Extremities Flashcards by Pam Presley

Identify

A: Distal interphalangeal

B: Proximal interphalangeal

C: Metocarpophalangeal

D: Intercarpals

E: Distal ulnar

F: Interphalangeal

G: Metacarpophalangeal

H: Carpometacarpals

I: Radiocarpal

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Identify

A: Triquetrum

B: Lunate

C: Ulna

D: Scaphoid

E: Articular disk/radiocarpal joint

F: Radius

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Identify

A: Triquetrum

B: Hook of hamate

C: Pisiform

D: Flexor retinaculum

E: Median nerve

F: Carpal sulcus (concave aspect of bones)

G: Tubercle of trapezium

H: Trapezoid

I: Capitate

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Identify

A: Humerus

B: Capitulum

C: Humeroradila joint

D: Radial head

E: Radius

F: Ulna

G: Proximal radioulnar joint

H: Coronoid process

I: Humeroulnar joint

J: Trochlea

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Identify

A: Humerus

B: Humeroradial joint

C: Radial head

D: radius

E: Ulna

F: Proximal radioulnar joint

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Identify

A: Acromioclavicular joint

B: Scapulohumeral joint

C: Sternoclavicular joint

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Identify

A: Deltoid M

B: Subcaracoid bursa

C: Tendon of long head of biceps m

D: Humerus

E & F: Articular capsule (lower aspect of)

G: Glenoid labrum

H: Supraspinatus m

i: Subacromial bursa

J: Acromion

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Name the way of curve (concave or convex anteriorly or posteriorly) and name the type of curve (lordotic or kyphotic)

A: convex anteriorly

B: Concave anteriorly

C: convex anteriorly

D: Concave anteriorly

E: Lordotic

F: Kyphotic

G: Lordotic

H: Kyphotic

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A: soft palate

B: pharyngeal tonsil

C: Nasopharynx

D: uvula

E: oropharynx

F: epiglottis

G: Vocal cords

H: larynx

I: Hard palate

J: Hyoid bone

K: Laryngeal pharynx

L: Trachea

M: thyroid cartilage

N: esophagus

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A scaphoid procedure is sometimes known as…

A navicular series

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Is ulnar deviation flexion or extension?

Flexion

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Where does the CR go for the Ulnar deviation?

slightly proximal to thumb base

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What does the ulnar deviation show in the radiograph?

the scaphoid with adjacent articulations

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What is another name for the PA axial scaphoid?

stecher method

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In the stetcher or PA axial wrist (scaphoid) method what is angled and how many degrees?

the IR is angled at 20 degrees with the figertips up

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For the stecher method, how is the CR?

perpendicular

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What is the main evaluation criteria for the stecher method?

that the scaphoid is w/out superimposition

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What is the positioning and CR position for the stecher method variation?

the IR is horizontal and the CR is at a 20 degree angle

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How many images are in the scaphoid series?

usually 4

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The tangential carpal canal is also known as…

the Gaynor-Hart method (gain-her-heart) ;-)

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What is the position of the wrist for the gaynor-hart method?

the wrist is hyperextended to 75 degrees (15 degrees from vertical if possible)

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What if you cannot get the wrist hyperextended enough?

then you can modify the exam and angle the CR 15 degrees more than the metacarpals

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Describe the distal humerus position and where the CR enters.

the arm is AP with the elbow partially flexed. The humerus is horizontal on the IR with the forearm supported. The CR is perpendicular through the elbow joint

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Describe the proximal forearm position and CR entrance.

The arm is AP with the elbow partially flexed and the forearm is on the IR. The CR is going right into the elbow.

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How is the arm positioned fo rthe distal humerus for the olecranon process?

the patient is seated and the elbow is fully flexed (unless contraindicated)

For the distal humerus olecranon process, where does the CR enter and at what angle?

the CR is perpendicular and enter about 2" superior to the olecranon process

What is seen on the olecranon process image?

the olecranon process and distal humerus

What is the olecranon process image sometimes ordered as?

a Jones

What is another name for the shoulder/proximal humerus transthoracic lateral?

Lawrence method

What is the transthoracic lateral shoulder/proximal humerus (Lawrence method) somewhat similar to

the swimmer's technique for a lateral C-T spine

When would you do a transthoracic lateral shoulder/proximal humerus (Lawrence method)?

when there is trauma to the area and the arm may be immobilized

What is the position of the patient for the shoulder/proximal humerus transthoracic lateral (Lawrence method)?

standing, seated, or recumbent

What is the size of the IR for the transthoracic (Lawrence method) and where is the CR centered?

10x12 LW and the CR is centered to the surgical neck of the affeccted arm

What are the breathing instructions for the Lawrence method?

exposure is made when breathing is suspended after full inhalation or a breathing technique may be used if equipment permits (3-5 sec exposure time)

What is seen in the Lawrence method for the transthoracic shoulder/proximal humerus?

the proximal humerus, scapula, and clavicle

What position is the pt in for the inferosuperior axial shoulder position?

supine

What is the angle of the CR for the inferosuperior axial shoulder?

15-30 degrees toward the body

What is the west point method?

the inferosuperior axial shoulder when the pt is prone

What is the position of the affected arm during the west point method?

dangling over the table

For the superioinferior axial shoulder how is the patient postioned?

either seated or recumbent with arm (humerus) abducted

For the superoinferior axial shoulder how is the IR and CR centered?

tot he shoulder joint with the CR angles 5-15 degrees laterally (depending on how well the pt extends sholder over IR.)

Thoracolumbar Spine is done for what dx?

Scoliosis

Why is PA recommended for the Thoracolumbar spine?

for less radiation exposure to radiosensitive organs. A lateral may also be included

What image is stitching used?

the thoracolumbar spine for scoliosis

In the thoracolumbar spine, the iliac crests are usually included for...

spine angle measurements

Spine-R/L bending is sometimes confused with on order for what?

lateral bending and the spine-lateral hyperflexion/hyperextension images

What image can be done AP or PA as well as weight bearing or non weight bearing? (spine)

Spine-R/L bending

the soft tissue neck can be done....

lateral only or AP and lateral

what is the angle of the CR and entrance point for the soft tissue neck?

the CR is perpendicular and enters at the level of the manubrium

What are the breathing instructions for the soft tissue neck?

inhale slowly during the exposure.

Is the exposure time for the soft tissue neck long?

Not necessarily. A long exposure time is NOT required.

Name this position

Ulnar deviation

Name this position

PA Axial (scaphoid) stecher method

What is this?

Carpal bridge

What is this?

Tangential carpal canal or Gaynor-Hart method

Name this

Lawrence method of transthoracic lateral shoulder/proximal humerus

Name this

Inferorsuperior axial shoulder (west point method)

Name this

Superoinferior axial shoulder

what is this?

soft tissue neck

Extremities Flashcards

(60 cards)