Hand and Wrist Procedure

Kayla Teutschmann
Flashcards by , created about 3 years ago

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

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Kayla Teutschmann
Created by Kayla Teutschmann about 3 years ago
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Question Answer
1a83405c-3259-4a2c-90ee-e56695d65b57.jpg (image/jpg) A. Shoulder Girdle B. Humerus C. Radius & Ulna D. Hand & Wrist
2da0d70d-a21a-4afc-980e-6ac9af659090.jpg (image/jpg) A. Distal B. Middle C. Proximal D. Head E. Body F. Base G. Head H. Body I. Base
8f882672-ff20-4c75-94eb-69e3916fe095.jpg (image/jpg) 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)
Joint types and bone types 1e28c5d6-937a-42b2-96f9-ba15b8e0e4b3.jpg (image/jpg) A. 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
f201fb6f-9413-4464-8e68-0196176b62fe.jpg (image/jpg) A. Trapezium B. Trapezoid C. Capitate D. Hamate E. Scaphoid F. Lunate G. Triquetrum H. Pisiform
da907aec-bf75-4a86-a28d-be490f1bd367.jpg (image/jpg) A. Triquetrum B. Pisiform C. Hamate D. Capitate E. Scaphoid F. Trapezium G. thumb H. Trapezoid
d0ddec0c-d34c-46ee-b6cb-1b47dd9f0d10.jpg (image/jpg) A. Scaphoid D. Pisiform E. Trapezium F. Trapezoid G. Capitate H. Hamate h. Hamulus (process of Hamate)
ac826121-4611-48e3-836a-ac6a162e4d27.jpg (image/jpg) A. scaphoid B. lunate C. triquetrum D. pisiform E. trapezium F. trapezoid G. capitate H. hamate
Radial Deviation d732f3d5-f105-4a02-9dae-cfa9a49a91f6.jpg (image/jpg) A. scaphoid B. lunate C. triquetrum D. pisiform E. trapezium F. trapezoid G. capitate H. hamate
Ulnar Deviation 0cccefa7-963e-4186-9545-0bcab38bd39a.jpg (image/jpg) A. scaphoid B. lunate C. triquetrum D. pisiform E. trapezium F. trapezoid G. capitate H. hamate
Lateral Wrist 6390e5ed-1aea-48f4-981c-6d6b3df95d65.jpg (image/jpg) A. scaphoid B. lunate C. trapezium
Types of Joints f7c5d9c2-c970-4763-82cb-8bb7c0338cba.jpg (image/jpg) A. MCP - Metacarpophalangeal B. CMC - Carpometacarpal C. IC - Intercarpals D. CMC Carpometacarpal E. IP - Interphalangeal (proximal = PIP, distal = DIP)
773d0e1c-d8c7-4db1-950e-a6c5d5937943.jpg (image/jpg) 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
What would displacement of this indicate? dff4af99-c3bf-4c26-99d1-7d8ed259292b.jpg (image/jpg) Wrist Fat Pad displacement could indicate a fracture or more serious injury
What is the most commonly fractured carpal bone? Scaphoid
Inflammation of the bursae, or fluid filled sacs, that enclose the joints is called _______ Bursitis
The 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
the painful disorder of the wrist and hand that results from compression of the median nerve is called ____ ____ syndrome. Carpal Tunnel
Fracture and dislocation of the posterior lip of the distal radius is called ______ ______ . Barton's Fracture
A fracture of the base of the first metacarpal bone is called ____ ____ . Bennett's Fracture
A transverse fracture that extends through the metacarpal neck - most commonly seen in the 5th metacarpal is called ________ . Boxer's Fracture
A transverse fracture of the distal radius where the distal fragment is displaced posteriorly is called _____ _____ . Colle's Fracture
the reverse of Colle's Fracture, the transverse fracture of the distal radius with the distal fragment displaced anteriorly is called __________ . Smith's Fracture
A ____ _____ describes the accumulated fluid (synovial or hemorrhagic) in the joint cavity. Joint Effusion
_____ AKA degenerative joint disease, is a noninflammatory joint disease where the bone gradually deteriorates Osteoarthritis
A local or generalized infection of bone or bone marrow is called _______ . Osteomyelitis
A hereditary disease marked by abnormally dense bone is called _____ Osteopetrosis
The reduction in the quantity of bone, or atrophy of skeletal tissue is called _______ . Osteoporosis
A 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
A chronic systemic disease with inflammatory changes throughout the connective tissues is called ______ arthritis. It's more common in women than in men. Rheumatoid Arthritis
____ ____ refers to a sprain or tear of the ulnar collateral ligament of the thumb near the MCP joint Skier's Thumb
Bone tumors or neoplasms are also called ____ ____ . Bone Neoplasia
Neoplasms are also called ____ Tumors
