Upper Extremities

Question 1

SID for extremities

Answer 1

40”

Question 2

kVp needs to be (lower or higher) for extremities

Answer 2

lower - for a more black and white image

Question 3

shoulder series

Answer 3

AP with internal rotation
(in real world, you’d do AP with external rotation next)
Posterior Oblique with external rotation (Grashey view)
PA Y Scapular view

Question 4

anatomy viewed on AP shoulder with internal rotation

Answer 4

clavicle
corocoid process
acromion
TRUE LATERAL OF HUMERAL HEAD AND LESSER TUBERCLE

Question 5

arm position on AP shoulder w/ internal rotation

Answer 5

arm internally rotated to place epicondyles perpendicular to film

Question 6

anatomy viewed on Grashey with external rotation

Answer 6

GREATER TUBERCLE
GLENOHUMERAL SPACE
intertubercular (bicipital) groove, acromion, clavicle, corocoid process

Question 7

straight AP with external rotation will not show….

Answer 7

glenohumeral space

Question 8

Posterior oblique (grashey) with external rotation arm placement

Answer 8

externally rotate arm until epicondyles are parallel to the film

Question 9

position of PA “Y” scapular

Answer 9

scapula in lateral position, perpendicular to bucky - pt is oblique about 60-75 degrees

Question 10

why do you do Scapular “Y”?

Answer 10

to see shoulder impingement syndrome - the area between the humerus and clavicle

Question 11

Views in AC joint series

Answer 11

Unweighted

Weighted (weights in both hands)

Question 12

AP Axial Clavicle tube tilt

Answer 12

15 degrees cephalic (15 letter in AP Axial Clavicle)

Question 13

AP Axial Clavicle CR placement

Answer 13

slightly below part

Question 14

AP Humerus

Answer 14

include joint closest to injury

AP make sure fully supinated hand

Question 15

Lateral Humerus

Answer 15

include joint of interest

forearm adducted and externally rotated

Question 16

Elbow Series

Answer 16

AP elbow
Lateral elbow
(these are universal views)

Question 17

What must be in the same plane on an elbow series?

Answer 17

shoulder, elbow, wrist

Question 18

hand placement on AP elbow

Answer 18

fully supinated

Question 19

anatomy viewed on AP elbow

Answer 19

medial and lateral epicondyle
medial (trochlea) and lateral (capitulum) condyles
radial head
olecranon process

Question 20

arm position on lateral elbow

Answer 20

flex elbow 90 degrees with forearm in a true lateral position (thumb up)

Question 21

anatomy viewed on Lateral elbow

Answer 21

epicondyles (superimposed)
condyles (superimposed)
olecranon process
trochlear notch
radial tuberosity

Question 22

What constitutes a true lateral elbow?

Answer 22

epicondyles are superimposed

Question 23

anatomy viewed on internal oblique elbow

Answer 23

CORONOID PROCESS (beak like)
radius and ulna

Question 24

anatomy viewed on external oblique elbow

Answer 24

CAPITULUM

RADIAL HEAD

Question 25

forearm series

Answer 25

AP forearm Lateral forearm (include joint closest to injury)

Question 26

Wrist Series

Answer 26

PA wrist PA Oblique Wrist (45 degrees) Lateral Wrist (90 degrees)

Question 27

anatomy viewed on PA wrist

Answer 27

scaphoid, lunate, triquetrum, pisiform trapezium, trapezoid, capitate, hamate (proximal to distal) (medial to lateral)

Question 28

PA wrist with ulnar flexion tube tilt

Answer 28

20 degree cephalic or 0

Question 29

What is the most fractured bone in the wrist?

Answer 29

scaphoid

Question 30

Why do you use a tube tilt?

Answer 30

to elongate and isolate

Question 31

Views in a hand series

Answer 31

PA hand PA Oblique hand (45 degrees) (no lateral unless foreign body)

Question 32

What do you see on PA hand?

Answer 32

carpals

Question 33

What do you see on Oblique hand?

Answer 33

metacarpals and phalanges

Question 34

Why do you do a "Baby" arms view?

Answer 34

another view for glenohumeral joint space

Question 35

What is a fingers and thumb view?

Answer 35

Do PA and oblique hand and save a little space along the edge for the finger you may have injured

Question 36

What is a ball-catchers AP hand view?

Answer 36

view to see progression of patient with rheumatoid arthritis

Question 37

What is an olecranon / jone's view?

Answer 37

tangential view of bent elbow

Question 38

process that extends laterally from the scapular spine and over the shoulder joint

Answer 38

acromion process

Question 39

another name for the shoulder joint

Answer 39

glenohumeral joint

Question 40

large concave articular process located on the anterior side of the proximal ulna

Answer 40

semilunar notch aka trochlear notch

Question 41

beak shaped process located on the anterior side of the proximal ulna

Answer 41

coronoid process

Question 42

the carpa which articulates with the 1st metacarpal

Answer 42

trapezium