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SJC Zerbe S1U3

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AP Projection
 External Rotation: Cassette size and orientation   show
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AP Projection
 External Rotation: CR location   show
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AP Projection
 External Rotation: Patient Position   show
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show Humeral head in profile
Greater tubercle in profile (laterally)
Site of insertion of the supraspinatus tendon  
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show 10 x 12 CW with Grid  
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show CR 1” inferior to coracoid  
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show Posterior hand on thigh and epicondyles perpendicular to IR  
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AP Projection 
Internal Rotation: What is shown?   show
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AP Projection 
Neutral Rotation: Cassette size and orientation   show
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AP Projection 
Neutral Rotation: CR location   show
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show Palmar surface of hand against thigh with epicondyles at a 45 degree angle  
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show Humeral head and greater tubercle in partial profile
. Posterior part of the supraspinatus insertion.  
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AP Oblique Projection Grashey Method: Cassette size and orientation   show
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show CR 2” medial and 2” inferior to superolateral border of shoulder  
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show Patient rotated 35 to 45 degrees toward affected side until scapula is parallel to IR  
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AP Oblique Projection Grashey Method: What is shown?   show
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Transthoracic Lateral Lawrence Method Trauma for proximal humerus/shoulder: Cassette size and orientation   show
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Transthoracic Lateral Lawrence Method Trauma for proximal humerus/shoulder: CR location   show
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Transthoracic Lateral Lawrence Method Trauma for proximal humerus/shoulder: Patient Position   show
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Transthoracic Lateral Lawrence Method Trauma for proximal humerus/shoulder: Breathing Technique   show
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AP Projection
External Rotation: Technique and SID   show
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show 75 kVp @ 12.5 mAs, SFS, 40"  
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AP Projection
 Neutral Rotation: Technique and SID   show
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AP Oblique Projection Grashey Method: Technique and SID   show
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show SFS, 40", 80 kVp @ 2 second exposure. •Smaller than average Patient: 20 mAs (10mA @ 2 Sec) •Average: 32 mAs (16mA @ 2 Sec) •Above Average: 64 mAs (32mA @ 2 Sec)  
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Inferosuperior Projection
 Lawrence Method Axillary: Cassette size and orientation   show
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show CR is horizontal and angled 15 to 30 degrees medially 
Enters axilla, exits AC joint
. The greater the abduction, the greater the angle you will use.  
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Inferosuperior Projection
 Lawrence Method Axillary: Patient Position   show
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Inferosuperior Projection
 Lawrence Method Axillary: Technique and SID   show
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show You should see a gap in the scapulohumeral joint with minimal overlap.  
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show 8 x 10 LW If available, 10 x 12 if not  
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show CR angled 5 to 15 degrees from vertical toward the elbow. Enters AC and exits axilla. The less the abduction, the greater the angle.  
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Superoinferior Projection Axillary: Patient Position   show
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show 60 kVp @ 8 mAs, SFS, 40"  
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Superoinferior Projection Axillary: What is shown?   show
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PA Oblique Projection of the shoulder Scapular Y: Cassette size and orientation   show
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PA Oblique Projection of the shoulder Scapular Y: CR location   show
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show Patient PA and rotated 45 to 60 toward the affected side until scapular body is perpendicular to the IR with arm hanging by the side. Can be done in recumbent LPO for trauma  
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PA Oblique Projection of the shoulder Scapular Y: Technique and SID   show
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PA Oblique Projection of the shoulder Scapular Y: What is shown?   show
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PA Oblique Projection of the shoulder Scapular Y: Modifications   show
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show 8 x 10
placed vertically on the table against superior shoulder. If available if not then 10 x 12  
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Tangential Projection 
Intertubercular groove 
Supine method: CR location   show
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Tangential Projection 
Intertubercular groove 
Supine method: Patient Position   show
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show Can do standing (Fisk) with patient leaning over IR and humerus angled 10 to 15 degrees, with cassette held on forearm. Not preferred due to OID  
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show 14 x 17 CW or 
2 – 8x10s  
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AP Projection Acromioclavicular Joints Pearson Method: CR location   show
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show Seated or standing in AP position. Patient's arms hang by the sides, plane of shoulders parallel to IR. 2 exposures– one without weights, one with 5-8lb affixed to each wrist, pt should let arms hang, not hold weights up.  
