Week 9 - Shoulder

Question 1

Fill In Blank

Answer 1

See Pix

Question 2

Shoulder AP- Reason

Answer 2

External, neutral, internal rotation

Question 3

Shoulder AP- Pt. Position

Answer 3

1. Upright or Supine
2. CENTER SHOULDER JOINT TO MIDLINE OF GRID

Question 4

Shoulder AP- Reason (External)

Answer 4

supinate hand (palms forward) so epicondyles are parallel and abduct

Question 5

Shoulder AP- Reason (Neutral)

Answer 5

palm on thigh;
Greater tubercle
Small calcification deposits

Question 6

Shoulder AP- Reason (Internal)

Answer 6

back of hand on thigh
Lesser tubercle
Some greater tubercle

Question 7

Shoulder AP - CR (central ray)

Answer 7

(Perp Beam) 1” inferior to coracoid process

Question 8

Shoulder AP - SS (External)

Answer 8

Greater Tubercle

Question 9

shoulder ap- ss (neutral)

Answer 9

Small calcification deposits not seen in other views

Question 10

shoulder ap - ss (internal)

Answer 10

True lateral and less tubercle (some greater tubercle)

Question 11

AP Oblique Shoulder Grashey Method - Pt. Position

Answer 11

1. upright 35 - 45 degrees
2. or supine 45-60 degrees

Question 12

AP Oblique Shoulder Grashey Method - Central Ray

Answer 12

1. (Perp beam) 2” Medial and 2” Inf to superolateral border of shoulder

Question 13

AP Oblique Shoulder Grashey Method - Collimation

Answer 13

1.5” above shoulder and 1” lateral of shoulder
18 x 24 cm

Question 14

AP Oblique Shoulder Grashey Method - SS

Answer 14

SS: Joint space between humeral head and glenoid cavity (scapulohumeral joint)

Question 15

Scapular Y PA Oblique Projection - Patient Position

Answer 15

1. Upright preferred (place affected shoulder on IR)
2. 45-60 degrees from MCP (midcenter point) to IR

Question 16

Scapular Y PA Oblique Projection - CR

Answer 16

Perp beam entering the scapulohumeral joint (glenoid cavity)

Question 17

Scapular Y PA Oblique Projection - SS

Answer 17

Oblique View of shoulder: Normal Shoulder humeral head sits in the “Y”

Question 18

Scapular Y PA Oblique Projection - SS (Ant. dislocation)

Answer 18

Head shifts Medially (appears below coracoid process)

Question 19

Scapular Y PA Oblique Projection - SS (Post. dislocation)

Answer 19

Head shifts laterally (appears below acromium process)