The most primary malignant cancerous bone tumor that affects people 40 - 70 years old is called ______ ______ . Multiple Myeloma
The 2nd most common type of malignant primary cancerous bone tumor that generally affects people 10-20 years old is called ____ ____ . Osteogenic Sarcoma
A common malignant bone tumor in children and adults that arises from bone marrow is called ____ ____ . Ewing's Sarcoma
b275c66f-53af-4bbd-bec1-8f0966a9ff44.jpg (image/jpg) A. Bennet's Fx B. Smith's Fx C. Colle's Fx D. Boxer's Fx
What are the routine exams for a finger AND thumb? PA PA Oblique Lateral
What are the routine exams for the hand? PA PA Oblique Lateral Fan or Lateral
What are the routine exams for the wrist? PA PA Oblique Lateral
PA Fingers Technique & Evaluation Criteria 19a4c86f-03bc-400d-b0ca-dee4b977f126.jpg (image/jpg) SID 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 c964449b-87af-43d5-b70d-e3cfbda013f9.jpg (image/jpg)
PA Oblique Finger Medial or Lateral Rotation 9b847e5b-b25b-4aca-b361-12a482cb84d2.jpg (image/jpg) SID 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 86e05516-94de-400d-bc8d-23c6b37567a9.jpg (image/jpg)
Lateral Finger lateromedial or mediolateral c4299af6-2375-4b33-b7b6-097233784a46.jpg (image/jpg) SID 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. 591d7288-590a-4ee5-a8c6-eaab7d9b14b9.jpg (image/jpg)
AP Thumb 540fad03-2092-485a-b54a-6bf19b9fb59d.jpg (image/jpg) SID 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 9b4101d8-f96f-4e85-9778-94f395818182.jpg (image/jpg)
PA Oblique Thumb Medial Rotation 115efd25-e528-4bf4-a855-1e8bf5c0ce19.jpg (image/jpg) SID 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 66b5ff4b-2d29-44cb-aaf4-26dc8307ff04.jpg (image/jpg)
Lateral Thumb 0539dad8-46e5-49d2-8e39-7df63f8f2974.jpg (image/jpg) SID 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
AP Axial Thumb Modified Robert's Method 1627c94a-cbf0-484f-a0fd-00d1704b3933.jpg (image/jpg) SID 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
PA Stress 0b34b987-f7eb-4540-b8c2-a7cb2725973f.jpg (image/jpg) SID 40 in Analog 50 - 55 kV Digital 55 - 60 kV IR 8x10 in non grid CR midway between MCP joints 950b2c31-52b4-4e76-b65c-e38a3c632479.jpg (image/jpg)
PA Hand 4c66e5cf-43a4-4c4c-8231-bbccc6470b96.jpg (image/jpg) SID 40 in Analog 50 - 55 kV Digital 55 - 60 kV IR 8x10 in nongrid CR @ 3rd MCP joint d4e365ca-3aa3-4011-bf14-41c1a6571649.jpg (image/jpg)
PA Oblique Hand e865f66e-00a6-404e-9a57-c987a3e07d24.jpg (image/jpg) SID 40 in Analog 50 - 55 kV Digital 55 - 60 kV IR 8x10 in nongrid CR @ 3rd MCP joint 74f2b6ce-24e1-48ad-903a-18b1a686dbed.jpg (image/jpg)
Lateral Fan Hand Lateromedial 59ca7245-c749-469c-a643-c4caf652788c.jpg (image/jpg) SID 40 in Analog 60-65 kV Digital 65-70 kV IR 8x10 in nongrid CR @ 2nd MCP joint 813276f1-439a-4392-8c5f-11701c9c3b55.jpg (image/jpg)
Lateral Hand Extension & Flexion 190ff4a8-c528-44ac-b92d-4a2ec2d0c5b2.jpg (image/jpg) SID 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 * a9f3b1ac-1ab7-44df-8a71-441888bff4f8.jpg (image/jpg)
PA and AP Wrist 61d986f6-9b8c-4cef-8437-082c1bd3809c.jpg (image/jpg) SID 40 in Analog 50 - 55 kV Digital 55 - 60 kV IR 8x10 in nongrid CR @ midcarpal area 42314ae7-1eb0-4a68-8e0b-6af2d4bb69e9.jpg (image/jpg)
PA Oblique Wrist e84ab8c9-3720-4c67-8c2c-1c5c823728c0.jpg (image/jpg) SID 40 in Analog 60-65 kV Digital 65-70 kV IR 8x10 in nongrid CR @ midcarpal area 3dc93625-dfc7-46af-9d5b-6de0eb5ac366.jpg (image/jpg)
Lateral Wrist Lateromedial 784b1045-9043-460a-9a2c-897e0f7f0bbd.jpg (image/jpg) SID 40 in Analog 60-65 kV Digital 65-70 kV IR 8x10 in nongrid CR @ midcarpal area e47e2aa0-043f-48c2-8e88-cac565df50a4.jpg (image/jpg)
PA Axial Ulnar Deviation Scaphoid Wrist d6d7ec73-ed8a-414b-92b0-cbf1c3b96f8f.jpg (image/jpg) SID 40 in Analog 60-65 kV Digital 65-70 kV IR 8x10 in nongrid CR angled 10 - 15 degrees proximally centered at the scaphoid af647ecb-d546-4b3e-b99d-8bc0cf2dfd82.jpg (image/jpg)
PA Scaphoid-Hand Elevated Ulnar Deviation wrist 1f15b2e6-e8d6-4159-a2ff-66b6c4f9bedb.jpg (image/jpg) SID 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 dc68100c-3aad-4901-9b47-416a2753f406.jpg (image/jpg)
PA Radial Deviation Wrist ef7546c0-d0a0-4894-ba81-8492bfc6add6.jpg (image/jpg) SID 40 in Analog 60 - 65 kV Digital 65 -70 kV IR 8x10 in nongrid CR @ midcarpal area 7844fc5a-faf4-427e-9ded-bf4f6d266a25.jpg (image/jpg)
How many bones make up the hand and wrist? 27
