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Posi > UPPER EXTREMITY > Flashcards

UPPER EXTREMITY Flashcards

1
Q

[RP] Digits 2nd-5th

A

⊥ PIP JT

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2
Q

Digits 2nd-5th - LAT
Reduce OID

A

Radial S. 2nd & 3rd
Ulnar S. 4th and 5th

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3
Q

Digits 2nd-5th
PAO - Medial Rotation for 2nd digit

A

STREET JM
2nd digit - IR

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4
Q

[RP] Thumb 1st

A

⊥ 1st MCP JT

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5
Q

Thumb 1st MCP
Magnified image

A

PA PROJECTION

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6
Q

[RP] Thumb 1st Digit

A

⊥ 1st CMC Jt

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7
Q

ROBERT (AP)
Arm and Hand [posi]

A

Arm- INT Rot
Hand-HyperE

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8
Q

[SS] ROBERT (AP)

A

Arthritic Changes
Bennet’s/Rolando Fx

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9
Q

Thumb 1st Digit
RAFERT LONG [CR-RP]

A

15 deg prox -1st CMP

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10
Q

Thumb 1st Digit
LEWIS [CR-RP]

A

10-15 deg prox- 1st MCP

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11
Q

BURMAN (AP)
Hand & Thumb [posi]

A

Hand-HyperE.-INT Rot
Thumb-abd

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12
Q

BURMAN (AP)
[SID,CR]

A

18” SID -Magnif
45deg twd elbow-1st CMC

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13
Q

BURMAN (AP)
[SS]

A

magnified
Trapezium -Concave
1st MC Base - Convex

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14
Q

FOLIO (PA)
SKIER’S/GAMEKEEPER’S
[SS]

A

Dx Ulnar Collateral Ligament Rupture

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15
Q

[RP] Hand

A

⊥ 3rd MCP JT / Head of 3rd MC

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16
Q

Hand PAO [techniques]

A

45deg
1. Foam Wedge: IP JT
2.Fingertips: MC JT

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17
Q

[SS] LANE-KENNEDY-KUSCHNER (Reverse Oblique)

A

SS:severe MC deformities

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18
Q

[PP,CR,SS] KALLEN (Tangential Oblique)

A

Flex 75-85deg
CR 40-45deg twd Ulnar side& fwd MCP JT
SS: MC Head fx

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19
Q

LAT (Extension)
LM PROJ [..]
ML PROJ [..]

A

LM Proj: U. Down
ML Proj: R. Down
Thumb 90deg -palm
⊥-2nd MCP JT

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20
Q

Localize Fb & MC fx
displacement

A

LAT (Extension)

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21
Q

LEWIS METHOD [PP, RP, SS]

A

Hand 5deg post
⊥- midshaft of 5th MC
SS: 5th MC fx

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22
Q

SS: Anterior or Posterior
Displacement in MC fx

A

LAT (Flexion)

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23
Q

Rhematoid Arthritis

A

NORGAARD M. (APO) / Ball Catcher’s

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24
Q

NORGAARD M. (APO) / Ball Catcher’s
[exposure technique]

A

fine grain -IS; 60-65 kVp

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25
Q

FX 5th MC- Boxer’s fx

A

STAPCZYNSKI

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26
Q

Erosions of MC heads and bases of phalanges
Alt. Rheumatoid Arthritis

A

BREWERTON (REVERSE KALLEN)

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27
Q

BREWERTON (REVERSE KALLEN)
[PP,CR]

A

MCP JT 45deg flexed
CR 20 deg -US to 3rd MC head

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28
Q

[RP] Wrist

A

⊥ midcarpal / midway b/n the ulnar & radial styloid processes

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29
Q

ELONGATED scaphoid/capitate

A

DAFFBER-EMMERLING-BUTTERBAUGH REC
PA Axial -30 deg twd elbow

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30
Q

ELONGATED capitate only

A

DAFFBER-EMMERLING-BUTTERBAUGH REC
PA Axial -30 deg twd fingertips

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31
Q

30 deg twd elbow -
ELONGATED scaphoid/capitate
30deg twd ftips - ELONGATED capitate only

