Chapter 5 Flashcards

1
Q

Which joint is the only saddle joint in the whole body

A

Carpometacarpal joint of 1st digit (CMC joint)

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2
Q

What type of joint are all the joints in the upper extremity

A

Synovial joints

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3
Q

What other type of joint is the intercarpal joints?

A

Gliding type

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4
Q

What type of joint is the radiocarpal joints

A

Ellipsoidal

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5
Q

What type of joint is the elbow joint

A

Hinge joint

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6
Q

What type of joint is the shoulder joint

A

Ball & socket

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7
Q

How many phalanges in the hand

A

14

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8
Q

How many carpal bones in the hand

A

8

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9
Q

What are the names of the proximal carpal bones - lateral to medial

A

Scaphoid
Lunate
Triquetrium
Pisiform

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10
Q

What are the names of the distal carpal bones - lateral to medial

A

Trapezium
Trapezoid
Capitate
Hamate

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11
Q

What two methods do you use to view the scaphoid bone

A

Stetcher method & ulnar deviation

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12
Q

2-5 digits joint names from tip of the finger to carpal bones

A

Distal interphalangeal
Proximal interphalangeal
Metacarpophalangeal
Carpometacarpal

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13
Q

1st digit joint from tip of finger to carpals

A

Interphalangeal
Metacarpophalangeal
Carpometacarpal

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14
Q

What joints are in the carpal bones

A

Intercarpals

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15
Q

What joint is between the carpals & radius

A

Radiocarpal

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16
Q

What joint is between the radius & ulna

A

Radioulnar

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17
Q

Where will the CR be directed for 2nd-5th digits

A

PIP joint

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18
Q

Where is CR directed for 1st digit

A

1st CMC joint

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19
Q

How will the hand be rotated for a thumb projection

A

Medially

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20
Q

Where will the CR be directed for a hand X-ray

A

3rd MCP joint

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21
Q

Where will the CR be directed for a wrist X-ray

A

Midcarpal area

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22
Q

What is the stetcher method

A

Use of a sponge placed under the IR to angle it 20° (preferred) or tilt the tube 20° towards the hand to view the scaphoid

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23
Q

What is the name of the method for imaging the carpal tunnel

A

Gaynor Hart Method or Tangential Carpal Tunnel

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24
Q

How much do you angle for Gaynor Hart Method

A

25°-30°

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25
Q

How do you position the hand for Gaynor Hart Method

A

Hyperextend wrist and have patient pull back fingers with opposite hand

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26
Q

Where does the CR enter for Gaynor Hart Method

A

Distal end of 3rd metacarpal

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27
Q

Where are the styloid processes located on the radius and ulna

A

Distal end (connecting to wrist)

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28
Q

What is the largest proximal carpal bone

A

Scaphoid

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29
Q

What is the largest most centrally located carpal bone

A

Capitate

30
Q

What do you use the Gaynor hart method to view

A

Median nerve for carpal tunnel

31
Q

Which carpal bone must be seen on an AP projection of the thumb

A

Trapezium

32
Q

Which bone is on the medial side of the forearm

A

Ulna

33
Q

Which bone is on the lateral side of the forearm

A

Radius

34
Q

Where is the olecranon process located,

A

Posterior side of the proximal end of the Ulna

35
Q

Where is the coronoid process located

A

Anterior side of the proximal end of the ulna

36
Q

Where is the styloid processes of the ulna & radius located

A

Distal end - connects to wrist

37
Q

Where is the radial head

A

Proximal

38
Q

Where is the ulnar head located

A

Distal end

39
Q

What are the 3 joints of the elbow

A

Humeroulnar
Humeroradial
Proximal radioulnar

40
Q

Which portion of the humerus articulated with the radial head

A

Capitulum

41
Q

For AP forearm, is the hand supinated or pronated

A

Supinated

42
Q

At what level should the table be for a lateral forearm

A

Shoulder level

43
Q

What does the medial oblique of the elbow show

A

Coronoid process

44
Q

What does the lateral oblique of the elbow show

A

Radial head/neck & the capitulum

45
Q

When should you do partial flexions for an AP elbow

A

When patient cannot bend their arm

46
Q

What’s another name for Axiolateral

A

Coyle Method

47
Q

What does the Coyle Method angles towards the shoulder show

A

Radial head

48
Q

What does the Coyle Method angled away from the shoulder show

A

Coronoid process

49
Q

How far above humeral head should Light be for a lateral humerus

A

1.5 inches

50
Q

Which projection of the elbow shows the olecranon process in profile

A

Lateral

51
Q

Lateral obliqued elbow shows

A

Radial head, neck, tuberosity & projected free of the ulna

52
Q

How much of an angle can the CR have for an ulnar deviation to see the scaphoid if needed

A

10°-15°

53
Q

Boxers fracture

A

5th metacarpal fracture

54
Q

How much light from CR should be shown for an elbow

A

3 inches above & below
1 inch on side

55
Q

How much light from CR should be shown for a wrist

A

2.5 inches below & above
1 inch on sides

56
Q

10 joints of the upper limbs have what

A

Synovial tissue & are freely moving

57
Q

Why would you flex fingers during a hand X-ray

A

Foreshortens phalanges & opens 2nd-5th digits joints

58
Q

What are phalanges

A

Long bones

59
Q

What artery carries blood to the hand

A

Radial artery

60
Q

What is the scaphoid bone under

A

Snuffbox indention

61
Q

What is the most common bone to fracture

A

Scaphoid bone

62
Q

Intertubercular groove is also called

A

Bicipital groove

63
Q

What do elbow injuries cause

A

Effusion & displaced fat pads

64
Q

Norgaard Method

A

Ball Catchers position

65
Q

What is the Norgaard method used for

A

Detect changes of MCP joint seen with rheumatoid arthritis

66
Q

What kind of kVp does the AP elbow need

A

Low - wide exposure due to soft tissue

67
Q

What size IR do the hand wrist finger & elbow use

A

10 x 12

68
Q

What size IR do humerus & forearm use

A

14 x 17

69
Q

How should hand be positioned for medial obliqued elbow

A

Hand should be palm down

70
Q

How should the hand be placed for lateral obliqued elbow

A

Palm facing up with 1st & 2nd digits touching the table

71
Q

Steve left the party to take Carol home

A

Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate