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Hand and Wrist Procedure

RadTech Fairy Radiologic Procedures I ARRT English 115 cards

Hand and Wrist Procedure

Cards in this deck (115)

  1. 1—A. Shoulder Girdle
    B. Humerus
    C. Radius & Ulna
    D. Hand & Wrist    A. Shoulder Girdle B. Humerus C. Radius & Ulna D. Hand & Wrist
  2. 2—A. Distal
    B. Middle
    C. Proximal
    D. Head
    E. Body
    F. Base
    G. Head
    H. Body
    I. Base    A. Distal B. Middle C. Proximal D. Head E. Body F. Base G. Head H. Body I. Base
  3. 3—A. Interphalangeal Joint (IP)
    B. 1st Metacarpophalangeal Joint (MCP)
    C. Trapezoid
    D. Trapezium
    E. Capitate
    F. Hamate
    G. 5th Carpometacarpal Joint (CMC)
    H. 5th Metacarpophalangeal Joint (MCP)
    I. Proximal Interphalangeal Joint (PIP)
    J. Distal Interphalangeal Joint (DIP)    A. Interphalangeal Joint (IP) B. 1st Metacarpophalangeal Joint (MCP) C. Trapezoid D. Trapezium E. Capitate F. Hamate G. 5th Carpometacarp...
  4. 4Joint types and bone typesA. first metacarpal
    B. MP joint 1st digit
    C. proximal phalanx 1st digit
    D. IP joint 1st digit
    E. proximal phalanx 2nd digit
    F. PIP 2nd digit
    G. middle phalanx 2nd digit
    H. DIP 2nd digit
    I. distal phalanx 3rd digit
    J. middle phalanx 4th digit
    K. DIP 5th digit
    L. proximal phalanx 4th digit
    M. 5th MP joint
    N. 4th metacarpal
    O. 5th CM joint    Joint types and bone types
  5. 5—A. Trapezium
    B. Trapezoid
    C. Capitate
    D. Hamate
    E. Scaphoid
    F. Lunate
    G. Triquetrum
    H. Pisiform    A. Trapezium B. Trapezoid C. Capitate D. Hamate E. Scaphoid F. Lunate G. Triquetrum H. Pisiform
  6. 6—A. Triquetrum
    B. Pisiform
    C. Hamate
    D. Capitate
    E. Scaphoid
    F. Trapezium
    G. thumb
    H. Trapezoid    A. Triquetrum B. Pisiform C. Hamate D. Capitate E. Scaphoid F. Trapezium G. thumb H. Trapezoid
  7. 7—A. Scaphoid
    D. Pisiform
    E. Trapezium
    F. Trapezoid
    G. Capitate
    H. Hamate
    h. Hamulus (process of Hamate)    A. Scaphoid D. Pisiform E. Trapezium F. Trapezoid G. Capitate H. Hamate h. Hamulus (process of Hamate)
  8. 8—A. scaphoid
    B. lunate
    C. triquetrum
    D. pisiform
    E. trapezium
    F. trapezoid
    G. capitate
    H. hamate    A. scaphoid B. lunate C. triquetrum D. pisiform E. trapezium F. trapezoid G. capitate H. hamate
  9. 9Radial DeviationA. scaphoid
    B. lunate
    C. triquetrum
    D. pisiform
    E. trapezium
    F. trapezoid
    G. capitate
    H. hamate    Radial Deviation
  10. 10Ulnar DeviationA. scaphoid
    B. lunate
    C. triquetrum
    D. pisiform
    E. trapezium
    F. trapezoid
    G. capitate
    H. hamate    Ulnar Deviation
  11. 11Lateral WristA. scaphoid
    B. lunate
    C. trapezium    Lateral Wrist
  12. 12Types of JointsA. MCP - Metacarpophalangeal
    B. CMC - Carpometacarpal
    C. IC - Intercarpals
    D. CMC Carpometacarpal
    E. IP - Interphalangeal (proximal = PIP, distal = DIP)    Types of Joints
  13. 13—A. thumb
    B. scaphoid
    C. radius
    D. ulna
    E. Ulnar Deviation
    F. thumb
    G. hamate
    H. pisiform
    I. triquetrum
    J. lunate
    K. radius
    L. ulna
    M. Radial Deviation    A. thumb B. scaphoid C. radius D. ulna E. Ulnar Deviation F. thumb G. hamate H. pisiform I. triquetrum J. lunate K. radius L. ulna M. Rad...
  14. 14What would displacement of this indicate?Wrist Fat Pad
    displacement could indicate a fracture or more serious injury    What would displacement of this indicate?