A

DAFFBER-EMMERLING-
BUTTERBAUGH REC

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32
Q

Carpal interspaces / No rot
of ulna

A

AP Wrist

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33
Q

Prox MC & dist R&U
Trapezium & Scaphoid (ant)

A

LAT :LM Projection
90deg flexion

34
Q

Lateral scaphoid

A

BURMAN SUG -palmar flexion (rotate scaphoid in dorsovolar pos)

35
Q

CARPAL BOSSU/
CARPAL BOSS

A

FOILLE - palmar flexion

36
Q

Lat side (SCAPHOID &
TRAPEZIUM)

A

PAO 45 deg
LAT ROT - Aff side UP
(Ulnar dev - scaphoid only)

37
Q

Med side (PISIFORM,
TRIQUETRUM & HAMATE)

A

APO 45deg - MED ROT
Aff side DOWN

38
Q

correct scaphoid foreshortening

A

PA -ULNAR DEV

39
Q

PA -ULNAR DEV
[CR,SS]

A

⊥ or 10-15prox/dist
SCAPHOID-open carpal
spaces (lat side)

40
Q

Open carpal interspaces
(med side)

A

PA -RADIAL DEV

41
Q

STECHER (PA AXIAL)
20deg support
[CR]

A

20deg twd elbow
20deg twd dgits
Clench fist (NO CR)

42
Q

Stecher M w/ ulnar dev

A

BRIDGMAN METHOD

43
Q

RAFERT-LONG (PA&
PA AXIAL) X-ULNAR DEV -4images
[CR]

A

⊥; 10deg; 20deg; 30deg cephalad

44
Q

Addt’l to evaluate sus widening of scapholunate interval (Bilat) “function view”

A

CLENCH FIST VIEW

45
Q

Scaphoid Views

A

STECHER (PA AXIAL)

BRIDGMAN METHOD-ud

RAFERT-LONG (PA&
PA AXIAL)-4images-ud

CLENCH FIST VIEW

ZITTER’S 25deg

46
Q

Trapezium/ Trapezium Fx

A

CLEMENTS-NAKAYAMA
(PA AXIAL OB)

47
Q

45 deg sponge+ ulnar dev
CR 45deg distally - ANATOMICAL SNUFFBOX

A

CLEMENTS-NAKAYAMA
(PA AXIAL OB) or

(No UD) Rotate elbow end of IR & arm 20deg away from CR

48
Q

45 deg sponge+ ulnar dev
45deg distally - ANATOMICAL SNUFFBOX

A

CLEMENTS-NAKAYAMA
(PA AXIAL OB) or

(No UD) Rotate elbow end of IR & arm 20deg away from CR

49
Q

Carpal Bridge

A

LETINO (TAN)

50
Q

LETINO (TAN)
[PP,CR,SS]

A

90deg to FA
45deg caudad - 1.5” prox wrist jt

Famous Landmarks Connect Cities

CARPAL BRIDGE
Fx Scaphoid & FB
Lunate disloc
Calcif (dorsum)
Chip fx (dorsal)

51
Q

MODIFIED LETINO [PP,CR]

A

FA elev SB; wrist flexed @ R<
45deg twd wrist

52
Q

CARPAL CANAL/TUNNEL

A

GAYNOR-HART
(TAN (I-S)

53
Q

GAYNOR-HART (TAN (I-S)
[SS]

A

Carpal canal/tunnel
(Carpal sulcus + flexor retinaculum)
carpal tunnel syndrome
fx of hook of PHT

54
Q

GAYNOR-HART (TAN (I-S)
[CR]

