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Humerus and Part 1 Shoulder girdle Radiography Positioning

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kkaitlyn96's version from 2016-11-07 22:03

Section 1

Question Answer
Bankart LesionFracture of glenoid rim
Hillsacs defectFracture of humeral head
Shoulder dislocationsAnterior or posterior
Breathing techniqueShort shallow breaths, long exposure time
memorize

Section 2

Question Answer
Humerus IR, SID, kVp, mAs14x17, 40in, 70-80 kVp, 5-10 mAs
AP Humerus pt positionErect or supine, arm slightly abducted supinate hand
AP Humerus epicondylesParallel to IR
AP Humerus CRPerp. to midpoint of humerus
AP Humerus AnatomyHumerus, elbow and shoulder joints
AP Humerus what is in profile?Greater tubercle laterally, medial and lateral epicondyles
AP Humerus BreathingStop breathing
Lateral Humerus pt positionErect or supine, flex elbow and internally rotate, back of hand on hip
Lateral Humerus epicondylesPerpendicular to IR
Lateral Humerus CRPerp. to midpoint of humerus
Lateral Humerus AnatomyHumerus, elbow and shoulder joints
Lateral Humerus what is in profile?Lesser tubercle medially
Lateral Humerus BreathingStop breathing
Transthoracic lateral Humerus- trauma pt positionErect or supine, affected side closets to IR, unaffected arm up over head, thorax in true lateral
Transthoracic lateral Humerus- trauma CRThrough thorax, to affected mid diaphysis
Transthoracic lateral Humerus- trauma AnatomyHumerus, and glenohumeral jt through thorax
Transthoracic lateral Humerus- trauma BreathingBreathing technique/ Orthostatic breathing
Transthoracic lateral Humerus- trauma If pt cannot lift unaffected armAngle CR 10-15 degrees cephalad
memorize

Section 3

Question Answer
Shoulder SID40in
AP External Rotation Shoulder used forFractures, dislocations, calcium deposits
AP External Rotation Shoulder kVp, mAs, IR size70-85, 8-10, 10x12
AP External Rotation Shoulder pt positionarm slightly abducted, hand supinated
AP External Rotation Shoulder epicondylesparallel to IR
AP External Rotation Shoulder CR1 in inferior to coracoid process
AP External Rotation Shoulder AnatomyProximal humerus, upper scapula, lateral 2/3 of clavicle, humeral head in glenoid fossa
AP External Rotation Shoulder what is in profile?Greater tubercle laterally, lesser tubercle superimposed over humeral head
AP External Rotation Shoulder BreathingDon't breathe
Lateral Internal Rotation Shoulder pt positionarm slightly abducted, had internally rotated, hand pronated
Lateral Internal Rotation Shoulder epicondylesperpendicular to IR
Lateral Internal Rotation Shoulder CR1 in inferior to coracoid process
Lateral Internal Rotation Shoulder AnatomyProximal humerus, upper scapula, lateral 2/3 of clavicle, humeral head in glenoid fossa
Lateral Internal Rotation Shoulder What is in profile?Lesser tubercle medially, greater tubercle superimposed over humeral head
Lateral Internal Rotation Shoulder BreathingDon't breathe
memorize

Section 4

Question Answer
Inferosuperior Axial Shoulder Another nameLawrence Method
Inferosuperior Axial Shoulder IR size, kVp, mAs8x10, 75-80, 4-8
Inferosuperior Axial Shoulder used forOsteoporosis, osteoarthritis, Hill sach's defect exaggerated rotation
Inferosuperior Axial Shoulder pt positionSupine, shoulder raised 2 in from table, rotate head away from shoulder, arm abducted 90 degrees from body, external rotation, palm up
Inferosuperior Axial Shoulder CR25- 30 degrees medially to axilla and humeral head
Inferosuperior Axial Shoulder CR if arm is less than 90 degrees15- 20 degrees medially to axilla and humeral head
Inferosuperior Axial Shoulder Anatomyproximal humerus, superior and inferior borders of glenoid cavity superimposed
Inferosuperior Axial Shoulder what is in profile?Coracoid process, lesser tubercle
Inferosuperior Axial Shoulder BreathingDon't breathe
Inferosuperior Axial Shoulder Best showsHill sach's defect
Posterior Oblique Shoulder Another nameGrashey Method
Posterior Oblique Shoulder IR size, kVp, mAs8x10, 75-85, 8-12
Posterior Oblique Shoulder used forBankart lesion and scapohumeral jt space
Posterior Oblique Shoulder pt positionErect or supine, rotate 35- 45 degrees to affected side, arms slightly abducted
Posterior Oblique Shoulder CRScapulohumeral jt.
Posterior Oblique Shoulder larger and smaller ptIncrease more for larger, increase less for smaller
Posterior Oblique Shoulder AnatomyGlenoid cavity in profile
Posterior Oblique Shoulder BreathingDon't Breathe
memorize