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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