Anatomy Upper Extremity

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Fichas sobre Anatomy Upper Extremity, creado por Haley Cordova el 06/12/2015.
Haley Cordova
Fichas por Haley Cordova, actualizado hace más de 1 año
Haley Cordova
Creado por Haley Cordova hace casi 11 años
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What does the ulnar notch of the radius articulate with? What joint does this form? Head of ulna Distal radioulnar joint
What does the head of the radius articulate with? What joint does this form? Radial notch of ulna Proximal radioulnar joint
Which humeral epicondyle is larger? Medial
What is the trochlear sulcus? Groove between the rims of the trochlea (Trochlea is spool shaped)
What are the three fossae on the humerus? Located on anterior or posterior? Radial fossa - anterior Coronoid fossa - anterior Olecranon fossa - posterior
What are the three concentric circles you will see in a true lateral elbow xray? 1) Trochlear sulcus 2) Ridges of capitulum and trochlea 3) Trochlear notch
Type of movement at wrist (radiocarpal) joint Ellipsoidal
What carpal bones does the radius articulate with? Only scaphoid and lunate
What type of movement occurs at both radioulnar joints? Trochoid/pivot
Which position of hand (supination or pronation) will show the radius and ulna separated? Supination
Fingers 3,4, and 5 get rotated __________ ? Laterally
How will the radius and ulna appear in a PA wrist radiograph? Slight or total separation
How will radius and ulna appear on PA oblique wrist radiograph? Slight superimposition
How will radius and ulna appear in a lateral wrist radiograph? Totally superimposed
What three carpal bones are demonstrated in a lateral wrist radiograph? Lunate Scaphoid Trapezium
What does radial deviation demonstrate? Carpals on ulnar/medial side
What is seen on an AP forearm radiograph? Wrist and elbow joint both included Radius and ulna separated except slight superimposition of radial head (proximal radioulnar joint) Humeral epicondyles in profile
What is seen on a lateral forearm radiograph? Distal radius and ulna superimposed
In an AP elbow radiograph, should the radius and ulna be superimposed or separated? Slight superimposition of radial head
In an AP elbow, if the radial head is free of superimposition, what error has occurred? Rotated laterally (External oblique)
What does a lateral oblique elbow xray demonstrate? The lateral structures: Capitulum Lateral humeral epicondyle Radial head and neck free of superimp. Radial tuberosity in profile
Phrase to remember for lateral oblique elbow "When you go outside, wear a cap on your head" Outside (lateral) oblique position demonstrates the capitulum and the radial head
What does a medial oblique elbow xray demonstrate? Medial structures: Medial epicondyle Trochlea Coronoid process in profile* Radial head totally superimposed with ulna*
What is seen in lateral elbow radiograph? 3 concentric circles Olecranon process in profile ½ radial head superimposed
What does the axial lateral/Coyle method demonstrate? Radial head and coronoid process
When is the Coyle method used? To replaces obliques of the elbow when patient cannot extend
To demonstrate the radial head with the Coyle method, how would you position? Hand pronated, elbow flexed 90° CR 45° toward shoulder
To demonstrate the coronoid process with the Coyle method, how would you position? Hand pronated, elbow flexed 80° CR 45° away from shoulder
What method should be used when the elbow is flexed less than 90°? Jones method
What is seen on an AP humerus radiograph? Greater tubercle in profile laterally Epicondyles in profile Shoulder and elbow joint included
What is seen on a lateral humerus radiograph? Lesser tubercle profile medially Epicondyles superimposed Shoulder and elbow joints included
What are the three trauma projections for humerus? Trauma lateral distal Transthoracic lateral Trauma AP neutral rotation
What is the trauma lateral distal humerus projection? Patient lying down with IR between thorax and humerus, elbow flexed 90° if possible Only displays distal 2/3 of humerus
What is the transthoracic lateral humerus projection? Patient in true lateral Affected side to IR, no rotation of arm Unaffected arm raised above shoulder Breathing technique and long exposure to blur ribs and lung markings
What should you do if a patient cannot raise their unaffected arm enough for a transthoracic lateral humerus projection? Angle the CR 10° cephalad
What is the trauma humerus AP neutral rotation projection? Shoot the humerus "as is"
What is the Lawrence method? Axial projection that can replace Grashey Patient prone, arm abducted, hand supin. CR angled 25-30° medially to axilla
What does the Lawrence method demonstrate? Lesser tubercle of humerus and coracoid process of scapula profiled anteriorly Humeral head and glenoid fossa profiled
What position demonstrates a possible Hills-Sachs defect? Lawrence method with exaggerated external rotation
What is the Hobbs modification Mod. of Lawrence method Patient raises affected arm above body CR directed to axilla and humeral head
What do the Lawrence and Hobbs method demonstrate? Lateral view of proximal humerus in relationship to shoulder joint
What does the Grashey method demonstrate? Glenoid cavity in profile
What is the tangential intertubercular groove Fisk modification? Demonstrates the intertubercular groove in profile to look for bicipital tendonitis Patient supine, hand supinated CR 15° posterior from horizontal, directed to top of humerus
What should you see in an AP scapula radiograph? Entire scapula Lateral/axillary border free of ribs
What does a lateral scapula radiograph demonstrate? Body of scapula or acromion and coracoid process
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