement

A

slightly below part

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14
Q

AP Humerus

A

include joint closest to injury

AP make sure fully supinated hand

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15
Q

Lateral Humerus

A

include joint of interest

forearm adducted and externally rotated

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16
Q

Elbow Series

A

AP elbow
Lateral elbow
(these are universal views)

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17
Q

What must be in the same plane on an elbow series?

A

shoulder, elbow, wrist

18
Q

hand placement on AP elbow

A

fully supinated

19
Q

anatomy viewed on AP elbow

A

medial and lateral epicondyle
medial (trochlea) and lateral (capitulum) condyles
radial head
olecranon process

20
Q

arm position on lateral elbow

A

flex elbow 90 degrees with forearm in a true lateral position (thumb up)

21
Q

anatomy viewed on Lateral elbow

A
epicondyles (superimposed)
condyles (superimposed)
olecranon process
trochlear notch
radial tuberosity
22
Q

What constitutes a true lateral elbow?

A

epicondyles are superimposed

23
Q

anatomy viewed on internal oblique elbow

A
CORONOID PROCESS (beak like)
radius and ulna
24
Q

anatomy viewed on external oblique elbow

A

CAPITULUM

RADIAL HEAD

25
Q

forearm series

A

AP forearm
Lateral forearm
(include joint closest to injury)

26
Q

Wrist Series

A

PA wrist
PA Oblique Wrist (45 degrees)
Lateral Wrist (90 degrees)

27
Q

anatomy viewed on PA wrist

A

scaphoid, lunate, triquetrum, pisiform
trapezium, trapezoid, capitate, hamate
(proximal to distal)
(medial to lateral)

28
Q

PA wrist with ulnar flexion tube tilt

A

20 degree cephalic or 0

29
Q

What is the most fractured bone in the wrist?

A

scaphoid

30
Q

Why do you use a tube tilt?

A

to elongate and isolate

31
Q

Views in a hand series

A

PA hand
PA Oblique hand (45 degrees)
(no lateral unless foreign body)

32
Q

What do you see on PA hand?

A

carpals

33
Q

What do you see on Oblique hand?

A

metacarpals and phalanges

34
Q

Why do you do a “Baby” arms view?

A

another view for glenohumeral joint space

35
Q

What is a fingers and thumb view?

A

Do PA and oblique hand and save a little space along the edge for the finger you may have injured

36
Q

What is a ball-catchers AP hand view?

A

view to see progression of patient with rheumatoid arthritis

37
Q

What is an olecranon / jone’s view?

A

tangential view of bent elbow

38
Q

process that extends laterally from the scapular spine and over the shoulder joint

A

acromion process

39
Q

another name for the shoulder joint

A

glenohumeral joint

40
Q

large concave articular process located on the anterior side of the proximal ulna

A

semilunar notch aka trochlear notch

41
Q

beak shaped process located on the anterior side of the proximal ulna

A

coronoid process

42
Q

the carpa which articulates with the 1st metacarpal

A

trapezium