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Donny RAD POS l > Ch 5 Shoulder rough review > Flashcards

Ch 5 Shoulder rough review Flashcards

(80 cards)

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1
Q

infraspinous fossa

A
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2
Q

subscapular fossa

A
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3
Q

Supraspinous fossa

A
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4
Q

What is abduction? (of the humerus)

A
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4
Q

What fossa is located on the distal posterior humerus?

A

Olecranon fossa

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5
Q

what is extension of the humerus?

A
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5
Q

What is adduction?

A
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5
Q

what is flexion of the humerus

A
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6
Q

In an AP humerus is the humerus flexed or extended?

A

extended

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7
Q

AP external shoulder/humerus

A

greater tubercle in profile
supination of hand
epicondyles parallel to the IR

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8
Q

for a lateral humerus is the humerus flexed or extended?

A

flexed

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9
Q

What projection causes the lesser tubercle to be in profile?

A

Internal rotation/projection

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9
Q

Internal shoulder/humerus

A

humerus is true lateral
hand is pronated
epicondyles perpendicular to the IR
Lesser Tubercle in profile

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10
Q

neutral shoulder/humerus

A

appropriate for trauma patient when rotation is not possible
epicondyles are 45 degrees to the IR
palm of the hand is facing inward

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11
Q

what projections causes the greater tubercle to be in profile?

A

external rotation/projection

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12
Q

if the epicondyles are parallel what is in profile?

A

greater tubercle

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13
Q

GELI abbreviation

A
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14
Q

if the epicondyles are perpendicular what is in profile?

A

lesser tubercle

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15
Q

Colles fx

A
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16
Q

smiths fx

A
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17
Q

boxers fx

A
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18
Q

what is a rotator cuff tear?

A
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19
Q

inferosuperior axillary projection

A

patient supine
CR 25 to 30 degrees centered horizontally to axilla and humeral head
best shows Hill-Sachs defect

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19
Q

what consists of the shoulder girdle?

A

scapula
clavicle
NOT humerus

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20
internal shoulder positioning
abduct arm slightly pronate arm (internally rotate arm) epicondyles perpendicular to IR CR 1 inch inferior to coracoid process 40" SID 10 x 12 landscape 80 kvp
21
External shoulder positioning
abduct arm slights hand supinated (externally rotate arm) epicondyles parallel to IR CR 1 inch inferior to coracoid process
22
Grashey method
patients body rotated 35 to 45 degrees toward affected side abduct arm slightly with arm flexed in neutral rotation CR is 2 inferior and 2 inches medial to scapulohumeral joint 10 x 12 landscape 40" SID 80 KVP
23
Neer Method (Y view)
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BONUS: What does internal shoulder show and look for?
26
BONUS: What does external shoulder show and look for?
27
BONUS: What does inferosuperior shoulder show and look for?
28
BONUS: What does superiorinferior shoulder show and look for?
29
BONUS: What does Neer (Y view) show and look for?
30
BONUS: why do we rotate the patient in the grashey?
31
Inferosuperior axillary position is also known as the
west point projection
32
(T/F) we use a breathing technique for transthoracic lateral projection
True
32
what do we see in profile on the inferosuperior projection?
33
What is an alternative to the breathing technique of a transthoracic?
Tell the patient to hold there breath to expose on full inspiration
34
What is the CR for transthoracic?
surgical neck (or mid-diaphysis)
35
In a Grashey we oblique the patient
35 to 45 degrees toward affected side LPO and RPO
36
In a Neer we oblique the patient
oblique the patient 45 to 60 degrees depending on the patient RAO/ LAO 10 to 15 degrees caudal angle
37
LPO/RPO oblique 45 degree angle, projection is
Grashey
38
RAO/LAO 45 degree oblique, with a 10-to-15-degree tube angle projection is
NEER or Y view
39
For internal rotation how is the hand?
39
If you are working in the ED and the patient comes in with severe abdominal and shoulder pain he or she is unable to stand for the upright projections and you have positioned the patient for a shoulder projection with the humeral epicondyles parallel to the IR with the CR being 1 Inches inferior to the coracoid. This projection would be?
External or AP (keyword to this is the epicondyle placement)
40
your patient is in a 45-degree posterior oblique position with the affected side closest to the IR. The humeral epicondyles are parallel to the image receptor. CR is 2 inches inferior and 2 inches medial to the supralateral side of the scapula. Which view would this be?
Grashey (hint is the CR and epicondyles)
41
superstinatus view how is the scapula to the IR?
perpendicular (because of the oblique)
41
For external rotation how is the hand?
42
What is most inferior portion in the shoulder?
43
What is the anterior portion of the shoulder?
coracoid process
44
what is the most posterior portion of the shoulder?
acromion
45
What are the inferior angles and borders of the scapula?
46
scapular notch
47
coracoid
48
The scapula spine extends laterally into a flattened triangle shape process known as the
acromion
49
what kind of joint is the scapulohumeral (glenohumeral) joint?
Ball and socket freely moveable (diarthrodial)
50
What kind of joints are the AC and SC joints?
plane or gliding freely moveable (diarthrodial)
51
what kind of joints are the radioulnar joint?
52
Inferosuperior axillary projection is
the axillary (Mayo shoots this superoinferior) Coracoid should be up and flipped to the right side
53
Where are the AC and SC joint located?
54
CR for internal shoulder
1 inch below the coracoid
55
CR for a NEER view
mid-scapula angle 10-15 degree caudad
56
CR for Axial clavicle
mid clavicle 15 to 30 degrees cephalad hyperstenic 15-20 degrees asthenic 25 to 30 degrees
57
how many projections for AC joint?
2 projections one without weights (WOW) one with weight bearing 14x17 inches landscape
58
what do we do for a better divergent beam on AC joints to include both joints?
72 inch SID
59
Bursitis
Inflammation of bursar Fluid filled sacs enclosing the joints
60
if you can angle for a clavicle you can position the patient to be
lordotic
61
Idiopathic chronic adhesive capsulitis (Frozen shoulder)
Chronic inflammation around joint Causes pain and limitation in motion (Idiopathic means unknown)
62
Osteoarthritis
Degenerative joint disease (DJD) Non inflammatory characterized by gradual deterioration of cartilage Most common type of arthritis, normal with age
63
Osteopetrosis
Reduction of quantity of bone More likely to have fx’s
64
Rotator cuff
Limits range of motion in shoulder Injury to shoulder muscles: Teres minor, supraspinatus, infraspinatus, subcapularis.
65
Shoulder dislocation
Traumatic removal of humeral head from glenoid cavity 95% are anterior (humeral head is anterior to glenoid cavity)
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Donny RAD POS l (9 decks)

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