Humerus and Shoulder Girdle Radiologic Positioning

Descrição

Set that focuses on Humerus and Shoulder Girdle positioning
Julia Lake
FlashCards por Julia Lake, atualizado more than 1 year ago
Julia Lake
Criado por Julia Lake mais de 3 anos atrás
13
0

Resumo de Recurso

Questão Responda
Why do we need 2 trauma shoulder? Patient can't move/rotate arm; helps in visualizing potential fractures or dislocations to the proximal humerus and shoulder girdle in a trauma setting.
Trauma vs routine Routine: we are rotating (internal/external) the patient's arm; epicondyles parallel to IR Trauma: no rotation of arm involved; epicondyles are 45 to plane of IR
What procedures can be used to identify dislocation/displaced fracture? Shoulder Y (PA Oblique) Transthoracic lateral Garth Method
Anterior Glenohumeral Dislocation Glenohumeral joint is widened
Posterior Dislocation humeral head no longer overlies the glenoid humerus is held in internal rotation and the contour of the humeral head is said to resemble a 'light bulb'
Radiographic exams for AC dislocation Unilateral/Bilateral Erect AC joints
Radiographic exams for AC separation Unilateral or bilateral Erect AC joints (with and without weights) Zanca method
AC joint separation pathology Asymmetric widening of AC joint compared with contralateral (opposite) side
Shoulder dislocation pathology Separation between humeral head and glenoid cavity
Rotator cuff injury pathology Partial or complete tear in musculature
Frozen shoulder pathology Possible calcification or other joint space abnormalities
Fracture humerus Hill-Sachs: Compression fracture and possible anterior dislocation of humeral head
A pt enters the ER with a definite fracture to the midhumerus. Due to other trauma the patient is unable to stand. Which lateral position would demonstrate the entire humerus? Transthoracic lateral projections for humerus
Which type of injury must be ruled out before the weight-bearing phase of an AC joint study? Fractured clavicle
A pt enteres ER with a proximal and midhumeral fracture. the patient is in extreme pain, which projection routines would demonstrate the entire humerus without excessive movement of the limb? AP and transthoracic lateral of humerus
A patient comes to the ER with a possible right AC joint separation. Right clavicle and AC joint exams are ordered. The clavicle is taken first, and a small linear fracture of the midshaft of the clavicle is discovered. What should the tech do in this situation? Consult with the ER physician before continuing with the AC joint study
Rotator cuff radiograph exam MRI or sonography
Frozen shoulder radiograph exam AP rotation shoulder and PA oblique (Scapular Y-Neer method) projection shoulder
Hill-Sachs radiograph exam AP internal rotation and transaxillary with exaggerated external rotation
A patient with a possible acromioclavicular seperation enters the ER room. Which routines should be used? Acromioclavicular joint series: non weight bearing and weight bearing projection

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