Upper Extremity - Random

Question 1

Accessory View: Jones View?

Answer 1

Olecranon
Arm is in flexion
Fracture and Moderate Dislocation of Elbow

Question 2

Accessory View: Ball Catchers View?

Answer 2

AP Hands, Rotated in Medially 45 degrees like you are going to catch a ball / Fracture of Fifth Metacarpal or changes in Rheumatoid Arthritis

Question 3

Accessory View: Carpal Tunnel View

Answer 3

palmar surface of hand is on cassette and hands are dorsiflexed

Question 4

Accessory View: Fingers and Thumb

Answer 4

nothing noted

Question 5

Accessory View: “Baby” Arms

Answer 5

Glenohumeral Join AP with Abduction

Question 6

Senior Considerations:

Answer 6

May need assistance undressing and gowning, and with mobility
Do seated if possible
Extend table top over patient’s lab
Elevate table top to shoulder height or raise cassette on sponges

Question 7

Pediatric Considerations:

Answer 7

Minimize exposure to patient: little bodies more susceptible to exposure damage, do it right the first time, limit number of views in a series
Motion control is challenging: enlist the help of the parents (emotionally and physically)
Healthcare Provider = mandatory reporter