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4 types of Joint Movements
–Circular
–Angular
–Gliding
–Special Movements
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Circular (joint movement)
- Arc-like rotation of a
- structure around an axis
– Rotation: pivoting of a bone on its axis
– Circumduction: Moves the distal end of a bone in a circle, resulting in a conical-shaped motion
- –Supination: Lateral rotation of
- the bones of the forearm so the palm of the hand is facing up or anterior.
- –Pronation: Medial rotation of
- the bones of the forearm so the palm of the hand is facing down or posterior.
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Angular (joint movement)
Bending,change of angle between long bone and two bones making up joint
– Flexion:Bending that decreases angle between two bones
– Extension Bending that increases the angle between two bones
– Abduction:Move away from the midline of the body
- –Adduction:Move
- towards midline of the body
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Gliding
Bone slides over another
Patella over femur
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Special Movements
•Inversion–Turning plantar surface inward
•Eversion–Turning plantar surface outward
•Protraction–Moving part forward, anterior
•Retraction–Moving part backward, posterior
•Elevation–Moves part upward, superior
•Depression–Moves part downward, inferior
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Radiographic Position
- Terms that describe the relationship of body parts to each other and to location or
- orientation of body structures
•Based on Anatomical Position
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Anterior
forward or front portion of the body or body part
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Posterior
backward or back portion of the body or body part; the opposite of anterior
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Caudal/caudad
away from the head
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Cephalic/cephalad
pertaining to the head; toward the head; the opposite of caudal
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Central
pertaining to the middle area or main part of an organ or body part
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Peripheral
away from the central mass of an organ, toward its outer limits; the opposite of central
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Distal
- away from the source or point of origin; for example, the wrist is distal to the elbow,
- being farther from the point of origin of the arm, which is at the shoulder
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Proximal
toward the source or point of origin; the opposite of distal
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Dorsal
- pertaining to the back part or surface of the body or part; the top surface of the foot;
- or the back of the hand
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Ventral
forward, front part; the opposite of dorsal
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External
to the outside, at or near the surface of the body or a body part
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Internal
deep, near the center of the body or a body part; the opposite of external
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Inferior
below, farther from the head
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Superior
above, toward the head; the opposite of inferior
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Lateral
referring to the side, away from the center to the left or right
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Medial/mesial
toward the center of the body or the center of a part; the opposite of lateral
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Palmar
referring to the palm (anterior surface) of the hand
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Plantar
referring to the sole of the foot
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Parietal
referring to the walls of a cavity
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Visceral
pertaining to organs
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Body Planes
- -Sagittal
- -Mid-sagittal
- -Coronal
- -Mid-Coronal
- -Transverse/Horizontal
- -Oblique
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Sagittal (body plane)
Left and Right
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Mid-sagittal (body plane)
Equal left and right parts
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Coronal (body plane)
Anterior and Posterior
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Mid-Coronal (body plane)
Equal Anterior and Posterior parts
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Transverse/Horizontal
Inferior and Superior
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Oblique
Any angle not included above
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Body Positions
- –Prone
- –Recumbent
- –Supine
- -upright
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Lateral position
Placement of the body or body part with the sagittal plane parallel to the IR
Named according to the side adjacent to the radiographic table or IR.
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Lordotic position
Angulation of the coronal plane of the chest with the IR
- Upright patient leans back so that only the dorsal aspect of the shoulders is in
- contact with the IR.
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Oblique position
- Body part or entire body is placed so that the coronal plane is not parallel with
- the radiographic table or IR
- Usually stated as a degree of rotation, either from a body plane or toward the affected
- side.
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Projection
Path of the CR from the radiographic tube and through the patient to the IR
Most are named, in anatomic terms, by the CR entrance and exit points in the body
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Anteroposterior (AP) projections
- CR enters the anterior surface and exits the posterior surface of the body or anatomic
- structure
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Posteroanterior (PA) projections
- CR enters the posterior surface and exits the anterior surface of the body or anatomic
- structure
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Lateral projections
Sagittal plane of the body or body part is parallel to the IR
Named for the side of the patient that is nearest the IR
- •Extremities
- are described with the lateral or medial
- entrance and exit of the CR
- (mediolateral or lateromedial)
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Oblique projections
- Body is rotated so that the CR travels through the body on an oblique plane, rather
- than following an anatomic plane.
Named by the entrance and exit points of the CR
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Axial projections
- Longitudinal angulation
- of the CR of 10 degrees or more
Caudal or Cephalic
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Tangential projections
Directing the CR to “skim” the profile of the anatomy
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Image Systems
Film Screen: Limited Usage Film and Screen Cassette
- •Computed Radiography: Photostimulable
- Phosphor Plates Cassette
- •Digital Radiography:Thin
- Film Transistors Cassetteless
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Computed Radiography
Cassette Based: Placed parallel with body part
- •Lengthwise: Long dimension is parallel with the long axis of the body part
- Also known as Portrait
- •Crosswise: Long dimension is perpendicular with the long axis of the body part
- _Also known as Landscape
•Diagonal: For anatomy that will not fit lengthwise
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Collimation
- Improves Image Quality
- –Decreases scatter
Reduces Patient Dose
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Placement on IR
- •Exposure
- field placement on the Image Receptor
–Standard is only 1 image per plate
•Advantages Allows the Radiologist easier post processing for each image
•Improves image interpretation
•More accurate diagnosis
•Consistent appearance
•Optimizes Viewing and Storage of the Image
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Alignment of Tube, Body Part, and Image Receptor
All must be properly aligned
Table top Convenient for patient
Body part aligned with the IR
Use the correct SID
Minimum of 40”
Align the Central Ray with the center of the body part
Collimate All 4 edges should be within the boundaries of the IR
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