Shared Flashcard Set

Details

image ID
Test 2
108
Health Care
Graduate
03/14/2014

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Cards

Term
In a true AP forearm at the distal end, what is demonstrated laterally?
Definition
Radial Styloid
Term
In an AP forearm the 1st and 2nd metacarpals bases and carpal bones begin to superimpose and you are able to see the medial metacarpals and carpals better, what error occurred?
Definition
Internal Rotation
Term
If your elbow is rotated externally but wrist remains AP what will happen to the ulnar styloid?
Definition
It will be demonstrated in profile medially
Term
If your elbow is flexed how will you detect the flexion?
Definition
The greater the elbow flexion, the farther the olecranon process is away from the fossa. The fossa will demonstrate clearly
Term
When the elbow is extended what joint is open?
Definition
The capitulum-radial joint is opened
Term
When an AP elbow Is rotated externally, what detection indicates the error?
Definition
The radius and ulna superimpose less than .25 inch
Term
Where will the superior angle of the scapula be located on the anteriorly tilted midcoronal plane?
Definition
Superior to the mid clavicle
Term
What is seen if the angle of the tube is too small on the inferosuperior axial shoulder?
Definition
Glenoid fossa surface will be demonstrated
Term
How would you view a hills sach’s fracture?
Definition
Perform an extreme external rotation of the humerus with the epicondyles rolled 45 degrees (externally)
Term
In an AP humerus the epicondyles are not demonstrated in profile, the radius and ulna demonstrate with no superimposition, what error occurred?
Definition
The humerus was positioned OVER externally rotated
Term
In AP Forearm the ulnar styloid projected distally to what?
Definition
midline of the ulnar head
Term
In AP forearm, what happens to the ulnar styloid when the elbow is rotated INTERNALLY but the wrist remains AP and how do you fix it?
Definition
The ulnar styloid is demonstrated laterally next to the radius. To fix, rotate the elbow externally until humeral epicondyles are parallel to IR.
Term
In a lateral forearm, what happens to the radial head when the proximal humerus is elevated?
Definition
The radial head will demonstrate posterior to the coronoid process.
Term
In an AP elbow, MORE than 0.25 inch of radial head is superimposed over the ulna, the epicondyles are not in profile on the extreme lateral edges, and the coronoid process is seen medially. What was the error?
Definition
The elbow was slightly internally rotated.
Term
In AP elbow, when humerus is parallel to IR, what would change the position of the radial tuberosity?
Definition
wrist positioning
Term
In AP elbow, the radius and ulna are crossed. What positioning error was made?
Definition
The hand was being pronated.
Term
In AP shoulder, the thorax is superimposed over the superolateral scapular reigon, the glenoid cavity is more in profile, the clavicle is longitudinally foreshortened, and the clavicle end shifted away from the spine. What error was made?
Definition
The shoulder was rotated TOWARD the affected side.
Term
In an AP external rotated shoulder, what is seen in profile laterally?
Definition
Greater tubercle
Term
What happens with the glenoid cavity when there is insufficient rotation or obliquity in an AP Oblique projection?
Definition
The articulating surface of the glenoid cavity is demonstrated.
Term
In an AP humerus, the greater tubercle is not in profile, epicondyles are not in profile, and there is NO superimposition of radial head and tuberosity, and ulna. What is the positioning error?
Definition
The humerus and elbow are externally over rotated.
Term
If there is trauma to the distal end of the humerus which position should be used??
Definition
Lateral elbow
Term
2. What position is the shoulder in if the greater tubercle is seen in profile laterally and the humeral head in profile medially?
Definition
Externally Rotated
Term
3. If the superior scapular angle is demonstrated superior to the mid clavicle, the mid coronal plane is tilted which way?
Definition
Anteriorly
Term
Epicondyles should be parallel to the IR in a ______________ rotation of the Ap shoulder?
Definition
External
Term
5. While attempting a lateral projection of a forearm the pisiform is visible with little superimposition. In which direction is the forearm and hand rotated?
Definition
Externally Rotated
Term
6. In a true AP forearm the radial head should be superimposed over the lateral aspect of the proximal ulna by approximately ____ Inches?
Definition
0.25
Term
7. Regarding the AP forearm, how much longer, minimally, should the image receptor plate be to include both joints?
Definition
1inch mini.
Term
8. When doing an AP elbow, the coronoid process seen medially and more than .25 in or radial head is superimposed over the ulna, what error occured?