  15. 15What is the most commonly fractured carpal bone?Scaphoid
  16. 16Inflammation of the bursae, or fluid filled sacs, that enclose the joints is called _______Bursitis
  17. 17The transfer of disease or cancerous lesions from one organ or part that may not be directly connected is called ____ ______ . Malignant tumors have the ability to metastasize, or transfer from one body part to another.Bone Metastases
  18. 18the painful disorder of the wrist and hand that results from compression of the median nerve is called ____ ____ syndrome.Carpal Tunnel
  19. 19Fracture and dislocation of the posterior lip of the distal radius is called ______ ______ .Barton's Fracture
  20. 20A fracture of the base of the first metacarpal bone is called ____ ____ .Bennett's Fracture
  21. 21A transverse fracture that extends through the metacarpal neck - most commonly seen in the 5th metacarpal is called ________ .Boxer's Fracture
  22. 22A transverse fracture of the distal radius where the distal fragment is displaced posteriorly is called _____ _____ .Colle's Fracture
  23. 23the reverse of Colle's Fracture, the transverse fracture of the distal radius with the distal fragment displaced anteriorly is called __________ .Smith's Fracture
  24. 24A ____ _____ describes the accumulated fluid (synovial or hemorrhagic) in the joint cavity.Joint Effusion
  25. 25_____ AKA degenerative joint disease, is a noninflammatory joint disease where the bone gradually deterioratesOsteoarthritis
  26. 26A local or generalized infection of bone or bone marrow is called _______ .Osteomyelitis
  27. 27A hereditary disease marked by abnormally dense bone is called _____Osteopetrosis
  28. 28The reduction in the quantity of bone, or atrophy of skeletal tissue is called _______ .Osteoporosis
  29. 29A common chronic skeletal disease where the bone is destructed and repaired by the overproduction of very dense yet soft bones that fracture easily is termed ______ .Paget's Disease
  30. 30A chronic systemic disease with inflammatory changes throughout the connective tissues is called ______ arthritis. It's more common in women than in men.Rheumatoid Arthritis
  31. 31____ ____ refers to a sprain or tear of the ulnar collateral ligament of the thumb near the MCP jointSkier's Thumb
  32. 32Bone tumors or neoplasms are also called ____ ____ .Bone Neoplasia
  33. 33Neoplasms are also called ____Tumors
  34. 34The most primary malignant cancerous bone tumor that affects people 40 - 70 years old is called ______ ______ .Multiple Myeloma
  35. 35The 2nd most common type of malignant primary cancerous bone tumor that generally affects people 10-20 years old is called ____ ____ .Osteogenic Sarcoma
  36. 36A common malignant bone tumor in children and adults that arises from bone marrow is called ____ ____ .Ewing's Sarcoma
  37. 37—A. Bennet's Fx
    B. Smith's Fx
    C. Colle's Fx
    D. Boxer's Fx    A. Bennet's Fx B. Smith's Fx C. Colle's Fx D. Boxer's Fx
  38. 38What are the routine exams for a finger AND thumb?PA
    PA Oblique
    Lateral
  39. 39What are the routine exams for the hand?PA
    PA Oblique
    Lateral Fan or Lateral
  40. 40What are the routine exams for the wrist?PA
    PA Oblique
    Lateral
  41. 41PA Fingers Technique & Evaluation CriteriaSID 40 in
    Analog 50-55 kV
    Digital 55-60 kV
    IR 8x10
    non grid
    CR @ PIP joint
    must see distal, middle, and proximal phalanges; distal metacarpal, and joints    PA Fingers Technique & Evaluation CriteriaPA Fingers Technique & Evaluation Criteria
  42. 42PA Oblique Finger Medial or Lateral RotationSID 40 in
    Analog 50-55 kV
    Digital 55-60 kV
    IR 8x10 in
    non grid
    CR @ PIP joint
    must see distal, middle, and proximal phalanges, distal metacarpal, and joints    PA Oblique Finger Medial or Lateral RotationPA Oblique Finger Medial or Lateral Rotation
  43. 43Lateral Finger lateromedial or mediolateralSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR @ PIP joint
    must see lateral view of distal, middle, and proximal phalanges; distal metacarpal, and joints.    Lateral Finger lateromedial or mediolateralLateral Finger lateromedial or mediolateral
  44. 44AP ThumbSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR @ 1st MCP joint
    must see distal and proximal phalanges, first metacarpal, trapezium, and associated joints
    IP and MC joints should appear open    AP ThumbAP Thumb
