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forearm consists of
two long bones
radius + ulna
ulna is on the ____ side
medial
radius is on the _____ side
lateral
mnemonic CRazy TUlips
capitululm - radial
trochlea - ulnar
ulnar anatomy what are the processes
olecranon process
coronoid process
styloid process
olecranon process is
prox and posterior
coronoid process is
prox and anterior
styloid process is
distal
radial anatomy
head and tuberosity
radial head is
prox
radial tuberosity is
prox
humerus is the
long bone in the upper arm
head of humerus articulates with
scapula to form shoulder joint
distal end of humerus forms
part of elbow joint
what is the most common site for shoulder fractures
surgical neck of humerus
proximal anatomy of humerus
head
anatomic neck
surgical neck
greater tubercle
lesser tubercle
intertubercular groove- biciptal groove
distal anatomy of humerus
medial epicondyle
lateral epicondyle
trochlea
capitulum
coronoid fossa
olecranon fossa - posterior
elbow joint is made of
proximal radiolunar joint
humeroulnar joint
humeroradial joint
the three elbow joints are enclosed in a
common capsule
sail sign shows the
fat pads
the lateral bone of the forearm is the
radius
which portion of the humerus articulates with radial head?
capitulum
pt prep
pts need to remove all jewelry watches rings bracelets
humerus- remove bra
ambulatory patients
seated at x ray table
non ambulatory patients
alter- may be in wheelchair on cart
typically humerus radiographs are taken
standing up
some facilities allow the collimated field
to be diagonally on IR - long bones
SID
40 in
markers for upper extremity exams
right or left
radiation protection upper extremity
lead apron, lead rubber over gonads
- not common use close collimation
pt instructions forearm elbow humerus
explain + demonstrate
tell pt to hold still and stop breathing
list projections of forearm
AP
Lateral
forearm collimation field size
2 in distal to wrist and prox to elbow
1 inch on other sides
AP forearm
part position
elbow extended
hand supinated
same plane
humeral epicondyles equal distance from IR
long axis of forearm parallel
AP forearm CR
perpendicular IR
midpoint of forearm
lateral forearm
part position
same plane
90 degree elbow
ulna radius superimposed
long axis aligned parallel IR
lateral forearm lateromedial or mediolateral
lateromedial
lateral forearm
CR
perpendicular IR
midpoint of forearm
essential projections of the elbow
AP
lateral
AP oblique- medial rotation, lateral rotation
elbow
AP
how to demonstrate distal humerus
partial flexion
elbow AP
how to demonstrate prox forearm?
partial flexion
axiolateral elbow is the ____ method
coyle
elbow collimated field size
3 inch prox and dist to elbow joint
1 inch of sides
AP elbow
part position
same plane
posterior surface in contact with IR
elbow extended
hand supinated
elbow centered to middle unmasked portion
humeral epicondyles parallel with IR
AP elbow
CR
perpendicular to elbow joint
lateral elbow
part position
same plane limb is parallel to IR
90 degree elbow flexd
forearm rest ulnar surface
wrist in TRUE lateral
lateral elbow CR
perpendicular to elbow joint
oblique views of the elbow
medial and lateral oblique
elbow lateral oblique demonstrates
radial head, neck, tuberosity free of superimposition of ulna
elbow lateral
medial oblique demonstrates
coronoid process projected free of superimposition
AP oblique elbow medial rotation position
part position
elbow centered IR
pronate hand MEDIALLY / INTERNALLY rotate elbow to place anterior 45 degrees from IR
AP oblique elbow medial rotation position
CR
perpendicular to elbow joint
medial oblique elbow SLIDE 80