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digit 2-5 projections
PA
PA oblique
lateral
thumb projections
AP
PA oblique
Lateral
Hand Projections
PA
lateral
PA oblique
Wrist projections
PA
lateral
PA oblique
PA axial stechers
PA ulnar deviation
Digit 2-5 projections what is the centering point ?
PIP
Digit 2-5 projections what are the film sizes
8 × 10
10 × 12
Thumb projections film sizes
8 × 10
10 × 12
Thumb projections
centering points
1st MCP
Hand projections what film sizes
8 × 10
10 × 12
Hand projections what are the centering points
3rd MCP EXCEPT lateral 2nd mcp
wrist projections what are the film sizes
8 × 10
10 × 12
wrist projections what are the centering points
PA + lateral + oblique = midcarpal
stechers + ulnar deviation = scaphoid
what is a snuff box?
triangular depression on the posterior surface of the wirst lateral aspect of the dorsum of the hand
where is the snuff box?
lie over the schaphoid and the radial artery
level of the carpal bones, and best seen when the thumb is extended.
median nerve where does it sit ?
carpal tunnel
what is in the carpal canal
median nerve
flexor tendons
benetts fracture
fracture at base of first metacarpal
boxer
neck of metacarpal , 5th
colles fracture
distal radius dorsum posterior displacement
smiths fracture
distal radius anterior palmar displacement
thumb joint what is it ?
synovial diarthrotic saddle
types of bones in hand the groups
phalanges metacarpals carpals
what classification are the phalanges
long bones
what classification are the metacarpals
long bones
what classification are carpals
short bones
how many total phalanges in 1 hand
14
how many total metacarpals in 1 hand
5
how many carpals are there in 1 hand
8 two rows of four
what carpal is the largest
capitate
what carpal is fractured the most often
scaphoid
what side is the radius on
thumb side
lateral
what side os the ulna on
medial pinky side
how are carpals numbered?
lateral to medial
prox - distal
each have own name
how are metacarpals numbered
1-5
lat - med
PA hand what plane is perpendicular
MSP
pronated
palm down
supinate
palm up
alternative name for scaphoid
navicular
alternative name for capitate
os magnim
alternative name for lunate
semilunar
alternative name for trapezium
greater multangler
a lateral projection will show displacement of what bones?
why do we do lateral views
why do we do oblique views
why do we do pa views
what views show the scaphoid
ulnar deviation
PA axial stechers
what position does the thumb naturally sit in
PA oblique
PA wrist how do you get carpal bones close to IR ?
fingers flexed under / curled
what is carpal boss view
Lateral wrist with palmar flexion of wrist
small bony growth on dorsal surface of 3 cmc
folio method what is it useful for
ulnar collateral ligament rupture MCP of thumb - skiers thumb
folio method
projection
position of part
PA
hands rest medially on IR, wrap rubber band around distal portion of both thumbs and put tape between bodies of 1st metacarpals
thumbnails parallel to IR
folio method CR
perpendicular to point midway between both hands at level of MCP joints
what structures are shown with the folio method
MCP joints
MCP angles bilaterally
what is the gaynor hart method projection
tangential
when is the gaynor hart method used
fractures of hook of hamate pisiform trapezium
gaynor hart method center IR to what
joint at syloid process
gaynor hart method how shoudl the hand be placed
rotate hand slightly toward radial side
grasp digits with opp hand hold in extended postion
gaynor hart method
central ray
inch distal to base of 3rd metacarpal
angle 25-30 to long axis of hand
what structures are shown on the gaynor hart method
carpal canal
palmar aspect of trapezium tubercle of trapezium scaphoid capitate hook of hamate trquirerum entire pisiform
radiocarpal joint type
ellipsoidal
prox and dist radiolunar joint type
pivot
most common fracture of the thumb is
bennetts fracture
collimated field size hand
1 inch all sides 1 inch prox ulnar styloid
pisiform is on top of
triquetrum
ulnar deviation also called
bridgeman
gaynor hart tangential degrees
25-30
gaynor hart tangential enters at
1 inch distal base 3rd metacarpal
what does good technique entail PA digits 2-5
proper collimation
fingertip to distal portion
open IP and MCP joint spaces
no soft tissue overlap
no rotation- equal concavity
bony trabecular detail
what does good technique entail lateral digits 2-5
no obstruction prox phalanx or MCP
open IP spaces
what does good technique entail
PA oblqiue digits 2-5
no superimposition