  45. 45PA Oblique Thumb Medial RotationSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR @ 1st MCP joint
    must see distal and proximal phalanges, first metacarpal, trapezium, and associated joints    PA Oblique Thumb Medial RotationPA Oblique Thumb Medial Rotation
  46. 46Lateral ThumbSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR @ 1st MCP joint
    must see distal and proximal phalanges, first metacarpal, trapezium (superimposed), and joints    Lateral Thumb
  47. 47AP Axial Thumb Modified Robert's MethodSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR angled 15 degrees proximally (toward wrist) @ 1st CMC joint    AP Axial Thumb Modified Robert's Method
  48. 48PA StressSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    non grid
    CR midway between MCP joints    PA StressPA Stress
  49. 49PA HandSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    nongrid
    CR @ 3rd MCP joint    PA HandPA Hand
  50. 50PA Oblique HandSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    nongrid
    CR @ 3rd MCP joint    PA Oblique HandPA Oblique Hand
  51. 51Lateral Fan Hand LateromedialSID 40 in
    Analog 60-65 kV
    Digital 65-70 kV
    IR 8x10 in
    nongrid
    CR @ 2nd MCP joint    Lateral Fan Hand LateromedialLateral Fan Hand Lateromedial
  52. 52Lateral Hand Extension & FlexionSID 40 in
    Analog 60-65 kV
    Digital 65-70 kV
    IR 8x10 in
    non grid
    CR @ 2nd to 5th MCP joints
    * alternative to fan lateral *    Lateral Hand Extension & FlexionLateral Hand Extension & Flexion
  53. 53PA and AP WristSID 40 in
    Analog 50 - 55 kV
    Digital 55 - 60 kV
    IR 8x10 in
    nongrid
    CR @ midcarpal area    PA and AP WristPA and AP Wrist
  54. 54PA Oblique WristSID 40 in
    Analog 60-65 kV
    Digital 65-70 kV
    IR 8x10 in
    nongrid
    CR @ midcarpal area    PA Oblique WristPA Oblique Wrist
  55. 55Lateral Wrist LateromedialSID 40 in
    Analog 60-65 kV
    Digital 65-70 kV
    IR 8x10 in
    nongrid
    CR @ midcarpal area    Lateral Wrist LateromedialLateral Wrist Lateromedial
  56. 56PA Axial Ulnar Deviation Scaphoid WristSID 40 in
    Analog 60-65 kV
    Digital 65-70 kV
    IR 8x10 in
    nongrid
    CR angled 10 - 15 degrees proximally centered at the scaphoid    PA Axial Ulnar Deviation Scaphoid WristPA Axial Ulnar Deviation Scaphoid Wrist
  57. 57PA Scaphoid-Hand Elevated Ulnar Deviation wristSID 40 in
    Analog 60 - 65 kV
    Digital 65 - 70 kV
    IR 8x10 in
    nongrid
    position and wrist palm down on IR with hand elevated on 20 degree sponge
    CR @ scaphoid    PA Scaphoid-Hand Elevated Ulnar Deviation wristPA Scaphoid-Hand Elevated Ulnar Deviation wrist
  58. 58PA Radial Deviation WristSID 40 in
    Analog 60 - 65 kV
    Digital 65 -70 kV
    IR 8x10 in
    nongrid
    CR @ midcarpal area    PA Radial Deviation WristPA Radial Deviation Wrist
  59. 59How many bones make up the hand and wrist?27
  60. 60Which carpal bone is the smallest?Pisiform
  61. 61the _______ position/projection is preferred for localizing foreign bodiesTrue Lateral
  62. 62If the fingers are rotated how will the finger x-ray appear?no spaces between the joints
  63. 63for a PA Oblique finger, the fingers MUST be ______ to the IRparallel
  64. 64if you're doing an oblique x-ray of the 1st-3rd digit you're going to rotate the wrist _____ to reduce OIDmedially
  65. 65If you're doing an oblique x-ray of the the 4th-5th digit, you rotate the wrist _____ to reduce OIDlaterally
  66. 66For all of the fingers BESIDES the thumb, you are centering at the _____ joint.PIP
  67. 67For thumb projections you're going to center at the ______ joint.MCP
  68. 68the PA stress thumb x-ray demonstratestears in the ligaments
  69. 69If the joints do not appear open on the x-ray, that means ______the hand was rotated, or fingers bent
  70. 70For PA oblique of the hand, if the 4th and 5th digits are superimposed that meansthe hand was not in a true 45 degree oblique
  71. 71How can you tell if oblique position is good based on the radiograph of the 45 degree oblique finger?the joints will be open and slightly concaved
  72. 72It's better to see the _____ on the fan lateral position.phalanges
  73. 73Lateral hand, both fanned and true lateral, demonstrate the ______ fractureBoxer's Fracture
  74. 74true lateral hand position best shows ______ _____ in the handForeign Bodies
