Chapter 5 Flashcards

(71 cards)

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
How do you position the hand for Gaynor Hart Method
Hyperextend wrist and have patient pull back fingers with opposite hand
26
Where does the CR enter for Gaynor Hart Method
Distal end of 3rd metacarpal
27
Where are the styloid processes located on the radius and ulna
Distal end (connecting to wrist)
28
What is the largest proximal carpal bone
Scaphoid
29
What is the largest most centrally located carpal bone
Capitate
30
What do you use the Gaynor hart method to view
Median nerve for carpal tunnel
31
Which carpal bone must be seen on an AP projection of the thumb
Trapezium
32
Which bone is on the medial side of the forearm
Ulna
33
Which bone is on the lateral side of the forearm
Radius
34
Where is the olecranon process located,
Posterior side of the proximal end of the Ulna
35
Where is the coronoid process located
Anterior side of the proximal end of the ulna
36
Where is the styloid processes of the ulna & radius located
Distal end - connects to wrist
37
Where is the radial head
Proximal
38
Where is the ulnar head located
Distal end
39
What are the 3 joints of the elbow
Humeroulnar Humeroradial Proximal radioulnar
40
Which portion of the humerus articulated with the radial head
Capitulum
41
For AP forearm, is the hand supinated or pronated
Supinated
42
At what level should the table be for a lateral forearm
Shoulder level
43
What does the medial oblique of the elbow show
Coronoid process
44
What does the lateral oblique of the elbow show
Radial head/neck & the capitulum
45
When should you do partial flexions for an AP elbow
When patient cannot bend their arm
46
What’s another name for Axiolateral
Coyle Method
47
What does the Coyle Method angles towards the shoulder show
Radial head
48
What does the Coyle Method angled away from the shoulder show
Coronoid process
49
How far above humeral head should Light be for a lateral humerus
1.5 inches
50
Which projection of the elbow shows the olecranon process in profile
Lateral
51
Lateral obliqued elbow shows
Radial head, neck, tuberosity & projected free of the ulna
52
How much of an angle can the CR have for an ulnar deviation to see the scaphoid if needed
10°-15°
53
Boxers fracture
5th metacarpal fracture
54
How much light from CR should be shown for an elbow
3 inches above & below 1 inch on side
55
How much light from CR should be shown for a wrist
2.5 inches below & above 1 inch on sides
56
10 joints of the upper limbs have what
Synovial tissue & are freely moving
57
Why would you flex fingers during a hand X-ray
Foreshortens phalanges & opens 2nd-5th digits joints
58
What are phalanges
Long bones
59
What artery carries blood to the hand
Radial artery
60
What is the scaphoid bone under
Snuffbox indention
61
What is the most common bone to fracture
Scaphoid bone
62
Intertubercular groove is also called
Bicipital groove
63
What do elbow injuries cause
Effusion & displaced fat pads
64
Norgaard Method
Ball Catchers position
65
What is the Norgaard method used for
Detect changes of MCP joint seen with rheumatoid arthritis
66
What kind of kVp does the AP elbow need
Low - wide exposure due to soft tissue
67
What size IR do the hand wrist finger & elbow use
10 x 12
68
What size IR do humerus & forearm use
14 x 17
69
How should hand be positioned for medial obliqued elbow
Hand should be palm down
70
How should the hand be placed for lateral obliqued elbow
Palm facing up with 1st & 2nd digits touching the table
71
Steve left the party to take Carol home
Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate