Chap 4- Finger, hand, wrist

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What is the purpose of using 4 sided collimation?

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46 Terms

1

What is the purpose of using 4 sided collimation?

To reduce radiation exposure and improve image quality.

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2

For optimal positioning, which axis of the part should align with the long axis of the IR?

The long axis of the part being imaged.

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3

What is the standard source-to-image distance (SID) recommended?

40 SID.

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4

What is the definition of a dislocation?

Displacement from joint.

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5

What does a subluxation refer to?

Partial dislocation.

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6

Define a sprain.

Rupture or tearing of connective tissue.

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7

What is a contusion?

A bruise.

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8

What is the meaning of a simple fracture?

A closed fracture.

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9

What characterizes a compound fracture?

An open fracture that breaks through the skin.

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10

Explain a comminuted fracture.

A fracture that is splintered or crushed.

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11

Describe an impacted fracture.

Fragments that are driven into each other.

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12

For a PA finger, where is the central ray (CR) directed?

CR to PIP.

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13

What should be demonstrated in a PA finger projection?

Entire finger and minimum of 1/3 of MCP.

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14

What indicates no rotation of phalanges in a PA finger projection?

Alignment of the phalanges without overlap.

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15

In a PA oblique finger positioning, how is the digit positioned?

Digit parallel to IR.

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16

For the PA oblique finger projection, what should be open?

IP and MCP joints.

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17

Where does the CR aim for a lateral finger projection?

CR to PIP.

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18

What should be demonstrated in a lateral finger projection?

Entire phalanx and MCP joint.

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19

What is a key characteristic of a lateral finger view?

Concavity on the anterior side.

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20

Where is the CR directed for an AP thumb?

CR to first MCP joint.

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21

What must be demonstrated in an AP thumb projection?

Entire thumb including first CMC joint.

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22

What is the CR angle for the Modified Robert’s Method?

15 degrees proximal to the first CMC joint.

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23

What must be visualized clearly in the Modified Robert’s Method?

Base of first metacarpal and trapezium.

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24

What is the purpose of the PA Stress (Folio Method)?

To assess possible ulnar collateral ligament injury.

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25

Where is the CR directed in a PA hand projection?

CR to third MCP joint.

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26

What should be demonstrated in a PA hand projection?

Entire hand and carpal area.

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27

In a PA oblique hand projection, how should the digits be positioned?

Digits should be parallel to IR.

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28

What indicates adequate separation of phalanges and metacarpals?

Small space between digits 5-3 and larger space between digits 2-3.

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29

Where is the CR aimed in a “Fan” lateral hand projection?

CR to second MCP joint.

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30

What is the positioning requirement in a “Fan” lateral hand?

Fingers must be equally separated.

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31

What should not overlap in the Norgaard Method?

Midshafts of 2nd and 5th metacarpals and base of phalanges.

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32

Where is the CR positioned in the Norgaard Method?

Level of 5th MCP joint.

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33

What is the CR placement for a PA wrist projection?

CR to midcarpal area.

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34

What should be demonstrated in a PA wrist projection?

About 1 inch of distal radius, ulna, and carpals.

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35

What is shown in a PA oblique wrist projection?

Distal radius, ulna, and carpals.

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36

What is the specific view for trapezium in a PA oblique wrist?

Trapezium seen in its entirety.

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37

What position yields a ‘fan’ lateral of the hand?

Fingers must be positioned to avoid superimposition.

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38

What injury does the PA Stress (Folio Method) typically evaluate?

Ulnar collateral ligament injury.

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39

Which joints should be open in a PA oblique finger projection?

IP and MCP joints.

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40

For positioning, what must be clearly demonstrated in the PA hand?

Entire hand and carpal demonstrated.

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41

What is a essential factor in imaging techniques?

Proper alignment of the body part to the IR.

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42

How is the CR directed to achieve correct imaging of the thumb?

Perpendicular to the first MCP joint.

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43

What factors contribute to a successful imaging technique?

Proper positioning, CR placement, and appropriate collimation.

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44

Why is it important to include markers and patient ID in imaging?

To ensure proper identification and documentation in imaging records.

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45

What anatomical areas should be visible in finger projections?

Entire digit and relevant joint spaces.

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46

Describe the technique for trauma imaging of fingers.

Use long axis alignment and minimize rotation.

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