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Flashcards

Shoulder Girdle Procedure

RadTech Fairy Radiologic Procedures I ARRT Inglês 70 flashcards

Shoulder Girdle Procedure

Flashcards do conjunto (70)

  1. 1—A. greater tubercle (tuberosity)
    B. intertubercular groove (bicipital)
    C. surgical neck
    D. head
    E. anatomic neck
    F. lesser tubercle (tuberosity)
    G. deltoid tuberosity
    H. humeral body (shaft)    A. greater tubercle (tuberosity) B. intertubercular groove (bicipital) C. surgical neck D. head E. anatomic neck F. lesser tubercle (tube...
  2. 2—A. humeral head
    B. greater tubercle
    C. intertubercular groove (bicipital)
    D. lesser tubercle
    E. anatomic neck
    F. surgical neck
    G. humeral body    A. humeral head B. greater tubercle C. intertubercular groove (bicipital) D. lesser tubercle E. anatomic neck F. surgical neck G. humeral...
  3. 3—A. acromion
    B. acromioclavicular joint (AC)
    C. acromial extremity
    D. clavicular body
    E. sternal extremity
    F. sternoclavicular joint (SC)
    G. jugular notch
    H. manubrium of sternum    A. acromion B. acromioclavicular joint (AC) C. acromial extremity D. clavicular body E. sternal extremity F. sternoclavicular joint (SC) ...
  4. 4—A. sternoclavicular joint (SC)
    B. sternal extremity
    C. body
    D. acromial extremity
    E. acromioclavicular joint (AC)    A. sternoclavicular joint (SC) B. sternal extremity C. body D. acromial extremity E. acromioclavicular joint (AC)
  5. 5—A. axilla
    B. lateral (axillary) border
    C. scapulohumeral joint (glenohumeral)
    D. superior border
    E. medial border    A. axilla B. lateral (axillary) border C. scapulohumeral joint (glenohumeral) D. superior border E. medial border
  6. 6—A. acromion
    B. coracoid process
    C. scapular notch
    D. superior angle
    E. body (blade, wing, ala...)
    F. inferior angle
    G. costal surface (anterior) subscapular fossa
    H. neck
    I. lateral angle
    J. glenoid cavity (fossa)    A. acromion B. coracoid process C. scapular notch D. superior angle E. body (blade, wing, ala...) F. inferior angle G. costal surface (an...
  7. 7—A. supraspinous fossa
    B. crest of spine
    C. acromion
    D. dorsal surface (posterior)
    E. infraspinous process    A. supraspinous fossa B. crest of spine C. acromion D. dorsal surface (posterior) E. infraspinous process
  8. 8—A. coracoid process
    B. glenoid cavity (fossa)
    C. body
    D. inferior angle
    E. ventral (costal) surface
    F. lateral (axillary) border
    G. dorsal surface
    H. spine of scapula
    I. acromion    A. coracoid process B. glenoid cavity (fossa) C. body D. inferior angle E. ventral (costal) surface F. lateral (axillary) border G. dorsa...
  9. 9—A. acromion
    B. neck of scapula
    C. scapular notch
    D. superior angle
    E. medial (vertebral) border
    F. inferior angle
    G. lateral (axillary) border
    H. glenoid cavity OR scapulohumeral joint    A. acromion B. neck of scapula C. scapular notch D. superior angle E. medial (vertebral) border F. inferior angle G. lateral (axillary) b...
