Radiography: Chapter 5-Upper Limb
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Radiography: Chapter 5-Upper Limb
Radiography Chapter Upper Limb
How many bones are there in the hand?
How many Carpal bones are there in each wrist?
How many Metacarpals are there in each hand?
What 2 joints do the thumbs have?
Interphalangeal (IP) joint and 1st Metacarpophalangeal (MCP) joint
What 3 joints do the 2nd-5th digits have?
DIP, PIP, MCP
What carpal does the 1st metacarpal articulate with?
What carpal does the 2nd metacarpal articulate with?
What carpal does the 3rd metacarpal articulate with?
What carpal does the 4th and 5th metacarpal articulate with?
What is the most frequently fractured carpal?
What carpals articulate with the Radius?
Scaphoid and Lunate
What proximal carpal is the largest?
What distal carpal is the largest?
What proximal carpal is the smallest?
What distal carpal is the smallest?
What is the Carpal Sulcus?
used to demonstrate carpal tunnel
Name the 3 concentric arcs
Trochlear Sulcus (1st and smallest), Outer ridges of Capitulum and trochlea, Trochlear Notch of the ulna
Scaphoid and lunate directly articulate with the radius. Condyloid(ellipsoidal), Diarthroidal.
Hinge Joint. Diarthroidal.
Proximal Radioulnar joint
Trochoidal (pivot) type
What bone does ulnar deviation demonstrate?
What bone does radial deviation bring out?
Lunate, Triquetrium, pisiform, and hamate.
In what position are wrists done?
What happens when the hand is pronated?
The Radius crosses over the ulna
What 3 views are done for the Elbow joint?
AP with no rotation, AP with Lateral rotation, AP with Medial rotation.
What is SID?
Source to Image Distance
Displacement from joint
Rupture or tearing of connective tissues
Bruise without fracture
Closed fracture (bone did not break skin)
Open fracture (bone breaks through skin)
Splintered or crushed bone
Fragments driven into each other
Fracture and dislocation of the posterior lip of the distal radius
Fracture of the base of the 1st metacarpal bone
Transverse fracture through the metacarpal neck, mostly seen on the 5th
Transverse fracture of the distal radius in whihc it is displaced posteriorly
Reverse of the Colles. Transverse fracture of the distal radius with anterior displacement
When positioning the hand where is the CR centered?
Center to the PIP
What kVp is used for the hand?
What does a lateral view show?
Ant/Post. dislocation, or foreign body
What position is the thumb done in?
AP. Only do PA if they are unable to do AP
Name the positions, CR, Film size, kVp range, and SID for the THUMB
AP, Oblique, Lateral
CR to 1st MCP joint
Name position, CR, film size and SID for DIGITS 2nd -5th
PA, Oblique, Lateral
CR to PIP joint
Name position, CR, film size, KVP range and SID for HAND
PA- CR to 3rd MCP joint, 10x12 cw, 50-60Kvp, 40"t
Oblique- CR to 3rd MCP joint, 10x12 cw 50-60 kvp, 40" tabletop
Lateral, CR to 2nd MCP joint, 8x10 lw, 50-60 kvp, 40" tabletop
Name Position, CR, film size, kvp, SID for Wrist
P.A., Oblique, Lateral
CR to midcarpal area
about 60 kVp
Name position, CR, Film size, SID for "Ball Catchers"
CR midpoint between both hands level with 5th MCP joint
Name position, CR, film size, SID for Gaynor Hart
25* to 30* cephalad to the palm of the hand
Name position, CR, film size, SID for radial and Ulnar Deviation
CR to midcarpal area, 8x10 cw, 40" Tabletop
Name position, CR, film size, SID for Forearm
AP- arm on same plane, CR to midforearm, 14x17 lw, 40" T
Lateral- Elbow flexed at 90*, CR to midforearm, 14x17 lw, 40" T
Name position, CR, film size, SID for Elbow
AP-arm on the same plane, CR to midelbow, 10x12 cw, 40" tabletop.
Oblique- Hand pronated with elbow at 45* angle, CR to midelbow, 10X12 cw, 40" Tabletop
Lateral- flex at 90*, CR to midelbow, 8x10 lw, 40"
Name position, CR, film size, SID for Humerus
AP, Lateral-CR to the middle of humerus, 2 14x17 or 1 14x17 divided, 40" tabletop or bucky
Name the Special Humerus position, CR, Film size, SID
Transthoracic lateral (Lawrence Method), Center to the head of humerus, 10x12 lw, 40" bucky with Full inspiration