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AA Arm and Shoulder
| Question | Answer |
|---|---|
| AP proj. neutral rotation shoulder | Pr. back to IR, affected arm in "as is" position, usually epicondyles are 45° to IR, CR prep. IR at scapulohumeral joint 1" down coracoid |
| Levels of scapula according to the vertebra | Upper margin / superior angle at T2 and inferior angle at T7 |
| Reason for Coyle method vs. Partial Flex | Coyle is Alternative to the Oblique elbow. Pt. can not extend arm. Partial Flex is 2 view upper and lower pt. can not extend arm Alternative to AP Elbow. |
| CR location for the clavicles | AP clavicle prep. IR at mid clavicle AP Axial CR 15°-30° cephalad and AC Joints (Pearson method) CR 1" above Jugular notch 72" SID |
| AP Scapula | AP scapula CR 2" coracoid and 2" in lateral border, can do with orthostatic breath. abduct arm 90° up out of way |
| Lateral Scapula | pt. RAO/LAO 45°-60° with affected arm crossed over chest and hand on opposite shoulder. CR at midvertebral border and perp. IR |
| AP AC Joints | Pt. w/ back against WB. 2 exams one w/o weights and one with. use 72" SID must get both AC joints , 8 to 10 lbs. attached to wrist. CR at 1" above jugular notch Perp. IR. |
| AP Axial clavicle | Pt. back to WB. CR at 15° - 30° cephalad at mid clavicle, thin pt. gets 30 and larger pt. gets 15, Midsternal to lateral shoulder. |
| AP Oblique Scapula ( Scapular Y) | Pt. 45°-60° RAO/ LAO at WB. CR perp. IR at 2" below AC joint at scapulohumeral joint. arm hangs down or out slightly. |
| Transthoracic Lateral Proximal Humerus | PT. with affected side at IR with opposite arm raised, use orthostatic breath. CR perp. IR at Surgical neck region, true lat. |
| AP Oblique Glenoid Cavity (Grashy Method) | Pt. with back against WB at 35°-45° CR perp. IR at 2" down and 2" in or centered at the scapulohumeral joint. |
| Inferosuperior axial shoulder (Lawrence Method) | Pt. in supine pos. w/arm abducted 90° out and hand external rotation. place IR next to head at top of shoulder. Rotate CR 25°-30° to axilla and perp. to IR. Support under arm to raise. |
| AP shoulder Internal rotation; Lateral Proximal Humerus | Pt. back to IR of affected side. arm is rotated internally so that back of hand is on thigh. Epi's are perp. to IR. Arm is Lateral .CR 1" below coracoid perp. IR. lesser Tuber. in profile medially |
| AP shoulder External rotation; AP proj. | pt. back to IR of affected side. arm is rotated externally so that palm is supinated. Epi's are parallel IR. CR 1" below coracoid perp. IR. greater tuber. in lateral profile. |
| Transthoracic Lateral Humerus | Pt. with affected side at WB and opposite arm raised, CR perp. to IR at mid humerus, use orthostatic breath. affected arm in neutral pos. |
| Trauma Horizontal beam lateral distal Humerus L/M | Pt. supine with arm flexed 90° hand pointing up. hand supinated. IR placed b/w arm and body. CR at mid point of distal 2/3 arm, need elbow joint. X-Table exam. |
| Lateral Humerus | Pt. with back to IR arm internally rotated with back of hand at thigh, Epi's perp. to IR; CR perp. IR at mid humerus |
| Medial Humerus PA | Pt. facing IR with arm flexed with hand on back. so that humerus is at IR and CR perp. IR and mid humerus M/L |
| AP Humerus | Pt with back to IR with arm rotated externally so Epi's are parrel to IR and CR is perp. IR. |
| Location of tuberosity's for the Lawrence method | greater tuberosity is superimposed and lesser tuberosity is in profile at the top |
| CR locations for the shoulder AP, Lawrence s/i, i/s, Grashy, scapular Y shoulder | AP 1" below coracoid, Lawrence I/s rotate tube 25 - 30 degrees perp. to IR at axilla, Lawrence S/I angle tube to IR 5 -15 degrees towards body, Grashy 2" down 2" in, scapular Y shoulder 2" down from AC joint |
| which action of arm will result in the radius crossing over the ulna | Pronation of hand |
| Lateral Elbow | arm in horizontal plane with shoulder, elbow flexed to 90 degrees, hand in lateral position, epi's perp. to IR, CR at 1" away from epi's towards the hand, need trochlear sulcus, edges capitulum and trochlea and trochlear notch |
| CR location for the finger | Proximal Interphalangeal joint, PA, Oblique, Lateral |
| CR location for the thumb | 1st metacarpophalangeal joint, AP, Oblique, Lateral |
| CR location for the Hand | 3rd Metacarpophalangeal joint, PA, Oblique, Fan lateral |
| Wrist routine | PA, Oblique, Lateral and the Navicular (Ulnar deviation). |
| Ulnar deviation or Navicular image | PA axial, CR angled at 10 -15 degrees at the scaphoid bone or 3/4" distal the styloid process of the radius. |
| Modified Stecher | PA exam with distal region of the hand elevated on a sponge at 20 degrees with CR at scaphoid bone |
| Bones mostly viewed with the lateral wrist | Scaphoid and Trapezium |
| Coyle method for the radial head | Elbow 90 degrees, CR 45 degrees toward the body or shoulder, should have no superimposition of the ulna, pronate hand CR 45 to IR |
| Coyle method for the coronoid | Elbow 80 degrees CR 45 degrees away from the body pronate hand, CR 445 to IR |
| Other terms for Carpal bones | Trapezium= greater multangular Trapezoid=Lesser multangular Capitate=Os Magnum Hamate= Unciform Scaphoid=Navicular Lunate= Semilunar Triquetrum=Triangle, Cuneiform |
| Forearm positioning | Arm in horizontal plane with shoulder. AP = hand supinate with arm extended, CR at mid forearm, must have carpals and elbow joint; Lateral = flex elbow 90 degrees, Hand in lateral position with hand supinated slightly. need wrist and elbow |
| Criteria for oblique hand | Heads of the 3rd to 5th metacarpals should slightly superimpose and the 2nd and 3rd Do Not touch. |
Created by:
scones and joe
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