  10. 10—A. acromion
    B. coracoid process
    C. inferior angle
    D. spine of scapula
    E. body of scapula    A. acromion B. coracoid process C. inferior angle D. spine of scapula E. body of scapula
  11. 11—A. coracoid process
    B. glenoid cavity OR scapulohumeral joint
    C. spine of the scapula
    D. acromion    A. coracoid process B. glenoid cavity OR scapulohumeral joint C. spine of the scapula D. acromion
  12. 12—A. sternoclavicular joint (SC)
    B. acromioclavicular joint (AC)
    C. scapulohumeral joint (glenoid cavity)    A. sternoclavicular joint (SC) B. acromioclavicular joint (AC) C. scapulohumeral joint (glenoid cavity)
  13. 13Which type of joint is the glenoid cavity?spheroidal
    ball and socket
  14. 14Which type of joints are the sternoclavicular and acromioclavicular joints?plane
    gliding
  15. 15AC Dislocationthe distal clavicle is displaced superiorly
  16. 16AC Joint Separationtrauma to the upper shoulder region that causes a partial or complete tear of the AC ligament
  17. 17An injury of the anteroinferior aspect of the glenoid labrum is called a _____ _____ .Bankart Lesion
  18. 18A compression Fx of the articular surface of the posterolateral aspect of the humeral head is called ___-___ ____ ; it's usually associated with dislocations of the humeral headHill-Sachs Defect
  19. 19Idiopathic Chronic Adhesive Capsulitis "frozen shoulder"disability of the shoulder joint caused by chronic inflammation in and around the joint
  20. 20Impingement Syndromeimpingement of the greater tuberosity and soft tissues during abduction of the arm
  21. 21Rotator Cuff Injuriesrefer to injury to the rotator cuff muscles:
    teres minor
    supraspinatus
    infraspinatus
    subscapularis
  22. 22Shoulder Dislocationtraumatic removal of the humeral head from the glenoid cavity
  23. 23Tendonitisinflammatory condition of the tendon that usually results from a strain
  24. 24External Rotation shows:-epicondyles parallel to IR
    greater tubercle    External Rotation shows:External Rotation shows:
  25. 25Internal Rotation shows:- epicondyles perpendicular to IR
    lesser tubercle    Internal Rotation shows:Internal Rotation shows:
  26. 26Neutral Rotation shows:- epicondyles 45 degrees angled to IR
    - palm of hand facing inward    Neutral Rotation shows:Neutral Rotation shows:
  27. 27What are the routine exams for a HUMERUS (trauma and nontrauma)AP
    Lateral
  28. 28AP Humerus *routine40 SID
    70-85 kVp
    14x17 IR grid
    CR @ midhumerus
    must see entire humerus    AP Humerus *routineAP Humerus *routine
  29. 29Rotational Lateral Humerus *routine lateromedial or mediolateral projections40 SID
    70-85 kVp
    14x17 IR grid
    CR @ midhumerus
    LATEROMEDIAL- body obliqued with affected side against bucky, internally rotate arm so epicondyles are perpendicular to IR
    MEDIOLATERAL- oblique pt. 20-30 degrees from PA, keep elbow flexed 90 degrees    Rotational Lateral Humerus *routine lateromedial or mediolateral projectionsRotational Lateral Humerus *routine lateromedial or mediolateral projections
  30. 30Horizontal Beam Lateral Humerus *routine OR trauma lateromedial projection40 SID
    65-85 kVp
    10x12 IR nongrid
    CR @ midpoint of distal 2/3 of humerus    Horizontal Beam Lateral Humerus *routine OR trauma lateromedial projectionHorizontal Beam Lateral Humerus *routine OR trauma lateromedial projection
  31. 31Why would you perform a transthoracic lateral projection of the humerus?when there's trauma to the humerus and you cannot rotate the arm
  32. 32Transthoracic Lateral Humerus *trauma only40 SID
    70-85 kVp
    14x17 IR grid
    CR @ mid-diaphysis through the thorax
    expose during orthostatic respiration (gentle, short, shallow breaths)
    *if pt. in too much pain to drop shoulder and elevate the opposite shoulder over the head, angle CR 10-15 degrees cephalad    Transthoracic Lateral Humerus *trauma only
  33. 33What are the routine exams for the SHOULDER (nontrauma)?AP external rotation
    AP internal rotation
    Grashey
    Y-View
    Axial
  34. 34AP External Rotation Shoulder (proximal humerus) *nontrauma40 SID
    70-85 kVp
    10x12 IR grid
    CR @ 1 in inferior to coracoid process
    expose on expiration
    *pt palm of hand supinated
    *epicondyles parallel to IR
    *greater tubercle in profile    AP External Rotation Shoulder (proximal humerus) *nontraumaAP External Rotation Shoulder (proximal humerus) *nontrauma
  35. 35AP Internal Rotation Shoulder (proximal humerus) *nontrauma40 SID
    70-85 kVp
    10x12 IR grid
    CR @ 1 in inferior to coracoid process
    *pt palm of hand pronated
    *epicondyles perpendicular to IR
    *Lesser tuberosity in profile    AP Internal Rotation Shoulder (proximal humerus) *nontraumaAP Internal Rotation Shoulder (proximal humerus) *nontrauma
  36. 36Inferosuperior Axial Shoulder *nontrauma *SPECIAL* "Lawrence Method"40 SID
    70-80 kVp
    10x12 IR grid
    CR directed medially 25-30 degrees cephalad, centered horizontally into axilla and humeral head.
