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Stack #151259
| Question | Answer |
|---|---|
| Stecher Method-What is the IR size? | 8x10 lengthwise |
| Stecher Method with CR angle-CR? | 20 degrees toward elbow entering scaphoid |
| Stecher Method-What is the height? | 41.5" (20 degrees=37.5+4=41.5) |
| Stecher Method-Structures shown? | scaphoid projected without self-superimposition. The 20 degree angulation places the scaphoid at right angles to the CR |
| Stecher Method-Position of patient? | *seated at the end of the radiographic table with the arm and axilla in contact with the table *rest the forearm on the table *adjust the wrist for a PA projection and center the wrist to the IR |
| Stecher Method-Evaluation criteria? | *scaphoid *no rotation of carpals, metacarpals, radius, and ulna *distal radius, ulna, carpals, proximal half of metacarpals *soft tissue and bony trabeculation |
| Stecher Method-Technique? | 56@5 (50x1/10) |
| Clements/Nakayama Wrist-IR size? | 8x10 lengthwise |
| Clements/Nakayama Wrist-CR? | angled 45 degrees distally to enter the anatomic snuffbox of the wrist and pass through the trapezium |
| Clements/Nakayama Wrist-Structures shown? | *trapezium and its articulations with adjacent carpal bones *the articulation of the scaphoid and trapezium is not demonstrated on this image *trapezium fracture shown |
| Clements/Nakayama Wrist-Patient position? | *patient seated at end of radiographic table *hand on IR in lateral position *place 45 degree sponge against anterior surface and rotate hand to come in contact with sponge *ulnar deviate wrist so that IR and forearm is aligned with CR **if patient is |
| Clements/Nakayama Wrist-Evaluation criteria? | trapezium projected free of the other carpal bones with the exception of the articulation of the scaphoid |
| Clements /Nakayama Wrist-Technique? | 56@5 (50 @ 1/10) |
| Tangential-Carpal Bridge-IR? | 8x10 lengthwise |
| Tangential Carpal Bridge-CR? | 1 1/2 inches proximal to wrist joint at a caudal angle of 45 degrees |
| Tangential Carpal Bridge-What is the height? | 32" (45 degrees=28+4=32) |
| Tangential Carpal Bridge-Structures shown? | *carpal bridge demonstrated on image *demonstration of fractures of scaphoid, lunate dislocations, calcifications and foreign bodies in the dorsum of wrist, and chip fractures of dorsal aspect of carpal bones |
| Tangential Carpal Bridge-Position of patient? | *Seat or stand patient at side of radiograhic table to permit required manipulation of the arm or x-ray tube *hand should lie palm upward on the IR with hand at right angle to forearm **elevate forearm on sandbags or other suitable support then with wri |
| Tangential Carpal Bridge-Evaluation criteria? | *dorsal aspect of wrist *carpals *dorsal surface of carpals free of superimposition by metacarpal bases |
| Tangential Carpal Bridge-Technique? | 56@5 (50 @ 1/10) |
| Gaynor-Hart-IR? | 8x10 lengthwise |
| Gaynor-Hart (Inferosuperior)-CR? | *directed by hand at a point 1" distal to base of third metacarpal *angle of 25-30 degrees to the long axis of the hand **when wrist cannot be extended to within 15 degrees of vertical align CR first parallel to palmar surface then add 5 degrees toward |
| Gaynor-Hart-Structures shown? | *palmar aspect of the trapezium, tubercle of trapezium, and scaphoid, cpitate, hook of hamate, trquetrum, and entire pisiform *abnormality of bones or soft tissue of canal |
| Gaynor-Hart-Position of patient? | *seat patient at end of table so forearm can be adjusted to lie parallel with long axis of table *hyperextend wrist *center IR to joint at level of radial styloid process *place sponge under forearm for support *make hand as vertical as possible *to |
| Gaynor-Hart-Evaluation criteria? | *Carpals in and arch arrangement *pisiform in profile and free of superimposition *hamulus of hamate *all carpals |
| Gaynor-Hart-Technique? | 56@5 (50 @ 1/10) |
| Gaynor-Hart-What is the height? | 25 degrees= 40" 30 degrees= 38.5 |
| Gaynor-Hart (superoinferior)- CR? | *tangential to carpal canal at level of midpoint of wrist *angled toward hand 20-35 degrees from long axis of forearm |
| Gaynor-Hart (superoinferior)-Position of patient? | dorsiflex the wrist as much as possible and lean forward to place carpal canal tangent to the IR |
| Elbow AP Oblique Medial-IR? | 8x10 lengthwise (1 on 1) 10x12 crosswise (2 on 1) |
| Elbow AP Oblique Medial-CR? | Perpendicular to elbow joint |
| Elbow AP Oblique Medial-structures shown? | *coronoid process projected free of superimposition |
| Elbow AP Oblique Medial-Position of patient? | *seat patient at end of table *extend arm in AP in contact with table *medially rotate or pronate hand, placing anterior surface at angle 45 degrees |
| Elbow AP Oblique Medial-evaluation criteria? | *coronoid process in profile *trochlea *elongated medial humeral epicondyle *ulna superimposed by the radial head and neck *olecranon process within the olecranon fossa *soft tissue and bony trabeculation |
| Elbow AP Oblique Medial-technique? | 58@10 (100s @ 1/10) |
| Elbow AP Oblique Lateral-CR? | perpendicular to elbow joint |
| Elbow AP Oblique Lateral-IR? | 8x10 lengthwise (1 on 1) 10x12 crosswise (2 on 1) |
| Elbow AP Oblique Lateral-structures shown? | radial head and neck free of superimposition of ulna |
| Elbow AP Oblique Lateral-position of patient? | *seat patient at end of table *extend arm in AP *rotate arm laterally placing posterior surface of elbow at 45 degree angle *first and second digits should touch the table |
| Elbow AP Oblique Lateral-evaluation criteria? | *radial head, neck, and tuberosity projected free from ulna *capitulum *open elbow joint *soft tissue trabeculation |
| Elbow Schmitt-CR? | 45 degrees toward ulna (medial view) 45 degrees toward radius (lateral view) |
| Elbow Schmitt-IR? | 10x12 crosswise (2 on 1) |
| Elbow Schmitt-position of patient? | *seat patient at end of table *place arm in AP |
| PA axial olecranon process-IR? | 8x10 |
| PA axial olecranon process-CR? | 20 degrees toward elbow |
| PA axial olecranon process-height? | 41.5 (37.5+4=41.5) |
| PA axial olecranon process-position of patient? | *adjust arm at angle of 45 to 50 degrees from vertical position *ensure patient is not leaning anteriorly or posteriorly *supinate hand and have patient immobilize it with the opposite hand *center a point midway between the epicondyles and center of |
| PA axial olecranon process-structures shown? | *olecranon process in profile *soft tissue outside the olecranon process *forearm and humerus superimposed *no rotation |
| PA axial olecranon process-technique? | 56@10 (100s @ 1/10) |
Created by:
kalbarado
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