Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Merrills Ch 5 pt 2
Shoulder Girdle- pt 2
| Question | Answer |
|---|---|
| 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
Popular Radiology sets