A

20-30deg to LA of hand
-1” dist to 3rd MCP base

55
Q

MCQUILLEN MARTENSEN
CR

A

15deg twd palm

56
Q

CARPAL CANAL
(cant assume Gaynor)

A

SUPEROINFERIOR (TAN)

57
Q

CARPAL CANAL Views

A

GAYNOR-HART (TAN (I-S) - 20-30deg to LA of hand

MCQUILLEN MARTENSEN
CR 15deg twd palm

TEMPLETON AND ZIM
CR 40 deg tws fingers

MARSHAL SUGGESTION
(For limited dorsiflexion)
45deg sponge

58
Q

SS if FA in pronation

A
  1. Crosses radius over ulna @ Prox third
  2. Rotate humerus medially
59
Q

FA Lateral

SSS-R

A

SSS-R
SI R&U @ distal end
SI RH over Coronoid P.
SI Humeral Epicondyles
Radial Tuberosity facing ant

60
Q

EJ.R.U
Ant & post displ fx

A

LATERAL-FA

61
Q

[RP] Elbow

A

⊥ Elbow Jt/ midway b/w the epicondyles

62
Q

Elbow AP
[HE]

A

HE & ant surface ll - IR

63
Q

Elbow LAT
HE

A

HE ⊥-IR

64
Q

Elbow Lat [SS]

A

OLECRANON PROCESS
SI HE, RT facing ant, RH
partially SI Coronoid P

65
Q

GRISWOLD (2 Reasons 90deg) - elbow

A
  1. OLECRANON PROCESS
    2.Elbow Fat Pads least compressed
66
Q

APO (MED ROT) - elbow
45deg

A

C.O.Me.T
CORONOID PROCESS, Medial epicondyle, TROCHLEA

67
Q

APO (LAT ROT)
45 deg

A

CRL
CAPITULUM,
RH &N &
Lateral epicondyle

68
Q

HOLLY (AP-RH)

A

dist humerus
H-wrist 30 deg

69
Q

JONES (AP)

ACUTE FLEXION-DIST HUMERUS

[SS]

A

OLECRANON PROCESS

70
Q

JONES (AP)

PROX FLEXION-PROX FA
[SS]

A

EJ more open

71
Q

LAT (RH) latermed
[positions]

A

E-90deg
1. Supinated
2. In lat
3. Pronated
4. Int Rot

72
Q

LAT (RH) latermed
[SS]

A

RT facing ant (1st and 2nd)
RT facing post (3rd and 4th)

73
Q

GREENSPAN & NORMAN (RH)
[CR]

A

45deg medially (twd the shoulder)

74
Q

COYLE (AXIOLAT)
[CR]

A

45deg twd(ceph) shoulder (RH)

45deg away (cau) fr shoulder (CP)

75
Q

COYLE (AXIOLAT)
[FLEXION]

A

RH 90deg
CP 80deg

76
Q

RADIOHUMERAL BURSITIS (TENNIS ELBOW)

A

PA AXIAL
(rp:ulnar sulcus)

77
Q

PA AXIAL - elbow
[PP,CR,RP]

A

Humerus to FA 75deg flexion
15deg fr CR
Perp ulnar sulcus

78
Q

PA AXIAL (rp:ulnar sulcus)
[SS]

A

Epicondyles ;trochlea. Ulnar sulcus,
olecranon fossa
RADIOHUMERAL BURSITIS (TENNIS ELBOW)
detect obscured calcif

79
Q

AP-humerus [HE]

A

HE ll-IR (Ext Rot)

80
Q

Humeral Head & GT
SUPRACONDYLAR FX
-MC (pedia)-dist humerus

A

AP-humerus

81
Q

LAT (Latermed) [HE,PP]

A

HE ⊥-IR; flex 90deg
Mediolateral - hand holding
broken arm

82
Q

LESSER TUBERCLE, GT SI
over HH

A

LATERAL- Humerus

Posi (4 decks)

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