Which carpal bone is the smallest? Pisiform
the _______ position/projection is preferred for localizing foreign bodies True Lateral
If the fingers are rotated how will the finger x-ray appear? no spaces between the joints
for a PA Oblique finger, the fingers MUST be ______ to the IR parallel
if you're doing an oblique x-ray of the 1st-3rd digit you're going to rotate the wrist _____ to reduce OID medially
If you're doing an oblique x-ray of the the 4th-5th digit, you rotate the wrist _____ to reduce OID laterally
For all of the fingers BESIDES the thumb, you are centering at the _____ joint. PIP
For thumb projections you're going to center at the ______ joint. MCP
the PA stress thumb x-ray demonstrates tears in the ligaments
If the joints do not appear open on the x-ray, that means ______ the hand was rotated, or fingers bent
For PA oblique of the hand, if the 4th and 5th digits are superimposed that means the hand was not in a true 45 degree oblique
How 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
It's better to see the _____ on the fan lateral position. phalanges
Lateral hand, both fanned and true lateral, demonstrate the ______ fracture Boxer's Fracture
true lateral hand position best shows ______ _____ in the hand Foreign Bodies
AP 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)
For Boxer's Fx's AND 5th metacarpal Fx's, you need to ask the patient...... what the cause of injury was
Why do you flex the fingers for the PA wrist? to flatten the wrist for the projection
TTCH SLTP Some Lovers Try Positions That They Can't Handle Scaphoid Lunate Triquetrium Pisiform Trapezium Trapezoid Capitate Hamate
For a lateral wrist you want to rotate the hand externally (laterally) __ degrees to get it in TRUE lateral 5 degrees
For radial deviation projections you want to angle the CR ___ to ___ degrees 10-15 degrees
For 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
Which position should you use if the patient cannot angle their wrist for an Ulnar Deviation projection? Modified Stecher
For 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
TRUE OR FALSE? You want the forearm and elbow in the same plane as the finger, hand, or wrist that's being x-rayed. TRUE
you should place your marker on the ____ side of the appendage in most cases. LATERAL
TRUE 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
Why do you want to group all your similar projections together for multiple appendage projections? Patient comfort Time efficiency
Bone Age Studies Viewing growth plates in bones to observe the maturity and growth patterns
Which carpal bone is most anterior? Pisiform
with the AP thumb projection, the hand is positioned in _____ ____ rotation. Extreme Internal
Why is PA preferred vs AP in most hand, finger, and wrist projections? PA reduces OID
Where do you place the CR for all finger exams? PIP joint
Where do you place the CR for all thumb exams? 1st MCP joint
Where do you place the CR for all hand exams? 3rd MCP joint
Where do you put the CR for all wrist projections? Midcarpals
What's the kVp range for finger projections? 50-60 kVp
What's the kVp range for thumb projections? 50-60 kVp
The 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
What's the kVp range for wrist projections? 60 - 70 kVp
For large plaster casts you ____ technique by __-___ kV. increase 8-10
For fiberglass casts you _____ technique by __-__ kV. Increase 3-4
_____ is a procedure that uses contrast injected into a joint capsule to visualize soft tissue pathology .Arthrogram
You want to use a ____ focal spot for finger, hand and wrist projections SMALL
You want ____ exposure time for finger, hand and wrist projections SHORT
For the ulnar deviation projection, the CR should be angled ___ - ___ degrees ______ . 10-15 proximally
Which projection/position demonstrates Rheumatoid Arthritis? Norgaard "ball-catchers" AP Oblique Bilateral
Which projection/position demonstrates Carpal Tunnel Syndrome? Carpal Canal Gaynor-Hart
Which projection/position demonstrates injuries to the Ulnar Collateral Ligament? PA Stress Folio-method
Why is the AP projection preferred for the thumb instead of the PA? Less OID
Modified Robert's AP Axial Thumb
Stecher Method or Navicular View Ulnar Deviation
Modified Stecher Elevated Ulnar Deviation
Norgaard or Ball-Catcher's Method AP Oblique Bilateral
Gaynor-Hart Method Carpal Canal
Folio-Method PA Stress Thumbs