Definition
Internally Rotated
Term
9. While doing an external oblique elbow, what error occured if the radial tuberosity is no longer demonstrated in profile?
Definition
Over Oblique
Term
10. When trying to do a true lateral elbow, what happens when the radial head is positioned too far posteriorly from the coronoid process?
Definition
The proximal humerus is elevated
Term
When positioning for a distal AP forearm, what should be in profile laterally?
Definition
RADIAL STYLOID
Term
2. What is the error for a distal forearm when the 1st and 2nd metacarpal bases and lateral carpal bones are superimposed?
Definition
INTERNALLY ROTATED
Term
What will occur when you pronate the hand on an AP forearm?
Definition
ULNA AND RADIUS WILL CROSS PROXIMALLY
Term
What is demonstrated when the elbow is flexed on an AP elbow?
Definition
OLECRANON PROCESS MOVES AWAY FROM OLECRANON FOSSA
Term
True or False. In order to see fat pads adequately, the elbow must be in a true lateral position.
Definition
TRUE!
Term
3. True or False. In a lateral elbow, if the proximal humerus is elevated, the radial head is positioned too far anteriorly from the coronoid process.
Definition
FALSE/ SHOULD BE POSTERIORLY
Term
1. What AP shoulder view would demonstrate the greater tubercle in profile laterally and has the humeral head in profile medially?
Definition
EXTERNALLY ROTATE HUMERUS (with epicondyles parallel to the IR)
Term
How is the midcoronal plane tilted when the superior scapular angle is inferior to the midclavicle?
Definition
POSTERIORLY / BACKWARDS
Term
Are your epicondyles perpendicular or parallel to the IR for and externally rotated shoulder?
Definition
PARALLEL
Term
for a trauma patient (patient with a fracture), what view would best demonstrate the proximal humerus?
Definition
TRANSTHORACIC
Term
An image of a lateral forearm demonstrates the pisiform visible with minimal superimposition and the ulna more anterior to the radius. What positioning error occurred?
Definition
The distal forearm was externally rotated
Term
. An AP projection of the forearm that is demonstrated with internal rotation, will demonstrate which of the following?
Definition
Medial metacarpals and carpals (pisiform and hamulus) are better demonstrated
Term
When performing the AP projection of the forearm the ulnar styloid is demonstrated in profile medially when:
Definition
The elbow is rotated externally but wrist remains AP
Term
What position should be used to replace the internal oblique when extending the elbow is not an option?
Definition
Coyle for the coronoid
Term
In an image of a lateral elbow the radial head is positioned too far posteriorly from the coronoid process. What positioning error occurred?
Definition
The proximal humerus was elevated
Term
If the hand and wrist is pronated on a lateral elbow the radial tuberosity will be demonstrated in profile on the superior aspect of the radius.
Definition
False
Term
What trauma position is used for the proximal humerus?
Definition
The Lawrence method (transthoracic)
If dealing with a patient with a dislocation, shoulder Y is BEST
Term
In an AP external rotation shoulder the greater tubercle is seen in profile partially
Definition
False
Term
If the patient is tilted posteriorly where will the superior scapula be located?
Definition
Inferior to the midclavicle
Term
What is the best position to visualize the glenoid cavity/fossa in profile?
Definition
The Grashey method
Term
What happens when you flex your elbow while taking a radiograph of a forearm with an AP Projection?
Definition
The olecranon process moves away from the olecranon fossa and the coronoid shifts proximally.
Term
When you externally rotate the wrist slightly on a forearm with an AP projection what will happen?
Definition
the fourth and fifth metacarpal bases and carpal bones will be superimposed while the lateral metacarpals and carpal bones will demonstrate less superimposition.
Term
What is the criteria analysis for a lateral projection of the forearm?
Definition
The anterior aspect of the distal scaphoid and pisiform are aligned with each other, the distal radius and ulna are superimposed, the elbow joint space is open, and the radial head is superimposed over the coronoid process.
Term
What would be shown if an external oblique elbow was under rotated?
Definition
The ulna and radius would be less than .25 inches superimposed.
Term
If the elbow is slightly flexed in an internal oblique projection of the elbow what would be the error?
Definition
The olecranon process moves away from the olecranon fossa, the coracoid shifts proximally, and the humerus and forearm are foreshortened.
Term
3. What error demonstrates the elbow in lateral position and the radial head appearing posterior from the coronoid process?