    *keep arm flexed @ 90 degrees, if less than, decrease CR angle to 15-20 degrees
    *palm up
    *lesser tuberosity in profile    Inferosuperior Axial Shoulder *nontrauma *SPECIAL* "Lawrence Method"Inferosuperior Axial Shoulder *nontrauma *SPECIAL* "Lawrence Method"
  37. 37What are the routine exams for a SHOULDER (trauma series)AP neutral rotation
    Transthoracic lateral (lawrence)
    Scapular Y lateral
  38. 38AP Neutral Rotation Shoulder *trauma40 SID
    70-85 kVp
    10x12 IR grid
    CR @ midscapulohumeral joint - 3/4 in. inferior and slightly lateral to corocoid process
    *expose on expiration    AP Neutral Rotation Shoulder *traumaAP Neutral Rotation Shoulder *trauma
  39. 39Transthoracic Lateral Shoulder *trauma40 SID
    70-85 kVp
    10x12 IR grid
    CR directed through thorax to the level of the affected surgical neck
    *expose during orthostatic breathing    Transthoracic Lateral Shoulder *traumaTransthoracic Lateral Shoulder *trauma
  40. 40Scapular Y Lateral Shoulder *trauma40 SID
    70-85 kVp
    10x12 IR grid
    CR perpendicular to IR, directed @ scapulohumeral joint
    Expose on suspended breath
    *pt obliqued 45-60 degrees, and abduct arm slightly    Scapular Y Lateral Shoulder *traumaScapular Y Lateral Shoulder *trauma
  41. 41What are some special projections of the shoulder that can be used for non trauma patients?-Tangential Bicipital Groove Shoulder
    -Grashey Method
  42. 42Intertubercular (Bicipital) Groove Shoulder *nontrauma *SPECIAL40 SID
    55-75 kVp
    8x10 IR nongrid
    CR perpendicular to IR, directed to groove area at midanterior margin of humeral head
    *expose on suspended breath
    *pt can be erect or supine    Intertubercular (Bicipital) Groove Shoulder *nontrauma *SPECIALIntertubercular (Bicipital) Groove Shoulder *nontrauma *SPECIAL
  43. 43Glenoid Cavity Posterior Oblique Shoulder *nontrauma "Grashey Method" *SPECIAL40 SID
    70-85 kVp
    10x12 IR grid
    CR perpendicular to IR, centered to scaphohumeral joint - 2 in inferior and medial from the superolateral border of shoulder
    *expose on suspended breath
    *pt obliqued 35-45 degrees toward the affected side - opens up glenoid cavity    Glenoid Cavity Posterior Oblique Shoulder *nontrauma "Grashey Method" *SPECIALGlenoid Cavity Posterior Oblique Shoulder *nontrauma "Grashey Method" *SPECIAL
  44. 44Which projections of the shoulder require you to expose on orthostatic respiration?Any transthoracic projection
  45. 45What are the routine exams for the CLAVICLE?AP
    AP Axial
  46. 46AP Axial Clavicle40 SID
    65-85 kVp
    10x12 IR grid
    CR angled 15-30 degrees cephalad to midclavicle
    *expose during suspended breathing
    *asthenic pts require 10-15 degrees more angle than hypersthenic pts    AP Axial ClavicleAP Axial Clavicle
  47. 47AP Clavicle40 SID
    65-85 kVp
    10x12 IR grid
    CR perpendicular to IR, centered at midclavicle
    *must have both AC and SC joints on image    AP ClavicleAP Clavicle
  48. 48AP AC and SC Joints weight bearing and non weight bearing72 SID
    65-80 kVp
    14x17 IR crosswise
    CR @ manubrium
    expose during suspended respiration
    *take first exposure without weights
