Term
| What terms correctly describe the shoulder joint? |
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Definition
| Scapulohumeral & glenohumeral |
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Term
| Which specific joint is found on the lateral end of the clavicle ? |
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Definition
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Term
| What angles are found on the scapula? |
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Definition
| Inferior, lateral, & superior |
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Term
Which of the following structure of the scapula extends most anteriorly?
Gleniod cavity
Acromion
Scapulae spine
Coracoid process |
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Definition
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Term
| T/F : the male clavicle is shorter and less curved than the female clavicle |
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Definition
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Term
| Which bony structure separates the supraspinous and infraspinous fossae? |
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Definition
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Term
Which of the following structures is considered most posterior?
Scapular notch
Coracoid process
Acromion
Superior border of scapula |
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Definition
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Term
| What type of movement is the scapulohumeral joint? |
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Definition
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Term
| T/F : even though the amount of radiation exposure is minimal for most shoulder projections, gonadal shielding should be used for children and adults of child bearing age |
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Definition
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Term
| T/F: the greatest technical concern during a pediatric shoulder study is voluntary movement |
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Definition
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Term
| Which imaging modality or procedure provides a functional, or dynamic, study of the shoulder? |
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Definition
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Term
| Acromioclavicular joint dislocation |
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Definition
Superior displacement of distal clavicle
X-ray appearance-abnormal widening of acromioclavicular joint space |
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Term
| Which Projection and/or position best demonstrates signs of impigement syndrome? |
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Definition
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Term
| Which Pathologic condition often produces narrowing of the joint space? |
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Definition
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Term
| Which Pathologic condition may require a reduction in manual exposure factors? |
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Definition
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Term
| Which basic projection of the shoulder requires that the numeral epicondyles be parallel to the IR? |
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Definition
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Term
| Where is the central ray centered for a AP projection of the shoulder? |
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Definition
| 1" superior to coracoid process |
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Term
| Which position of the shoulder and Proximal humerus projects the lesser tubercle in profile medially? |
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Definition
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Term
| What central ray angle should be used for the inferosuperior axial projection for the glenohumeral joint space? |
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Definition
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Term
| To best demonstrate the hill-sachs defect on the inferosuperior axial projection, which additional positioning maneuver must be used? |
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Definition
| Use exaggereated external rotation |
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Term
| How are the humeral epicondyles aligned for a rotational lateromedial projection of the humerus ? |
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Definition
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Term
| Which special projection of the shoulder places the glenoid cavity in profile for an open scapulohumeral joint? |
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Definition
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Term
| For the erect version of the tangential projection for the intertubercular groove, the patient lens forward ______ from vertical . |
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Definition
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Term
| What is the major advantage of the supine, tangential version of the intertubercular groove projection over the erect version ? |
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Definition
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Term
| Which projection best demonstrates the supraspinatus outlet region? |
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Definition
| Scapulae Y lateral (neer method) |
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Term
With which of the following projections is a breathing technique recommended ?
Grashey method
Thansthoracic lateral
Fisk modification
Garth method |
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Definition
| Transthoracic lateral for humerus |
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Term
| What central ray angulation is required for the supraspinatus outlet tangential projection (neer method)? |
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Definition
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Term
| Which Pathologic feature is best demonstrated with the Garth method? |
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Definition
| Scapulohumeral dislocations |
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Term
| Which anatomy of the shoulder is best demonstrated with a superoinferior axial projection (hobbs modification)? |
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Definition
| Scapulohumeral joint space |
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Term
| If the patient cannot fully abduct the arm 90 for the inferosuperior axial projection (Clements modification), the technologist can angle the CR _____ degrees toward the axillary. |
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Definition
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Term
Which of the following projections requires the CR to be centered 2" inferior and medial from the superolateral border of the shoulder?