Definition
The proximal humerus is elevated.
Term
What is demonstrated in the AP projection of an internally rotated shoulder?
Definition
The lesser tubercle is in profile medially, the humeral head is superimposed by the greater tubercle, and the epicondyles are perpendicular to the IR.
Term
What is demonstrated in a neutral rotation shoulder with an AP projection?
Definition
The greater tubercle is partially in profile laterally and the epicondyles are at a 45 degree angle to the IR.
Term
What is seen in the AP projection of an externally rotated shoulder?
Definition
The greater tubercle is in profile laterally, the humeral had is in profile medially, cortical outline of the lesser tubercle is visible approximately to the mid-humeral head and the epicondyles are parallel to the IR.
Term
True or False: In an AP projection humerus the lesser tubercle is demonstrated in profile laterally
Definition
The greater tubercle is demonstrated in profile laterally.
Term
On an AP forearm, what type of rotation occurs when the 1st and 2nd metacarpal bases and carpal bones are superimposed?
Definition
internal rotation
Term
On a true AP forearm, what is in profile laterally?
Definition
radial styloid
Term
On an AP forearm, if the elbow is rotated internally, but the wrist remains AP where is the ulnar styloid demonstrated?
Definition
laterally next to the radius
Term
In a true AP elbow, if the coronoid process is seen in profile medially, what error has occurred?
Definition
Internal rotation
Term
In an AP elbow, what position is the elbow when the olecranon process is situated within the olecranon fossa?
Definition
elbow is extended
Term
In AP external oblique elbow, if the radial head and tuberosity is still partially superimpose the ulna, what error has occurred?
Definition
elbow is oblique less than 45 degrees
Term
True/False? With an AP humerus correctly positioned the greater tubercle is demonstrated in profile laterally?
Definition
Ans: true
Term
. True/False? In an AP shoulder, if patient is rotated away from affected side, the clavicle is longitudinally foreshortened and medial end of clavicle is shift away from spine?
Definition
Ans: false
Term
If dislocation of humerus occurs anteriorly, the humeral head shifts _________________.
Definition
Ans: under corocoid
Term
In a PA oblique projection of the shoulder (shoulder Y), what error occurred if the lateral border is demonstrated next to the ribs and the medial border is most external?
Definition
Ans: excessive obliquity
Term
How would you correct a lateral forearm that demonstrates the distal radius anterior to the ulna?
Definition
Externally rotate the hand and the wrist to true lateral projection
Term
2. In a lateral forearm, if the distal end of capitulum is shown distal to the medial trochlea what error was made?
Definition
The axilla was not positioned against the table and the humerus wasn’t level with the IR.
Term
Tin a lateral forearm the ulnar styloid is projecting distal to the midline of the ulnar head
Definition
the patients elbow was not in a lateral projection but was closer to an AP projection.
Term
1. In a true AP shoulder with proper external rotation the greater tubercle is seen in profile laterally.(T/F)
Definition
True
Term
2. In an inferior- superior axial projection, if the angle of tube is too small, what is demonstrated on the image?
Definition
articulating surface of the glenoid cavity
Term
3. An image showing the Grashey method (AP oblique projection) image shows humeral head demonstrated, thorax superimposing glenoid, and excessive longitudinal clavicular foreshortening, what is the error?
Definition
Excessive rotation obliquity
Term
2. In which direction should the elbow be rotated from the AP projection to obtain an AP oblique projection that demonstrates the radial head and ulna without superimposition.
Definition
externally
Term
3. On the external rotated AP oblique projection a portion of the radial head and tuberosity is superimposed over the ulna.
Definition
the patients are was rotated less than 45 degrees
Term
When imaging the proximal humerus, how can one determine if the humeral epicondyles have been accurately positioned for a lateral humeral projection?
Definition
The lesser tubercle will be in profile medially.
Term
Where does the central ray penetrate for an AP forearm?
Definition
mid-shaft of forearm bones (radius and ulna)
Term
Is the radial styloid demonstrated laterally or medially in an AP projection of the forearm?
Definition
laterally (anatomic positioning)
Term
How can you detect rotation in an AP forearm?
Definition
radial styloid is no longer in profile; distal radius and ulna are superimposed
Term
When radiographing an AP elbow, if the radius is crossing the ulna, what must be done to correct the positioning?