    *8-10lb weights should be attached to wrists so the arms and clavicles will be relaxed for the 2nd projection    AP AC and SC Joints weight bearing and non weight bearingAP AC and SC Joints weight bearing and non weight bearing
  49. 49What are the routine exams of the SCAPULA?AP
    Lateral
  50. 50AP Scapula Erect40 SID
    70-85 kVp
    10x12 IR grid
    minimum of 3 sec exposure time with optional breathing technique (3-4) seconds preferred
    CR perpendicular to midscapula, 2 in inferior to coracoid process, or to level of axilla and 2 in medial    AP Scapula ErectAP Scapula Erect
  51. 5145 degree LAO Scapula40 SID
    75-85 kVp
    no AEC - manual only
    10x12 IR grid
    CR @ midvertebral border of scapula
    *this view best demonstrates the body of the scapula    45 degree LAO Scapula45 degree LAO Scapula
  52. 5260 degree LAO Scapula40 SID
    70-85 kVp
    no AEC - manual only
    10x12 IR grid
    CR @ midvertebral border of scapula
    *best demonstrates the acromion and coracoid processes    60 degree LAO Scapula60 degree LAO Scapula
  53. 53Which projection/position is this?PA Lateral HumerusWhich projection/position is this?
  54. 54Which projection/position is this?AP External Humerus
    ________________________
    Epicondyles are parallel to IR    Which projection/position is this?
  55. 55Which projections/positions are these? (top->bottom)TOP: Scapular Y-View
    _________________________
    BOTTOM: AP External Rotation (greater tubercle in profile)    Which projections/positions are these? (top->bottom)
  56. 56Which projection/position is this?Transthoracic Shoulder
    ___________________
    ribs are blurred out from orthostatic breathing    Which projection/position is this?
  57. 57—Bilateral AC Joints w/ weightsBilateral AC Joints w/ weights
  58. 58which projection/position are these?TOP: AP Clavicle
    __________________
    BOTTOM: AP Axial Clavicle    which projection/position are these?
  59. 59Projection/position?Lateral HumerusProjection/position?
  60. 60—
  61. 61—
  62. 62—
  63. 63On the inferosuperior axillary x-ray, what anatomical feature is in profile?LESSER TUBEROSITY
  64. 64When the proximal humerus is in anatomical position, which anatomical landmark is most lateral?GREATER TUBEROSITY
  65. 65For an inferosuperior axillary projection, where does the CR exit the body?AC Joint
  66. 66Where is the CR centered for a transthoracic humerus?at the level of the surgical neck through the thorax
  67. 67For an AP internal rotation projection of the shoulder, the proximal humerus is in _____ positionLATERAL
  68. 68For an AP scapula projection, the arm should be abducted at least ___ degrees90
  69. 69The shoulders are aligned in the same transverse plane using a 14x17 IR for which projection?AC joints
  70. 70A 10x12 IR is placed crosswise above the shoulders for which projection?AP clavicle

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ARRT Radiologic Procedures I FlashCards sobre Shoulder Girdle Procedure, criado por RadTech Fairy em 01-11-2016.
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RadTech Fairy
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