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Merrills Ch 5 pt 2

Shoulder Girdle- pt 2

QuestionAnswer
True or false? Do not have patient rotate shoulder if fx or dislocation is suspected. True
IR for AP projection of shoulder: external, neutral & internal rotation humerus 24 x 30 cm ↔
Location of IR for AP projection of shoulder: external rotation scapula ‖ w/ plane of IR; shoulder joint CTR to IR @ 1" ↓ to coracoid process
Location of IR for AP projection of shoulder: neutral rotation scapula ‖ w/ IR; shoulder joint CTR to IR @ 1" ↓ to coracoid process
Location of IR for AP projection of shoulder: internal rotation scapula ‖ w/ IR; shoulder joint CTR to IR @ 1" ↓ to coracoid process
Patient position for AP projection of shoulder: external rotation upright* or supine; supinate hand & slightly abduct arm ∴ epicondyles ‖ w/ IR
Patient position for AP projection of shoulder: neutral rotation upright* or supine; hand against thigh ∴ epicondyles @ 45° w/ IR
Patient position for AP projection of shoulder: internal rotation upright* or supine; internally rotate arm & rest back of hand on hip ∴ epicondyles ⊥ w/ IR
CR for AP projection of shoulder: external, internal & neutral rotation ⊥ @ 1" (2.5 cm) ↓ to coracoid process
Respiration for AP projection of shoulder: external, internal & neutral rotation Suspend
Area of interest for AP projection of shoulder: external rotation bony & soft structures of shoulder & proximal humerus; greater tubercle in profile
Area of interest for AP projection of shoulder: neutral rotation bony & soft structures of shoulder & proximal humerus; humeral head in partial profile
Area of interest for AP projection of shoulder: internal rotation bony & soft structures of shoulder & proximal humerus; lesser tubercle in profile
What are the Inferosuperior Axial projections of the shoulder joint also known as? Lawrence method & Rafert modification
IR for Inferosuperior Axial shoulder joint, Lawrence method & Rafert modification 10 x 12" (24 x 30 cm) grid ↔, in vertical position against superior shoulder
Position of patient for Inferosuperior Axial shoulder joint, Lawrence method supine w/ 3" (7.6 cm) ↑ of head, shoulders & elbow; external rotation of affected side humerus @ ⊾ to body
Position of patient for Inferosuperior Axial shoulder joint, Rafert modification supine w/ 3" (7.6 cm) ↑ of head, shoulders & elbow; exaggerated external rotation of affected side humerus w/ 45° hand (thumb ↓)
Location of IR for Inferosuperior Axial shoulder joint, Lawrence method & Rafert modification IR supported vertically against shoulder & as close as possible to neck, w/ patient's head turned away
wedge-shaped compression fx on articular surface of humeral head; located on posterolateral humeral head Hill-Sachs defect
CR for Inferosuperior Axial shoulder joint, Lawrence method horizontally thru axilla to AC region; medial ∠ ↑ if abduction ↑; often medial 15-30°
CR for Inferosuperior Axial shoulder joint, Rafert modification horizontally thru axilla to AC region @ medial 15°
Respiration for Inferosuperior Axial shoulder joint, Lawrence method & Rafert modification Suspend
Area of interest for Inferosuperior Axial shoulder joint, Lawrence method & Rafert modification proximal humerus, SH joint, lateral coracoid process & AC joint
What is the AP oblique projection of the shoulder joint & glenoid cavity, RPO/LPO also known as? Grashey method
IR for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method 8 x 10" (18 x 24 cm) ↔
Location of IR for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method IR CTR to SH joint, 2" (5 cm) medial & 2" (5 cm) ↓ to the superolateral border of the shoulder
Patient position for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method upright* or supine; scapula ‖ w/ IR; pt rotated 35-45° toward affected side (↑ if supine); affected arm slightly abducted w/ palm on abdomen
CR for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method ⊥ @ 2" (5 cm) medial & 2" (5 cm) ↓ to superolateral border of shoulder
Respiration for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method Suspend
Area of interest for AP oblique shoulder/glenoid cavity, RPO/LPO, Grashey method joint space btwn humeral head & glenoid cavity; SH joint
What is the variation of the tangential projection of the proximal humerus & intertubercular groove also known as? Fisk modification, or Fisk's technique
IR for Tangential proximal humerus, intertubercular groove & Fisk modification 8 x 10" (18 x 24 cm)
Location of IR for Tangential proximal humerus, intertubercular groove IR vertical against superior shoulder
Location of IR for Tangential proximal humerus, intertubercular groove, FISK MODIFICATION Pt holds IR against forearm
Patient position for Tangential proximal humerus, intertubercular groove supine: 10-15° posterior (↓ from horizontal) to long axis of humerus
Patient position for Tangential proximal humerus, intertubercular groove, FISK MODIFICATION standing or seated; pt leans fwd w/ forearm on table & vertical humerus 10-15° over IR