Definition
Hand and arm should be rotated externally until hand is supinated and epicondyles are parallel to IR.
Term
In an AP oblique elbow (external rotation), if the olecranon fossa is demonstrated completely open, what must be done to correct it?
Definition
Fully extend elbow with epicondyles rotated 45 degrees externally from IR.
Term
If radial tuberosity is demonstrate in profile anteriorly in a lateral elbow radiograph, what must be done to correct this?
Definition
Distal forearm should be internally rotated until wrist is in a lateral position.
Term
For an AP projection of the shoulder, the patient was rotated toward the affected shoulder causing the scapula to be superimposed over the thorax. The clavicle is longitudinally foreshortened. How should the patient be adjusted?
Definition
Rotate the patient away from into an AP projection. The shoulders positioned equal distances from the IR.
Term
For a neutral rotation, How should the patient’s humerus be adjusted?
Definition
Place the patient’s palm against the thigh. Align the humeral epicondyles at a 45-degree angle to the IR.
Term
For an internal rotation,. How should the patient’s humerus be adjusted?
Definition
Internally rotate the patient’s arm until the epicondyles are aligned perpendicular with the IR.
Term
For an AP projection of the humerus, the patient’s arm was internally rotated causing the humeral epicondyles and the greater tubercle to not be in profile. The radial head and the tuberosity are superimposed more than 0.25 inches of the ulna. How should the patient be adjusted?
Definition
Externally rotate the arm until the humeral epicondyles are positioned parallel with the IR.
Term
1. Which of the following could result in the ulnar styloid being demonstrated laterally next to the radius in an AP forearm projection?
Definition
internal rotation of the elbow
Term
2. In what projection of the forearm is the anterior aspect of the distal scaphoid and pisiform aligned with each other?
Definition
lateral forearm
Term
If the radial head is posterior to the coronoid process in a lateral forearm what mistake happened?
Definition
the proximal humerus was elevated
Term
If the elbow is in AP position and the radius crosses over the ulna, what is the error?
Definition
The hand and wrist are pronated.
Term
Which parts of the anatomy should be in profile for the AP oblique projection of the elbow with internal rotation?
Definition
The coronoid process, the trochlear notch, and the medial aspect of the trochlea.
Term
What happens to the capitulum-radial joint when the elbow is flexed for the AP elbow projection
Definition
The capitulum-radial joint closes
Term
In an internal rotation of the shoulder, the lesser tubercle is demonstrated in profile medially and the humeral head is superimposed by:
Definition
The greater tubercle
Term
For AP shoulder projection (neutral): The glenoid cavity is almost in profile, with only a small amount of the articulating surface demonstrated, the superolateral border of the scapula is superimposed by the thorax, and the clavicle is longitudinally foreshortened. What was the error?
Definition
The patient was rotated toward the affected shoulder.
Term
In neutral rotation of the shoulder, the epicondyles are ________ to the IR.
Definition
45 degrees.
Term
4. Which of the following could result in the extreme radial head and tuberosity being superimposed with the ulna?
Definition
-humerus and elbow are internally rotated
Term
How do you adjust a lateral forearm with a slight anterior/internal rotation of the wrist?
Definition
Externally rotate until epicondyles are perpendicular with the image receptor.
Term
On a true lateral forearm, where and how is the ulnar styloid positioned?
Definition
Sitting with the radius on the posterior aspect within the radius.
Term
On an x-ray of the elbow if the radial head is superimposed over the ulna by more than .25 of an inch, what mistake has happened?
Definition
The elbow was medially/internally rotated.
Term
What controls whether the radial tuberosity is demonstrated in profile medially, and the radius and ulna appear parallel?
Definition
Position of the wrist
Term
What happens if the elbow is flexed on an AP elbow?
Definition
The olecranon process moves away from the olecranon fossa and the distal humerus is forshortened.
Term
When performing an AP of shoulder, and the superior scapular angle appears superior to the clavicle, what is the error that most likely occurred?
Definition
The upper midcoronal plane is tilted anteriorily.
Term
When detecting shoulder dislocation if and the humeral head shifts under coracoid, what type of dislocation is it?
Definition
Anterior.
Term
When doing an AP shoulder, and the humerus is externally rotated what will be visible?
Definition
Greater tubercle in profile laterally and humeral head in profile medially.
Term
When performing an x-ray of the humerus, what is the projection that will demonstrate the greatest amount of OID?
Definition
Lateromedial
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