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AP Projection Acromioclavicular Joints Pearson Method: Technique and SID   show
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AP Projection Acromioclavicular Joints Pearson Method: What is shown?   show
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show 6 × 17 or smaller if patient size allows.  
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AP Projection Clavicle (Can also be done PA to reduce OID and improve recorded detail): Cassette size and orientation   show
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AP Projection Clavicle (Can also be done PA to reduce OID and improve recorded detail): CR location   show
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AP Projection Clavicle (Can also be done PA to reduce OID and improve recorded detail): Breathing Instructions   show
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AP Projection Clavicle (Can also be done PA to reduce OID and improve recorded detail): Technique and SID   show
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show Sternal extremity will be demonstrated within the thorax  
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show 6 × 12 or smaller if patient allows  
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show 10 x 12 CW  
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AP Axial Clavicle: CR location   show
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show Suspend at end of inspiration  
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AP Axial Clavicle: Technique and SID   show
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show 6 × 12 or smaller if patient allows  
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show 10 x 12 LW  
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show CR: 2” inferior to the coracoid. Top of IR 2” above shoulder  
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AP Scapula: Breathing Instructions   show
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show 70 kVp @ 10 mA @2 seconds "breathing technique" (20 mAs), 40"  
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AP Scapula: Collimation   show
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show Standing or supine with arm abducted 90 degrees "crossing guard"  
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show 10 12 LW  
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show CR entering mid vertebral border  
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Lateral Scapula: Breathing Instructions   show
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Lateral Scapula: Technique and SID   show
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Lateral Scapula: Collimation   show
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show Arm across the posterior thorax to demonstrate coracoid and acromion
. Arm across anterior chest or over the head to demonstrate body  
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show Suspend  
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show Suspend  
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show Suspend  
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AP Oblique Projection Grashey Method: Breathing Instructions   show
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Inferosuperior Projection
 Lawrence Method Axillary: Breathing Instructions   show
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Superoinferior Projection Axillary: Breathing Instructions   show
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PA Oblique Projection of the shoulder Scapular Y: Breathing Instructions   show
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show Suspend  
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What percent of dislocations are anterior (subcorocoid)?   show
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show Impacted fracture of posterolateral aspect of the humeral head with dislocation  
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Bursitis   show
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show Displacement of a bone from the joint space  
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Fracture   show
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Tendinitis   show
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Osteopetrosis   show
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show Loss of bone density (think porous)  
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Rheumatoid Arthritis   show
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Osteoarthritis or degenerative joint disease   show
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show Minimum of 3 seconds  
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show Manubrium and 1st rib cartilage  
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show 3 Anterior, Middle, Posterior  
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show The tendon of the Supraspinatous muscle  
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show The tendon of the infraspinatous muscle  
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The posterior impression of the greater tubercle is the insertion for which tendon?   show
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show Neutral Rotation  
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What Projections will demonstrate the humerus in a lateral projection   show
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The superoinferior and inferosuperior Axillary projections demonstrates which tendon insertion sites?   show
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For a transthoracic lateral projection, the proximal humerus should be projected:   show
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When the tangential projection of the intertubercular groove is performed with the patient supine, the position of the hand is:   show
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All of the joints of the shoulder girdle are:   show
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show anterior  
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show 35-45* towards the affected side  
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show AP Oblique Projection (Grashey Method)  
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show Hill-sachs defect and Bankart lesions associated with anterior dislocations of the shoulder  
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show Ignore me  
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