ICTC positioning chapter 5

A patient enters the ER with a proximal and midhumeral fracture. The patient is in extreme pain. What position routines would demonstrate the entire humerus without excessive movement of the limb

A patient with a possible shoulder dislocation enters the emergency room. A neutral ap projection of the shoulder has been taken, confirming dislocation. Which additional projection should be taken

radiograph of an AP axial clavicle taken on an asthenic type patient reveals that the clavicle is projected in the lung field below the top of the shoulder. the following positioning factors were used: erect position, central ray angled 15* cephlad, 40 in SID, and respiration suspended at end of expiration. Which modifications should be made during the repeat exposure

a patient with a possible right shoulder separation enters the emergency room. Which routine should be used

a patient comes to the radiology department with a history of tendonitis of the bicep tendon. Which projection will demonstrate calcification of the tendon within the intertubercluar groove

An AP apical oblique axial(garth method) radiographic image demonstrates poor visibility of the shoulder joint. The technologist used the following factors: patient erect, facing the xray tube, 45* of rotation of affected shoulder toward the IR, 45*cephalad angle. and the CR centered to the scapulohumeral joint. What factors would have contributed to this poor Garth position

a patient is referred to radiology for a nontrauma shoulder series. The routine calls for a PA transaxillary projection (HOBBS modification) be included. But the patient is unable to stand and is confined to a wheelchair. What should the technologist do at this point?

what clinical indication is best demostrated with the garth method

which anatomy of the of the shoulder is best demonstrated with a PA transaxillary projection (hobbs modification)

if the patient cannot fully abduct the affected arm 90* for the inferosuperior axial projection (clements)

Which projection requires the CR to be centered 2in inferior and medial from the superolateral border of the shoulder

Which anatomy is best demontrated with the Alexander method

which type of injury must be ruled out before the weight bearing phase of an AC joint study

what is the minimum amount of weight a large adult should have strapped to each wrist for the weight bearing phase of an AC joint study

which two positioning landmarks are aligned perpendicularly to the IR for the lateral scapula projection

a radiograph of a posterior oblique (Grashy Method) reveals that the anterior and posterior glenoid rims are not superimposed. The following technical factors were used: erect position, body rotated 25-30* toward the affected side, central ray perpendicular to scapulohumeral joint space, and affected arm slightly abducted in neutral rotation. What modification will superimpose the glenoid rims

the largest and longest bone of the upper limb.

the length of the humerus on an adult equals approximately __ of body height

the most proximal part of the humerus

The slightly constricted area directly below and lateral to the head

process directly below the anatomic neck on the anterior surface is the

the greater tubercle is larger and more ___

where do the pectoralis major supraspinatus muscles attach

the deep groove between the the two tubercles is

the tapered area below the head and tubercles is the

part of the humerus distal to the surgical neck

what is the site of frequent fractures requiring surgery

roughened raised triangular elevation along the anterolateral surface of the body to which the deltoid muscle is attached

the shoulder girdle consists of which bones

where does the shoulder girdle connect to the trunk anteriorly

what connects the shoulder girdle to the trunk posteriorly

a long bone with a double curvature

the lateral joint of the clavicle where the shoulder blade meets the clavicle

the medial joint of the clavicle where the clavicle meets the sternum

the 2 sternoclavicular joints help form the

whos clavicle is usually shorter and less curved

who has the most curved clavicle

what are the borders of the scapula

medical term for the arm pit

angle of the scapula that is sometimes called the head of the scapula and is the thickest part and ends laterally in a shallow depression called the glenoid cavity

The humeral head articulates with the glenoid cavity of the scapula to form the

the constricted area between the head and the body of the scapula

the body of the scapula is arched for

the anterior surface of the scapula is termed the

the middle area of the costal surface presents a large concavity or depression know as the

a long, curved process that extends laterally over the head of the humerus

a thick beaklike process that projects anteriorly beneath the clavicle

prominent structure on the dorsal or posterior surface of the scapula

what forms the Y of the scapula

what type of joint is the sternoclavicular joint

what type of joint is the acromioclavicular joint

on which AP shoulder will the greater tubercle be seen laterally in profile

on which AP shoulder will the lesser tubercle be seen medially in profile

an injury in which the distal clavicle usually is displaced superiorly

trauma to the upper shoulder region resulting in a partial or complete tear of the AC or coracoclaviular ligament or both ligaments

an injury of the anteroinferior aspect of the glenoid labrum. This type of injury often is caused by anterior dislocation of the proximal humerus. repeated dislocation may result in a small avulsion fracture in the anteroinferior region of the glenoid rim

a compression fracture of the articular surface of the posterolateral aspect of the humeral head that often is associated with an anterior dislocation of the humeral head

a disability of the shoulder joint that is caused by chronic inflammation in and around the joint. it is characterized by pain and limitation of motion

acute or chronic and traumatic injury to one or more of the muscles that make up the rotator cuff-teres minor, supraspinatus, infraspinatus, and subscapularis.

what muscle is impinged in a common rotator cuff injury

occurs as traumatic removal of humeral head from the glenoid cavity. 95% are anterior in which the humeral head is projected anterior to the glenoid cavity

and inflammatory condition of the tendon that usually results from a strain

what is the most superior structure on a inferosuperior axial projection

What is the CR angle and CR positionfor the ALexander method for AC joints

what does the neer method demonstrate

what do you do on a transthoracic lateral if the patient cannot raise the unaffected arm over their head completely

what is the CR angle and placement for hobbs method

on the clements method, what do you do if the patient cannot fully abduct the upper limb 90*

what is the most common dislocation

what is the CR angle for the bilateral AC joints on a 14×17 in cassette

where do you place the CR for the bilateral AC joints

can you use the AEC for the fisk method?

for the garth method, how will the humerus be projected with an anterior dislocation

how do you position the patient on a lateral scapula in order to demonstrate the body (wings)

what extra step is performed in order to demonstrate the HIll Sachs defect

what is the CR angle and placement for the transthoracic lateral of the proximal humerus

AP apical oblique axial projection:shoulder

tangential projection-supraspinatus outlet: shoulder

Tangential projection-intertubercular (bicipital) groove: shoulder

posterior oblique position -glenoid cavity

inferosuperior axial projection

pa transaxillary projection

for an AP projection of the shoulder, the CR should be positioned __ infereior to the coracoid process

what are the kVp and mAs for the lab shoulder prositions

what central ray angulation is required for the tangential projection-supraspinatus outlet (Neer)

what projection can a breathing technique be employed

what projection best demonstrates the supraspinatus outlet region

what is the major advantage of the supine tangential version of the intertubercular groove projection over the erect version

for the erect version of the tangential projection for the intertubercular groove, the patient leans forward ____

the Grashey method places the ___ ___ in profile for an “open” scaulohumeral joint

how are the humeral epicondyles aligned for a rotational lateromedial projection of the humerus

what central ray angle should be used for the inferosuperior axial projection, which additional positioning maneuver must be used

which imaging modalities or procedures best demonstrates ostomyelitis

what are the proper names for the shoulder joint

which specific joint is found on the lateral end of the clavicle

which structure of the scapula extends most anteriorly