CR for Tangential proximal humerus, intertubercular groove 10-15° posterior (↓ from horizontal) to long axis of humerus
CR for Tangential proximal humerus, intertubercular groove, FISK MODIFICATION ⊥ to IR w/ vertical humerus @ 10-15°
Respiration for Tangential proximal humerus, intertubercular groove & Fisk modification Suspend
Area of interest for Tangential proximal humerus, intertubercular groove & Fisk modification intertubercular groove
What is the Transthoracic Lateral projection, Ⓡ or Ⓛ, of shoulder also known as? Lawrence method
IR for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ 24 x 30 cm ↕
Location of IR for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ IR CTR to surgical neck of AFFECTED humerus
Patient position for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ supine or upright*, seated or standing; pt ↑ uninjured arm w/ forearm on head & shoulder ↑ as much as possible
CR for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ Per to midcoronal @ surgical neck; or 10-15° cephalad if pt unable to ↑ unaffected shoulder
Respiration for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ Full inspiration; or slow, deep breathing (3-5* sec)
Area of interest for Transthoracic lateral shoulder, Lawrence method, Ⓡ or Ⓛ shoulder & proximal humerus thru thorax
What is the PA oblique, RAO/LAO, of shoulder joint also known as? Scapular Y
IR for PA oblique, RAO/LAO, of shoulder joint 24 x 30 cm
Location of IR for PA oblique, RAO/LAO, of shoulder joint IR CTR @ SH joint w/ scapula ⊥
Patient position for PA oblique, RAO/LAO, of shoulder joint upright* or recumbent; replace AO w/ PO if pt severly injured; affected shoulder against IR
Body rotation for PA oblique, RAO/LAO, of shoulder joint midcoronal 45-60° to IR
CR for PA oblique, RAO/LAO, of shoulder joint ⊥ to SH joint
Respiration for PA oblique, RAO/LAO, of shoulder joint Suspend
Area of interest for PA oblique, RAO/LAO, of shoulder joint Scapular Y
IR for AP Scapula 24 x 30 cm ↕
Location of IR for AP Scapula Top of IR 2" (5 cm) above shoulder
Patient position for AP Scapula upright* or supine; abduct arm to ⊾ w/ body ∴ draw scapula lateral
CR for AP Scapula ⊥ & 2" (5 cm) ↓ to coracoid process
Respiration for AP Scapula Slow breathing
Area of interest for AP Scapula horizontal scapula thru lung & ribs; acromion process
IR for Lateral Scapula, RAO & LAO 24 x 30 cm ↕
Location of IR for Lateral Scapula, RAO & LAO scapular body ⟂ to IR
Patient position for Lateral Scapula, RAO & LAO prone, supine, upright* (seated or standing); 45-60° RAO or LAO. For acromion or coracoid processes, pt has back of hand on posterior thorax or grasping opposite shoulder; for scapular body, pt extends arm up & over head or across chest
CR for Lateral Scapula, RAO & LAO ⟂ to midmedial border of protruding scapula
Respiration for Lateral Scapula, RAO & LAO Suspend
Area of interest for Lateral Scapula, RAO & LAO lateral scapula w/ position of arm determining portion of superior scapula superimposed over humerus
IR for AP Clavicle 24 x 30 cm ↔
Location of IR for AP Clavicle IR CTR to clavicle
Patient position for AP Clavicle upright* or supine
CR for AP Clavicle ⊥ to midshaft of clavicle
Respiration for AP Clavicle Suspend @ expiration ∴ ↑ uniform density
Area of interest for AP Clavicle entire clavicle w/ uniform density
IR for AP/PA axial & AP axial Lordotic Clavicle 24 x 30 cm ↔
Location of IR for AP/PA axial & AP axial Lordotic Clavicle IR CTR to (center of) clavicle
Position of patient for AP axial Clavicle supine
Position of patient for AP axial Lordotic Clavicle upright
CR for AP axial Clavicle 15-30° cephalad
CR for AP axial Lordotic Clavicle 0-15° cephalad
True or false? Hypersthenic pts need ↑ cephalic CR ∠ for AP axial & AP axial Lordotic Clavicle radiographs. False. Thinner pts req ↑ ∠ to project clavicle off scapula & ribs.
Respiration for PA/AP axial & AP axial Lordotic Clavicle Suspend @ full inspiration ∴ further ↑ & ∠ clavicle
Area of interest for PA/AP axial & AP axial Lordotic Clavicle axial clavicle ↑ ribs
Position of patient for PA axial Clavicle prone or standing
CR for PA axial Clavicle 15-30° caudad
What is the bilateral AP projection of AC joints also known as? Pearson method
IR for bilateral AP AC joints, Pearson method 18 x 43 cm, or 2- 8 x 10" (18 x 24 cm), as needed to fit patient
SID for bilateral AP AC joints, Pearson method 72" (183 cm); ↓ magnif & distortion ∴ both joints on 1 image
Location of IR for bilateral AP AC joints, Pearson method IR CTR @ midline of body along level of AC joints
Patient position for bilateral AP AC joints, Pearson method upright, seated or standing (recumbent not succ); pt holds = wts
CR for bilateral AP AC joints, Pearson method ⊥ to midline @ level of AC joints for 1 proj; ⊥ to unilat AC joint for 2 exp (broad shldr pts)
Respiration for bilateral AP AC joints, Pearson method Suspend
Area of interest for bilateral AP AC joints, Pearson method Bilat AC joints: disloc, separ & funct
True or false? A thyroid shield can be used for bilateral AP AC joints, Pearson method. True
Created by: GWCCRad12 on 2011-05-07



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