  75. 75AP Oblique Bilateral (ball catcher's) you should center at the ____ MCP joint, this radiograph demonstrates ______5th
    rheumatoid arthritis, 5th metacarpal Fx's (commonly from punching)
  76. 76For Boxer's Fx's AND 5th metacarpal Fx's, you need to ask the patient......what the cause of injury was
  77. 77Why do you flex the fingers for the PA wrist?to flatten the wrist for the projection
  78. 78TTCH SLTPSome Lovers Try Positions That They Can't Handle
    Scaphoid Lunate Triquetrium Pisiform
    Trapezium Trapezoid Capitate Hamate
  79. 79For a lateral wrist you want to rotate the hand externally (laterally) __ degrees to get it in TRUE lateral5 degrees
  80. 80For radial deviation projections you want to angle the CR ___ to ___ degrees10-15 degrees
  81. 81For modified Stecher (modified ulnar deviation), you're elevating the hand ___ degrees on a sponge with no deviation. This is done only if patient cannot deviate the wrist.20 degrees
  82. 82Which position should you use if the patient cannot angle their wrist for an Ulnar Deviation projection?Modified Stecher
  83. 83For most hand projections you should center the CR at the ___ ___ joint. Most lateral hand projections should be centered at the ___ ___ joint.3rd MCP joint
    2nd MCP joint
  84. 84TRUE OR FALSE? You want the forearm and elbow in the same plane as the finger, hand, or wrist that's being x-rayed.TRUE
  85. 85you should place your marker on the ____ side of the appendage in most cases.LATERAL
  86. 86TRUE OR FALSE? If you have to do several different appendage series all together, you should group them together. For example, all the AP's should be done first, then the PA's, then the obliques, etc...TRUE
  87. 87Why do you want to group all your similar projections together for multiple appendage projections?Patient comfort
    Time efficiency
  88. 88Bone Age StudiesViewing growth plates in bones to observe the maturity and growth patterns
  89. 89Which carpal bone is most anterior?Pisiform
  90. 90with the AP thumb projection, the hand is positioned in _____ ____ rotation.Extreme Internal
  91. 91Why is PA preferred vs AP in most hand, finger, and wrist projections?PA reduces OID
  92. 92Where do you place the CR for all finger exams?PIP joint
  93. 93Where do you place the CR for all thumb exams?1st MCP joint
  94. 94Where do you place the CR for all hand exams?3rd MCP joint
  95. 95Where do you put the CR for all wrist projections?Midcarpals
  96. 96What's the kVp range for finger projections?50-60 kVp
  97. 97What's the kVp range for thumb projections?50-60 kVp
  98. 98The kVp range for most hand projections is ___ - ___ kVp. The two projections that are still 50-60 kVp are ____ and ____60-70 kVp
    PA Oblique and PA
  99. 99What's the kVp range for wrist projections?60 - 70 kVp
  100. 100For large plaster casts you ____ technique by __-___ kV.increase
    8-10
  101. 101For fiberglass casts you _____ technique by __-__ kV.Increase
    3-4
  102. 102_____ is a procedure that uses contrast injected into a joint capsule to visualize soft tissue pathology.Arthrogram
  103. 103You want to use a ____ focal spot for finger, hand and wrist projectionsSMALL
  104. 104You want ____ exposure time for finger, hand and wrist projectionsSHORT
  105. 105For the ulnar deviation projection, the CR should be angled ___ - ___ degrees ______ .10-15
    proximally
  106. 106Which projection/position demonstrates Rheumatoid Arthritis?Norgaard
    "ball-catchers"
    AP Oblique Bilateral
  107. 107Which projection/position demonstrates Carpal Tunnel Syndrome?Carpal Canal
    Gaynor-Hart
  108. 108Which projection/position demonstrates injuries to the Ulnar Collateral Ligament?PA Stress
    Folio-method
  109. 109Why is the AP projection preferred for the thumb instead of the PA?Less OID
  110. 110Modified Robert'sAP Axial Thumb
  111. 111Stecher Method or Navicular ViewUlnar Deviation
  112. 112Modified StecherElevated Ulnar Deviation
  113. 113Norgaard or Ball-Catcher's MethodAP Oblique Bilateral
  114. 114Gaynor-Hart MethodCarpal Canal
  115. 115Folio-MethodPA Stress Thumbs

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ARRT Radiologic Procedures I Flashcards on Hand and Wrist Procedure, created by RadTech Fairy on 04/10/2016.
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RadTech Fairy
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