Tangential projection(Fisk modification)
Inferosuperior axial(Clements projection)
Posterior oblique(Grashey method)
Scapula Y lateral projection |
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Definition
| Posterior oblique (Grashey method) |
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Term
| Which anatomy best demonstrated with the alexander method? |
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Definition
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Term
| Which type of injury should be ruled out before the weight-bearing phase of an AC joint study? |
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Definition
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Term
| What is the minimum amoun of weight a large adult should have strapped to each wrist for the weight-bearing phase of an AC joint study? |
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Definition
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Term
| T/F: a posteroanterior PA axial projection ofthe clavicle requires a 35-34 degree caudal central ray angle |
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Definition
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Term
| T/F: a 72" SID is recommended for acromioclavicular joint study |
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Definition
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Term
| The three aspects of the clavicle are the- |
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Definition
| Sternal extremity, body,& acromial extremity |
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Term
| The three angles of the scapula include- |
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Definition
| Lateral, superior,& inferior |
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Term
| He anterior surface of the scapula is referred to as - |
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Definition
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Term
| What is the anatomic name for the armpit? |
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Definition
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Term
| What Re the names of the two fossae located on the posterior scapula ? |
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Definition
| Infraspinous & supraspinus |
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Term
| All of the joints of he shoulder girdle are classified as being- |
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Definition
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Term
| Movement type for scapulohumeral - |
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Definition
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Term
| Movement type for sternoclavicular joint - |
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Definition
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Term
| Mmovement type for acromioclavicular joint- |
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Definition
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Term
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Definition
| Greater tubercle profiled laterally, supination of hand, epicondyles parallel to IR, proximal humerus in Position for an AP projection |
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Term
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Definition
| Epicondyles perpendicular to IR, lesser tubercle profiled medially, proximal humerus in a lateral position |
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Term
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Definition
| Humeral epicondyles angled 45 degrees to IR,palm of hang against thigh |
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Term
| T/F: the use of a grid is not required for a should that measures less than 10 cm |
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Definition
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Term
| T/F: the kV range for adult shoulder projections is between 80-90 kV |
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Definition
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Term
| T/F: low mA with short exposure times should be used for adult shoulder studies |
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Definition
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Term
| T/F: large focal spot setting should be selected for most adult shoulder studies |
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Definition
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Term
| T/F: a high speed screen-IR system is recommended for shoulder studies when using a grid |
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Definition
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Term
| T/F: a 72" SID is recommended for most shoulder girdle studies |
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Definition
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Term
| T/F: re gonadal dose for most shoulder projections is .1 mrad or less |
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Definition
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Term
| T/F: the use of contact shields over the breast, lung, and thyroid regions is recommended for most shoulder projections |
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Definition
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Term
| Which kV range should be used for a shoulder series on an average adult? |
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Definition
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Term
| If physical immobilization is required, which individual should be ask to restrain a child fora shoulder series? |
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Definition
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Term
| T/F: CT arthrography of the shoulder joint requires the us of iodinated contrast to be injected into the joint |
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Definition
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Term
| T/F: MRI is an excellent modality for demonstrating nondisplaced fractures of the shoulder girdle |
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Definition
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Term
| T/F: nuclear medicine bone scans can demonstrate signs of osteomyelitis and cellulitis |
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Definition
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Term
| T/F: radiography is more sensitive than nuclear medicine for demonstrating physiologic aspects of the shoulder girdle |
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Definition
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Term
| T/F: ultrasound can provide a functional evaluation of joint movement that MRI cannot |
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Definition
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Term
| Which two basic shoulder projections are routinely taken for a shoulder( with no trauma) and proximal humerus ? |
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Definition
| AP external & AP internal |
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Term
| Specifically wher is the central ray placed for an AP projection of the shoulder? |
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Definition
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Term
| Which lateral projection can be preformed to demonstrate the ENTIRE humerus for a Patient with a midhumeral fracture? |
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Definition
| Transthoracic lateral projection |
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Term
| To best demonstrate a possible Hill-Sachs defect, which additional positioning technique can be added to the inferosuperior axial projection? |
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Definition
| Rotate affected arm externally approximate 45 degrees |
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Term
| What type of CR angulation is required for he inferosuperior axial projection for the shoulder? |
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Definition
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Term
| The _______ projection of the shoulder produces an image of the glenoid process in profile |
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Definition
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Term
| Which projection produces a tangential projection of the intertubcular groove? |
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Definition
| Tangential projection (Fisk modification) |
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Term
| The supine version o the tangential projection of the intertubercular groove requires that the CR be angled _______ posteriorly from the horizontal plane |
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Definition
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Term
| Which projection would be best for demonstrating a possible dislocation of the proximal humerus? |
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Definition
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Term
| Corresponding method:Neer method |
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Definition
| Supraspinatus outlet tangential |
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Term
| Corresponding method: Grashey method |
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Definition
| AP oblique for glenoid cavity |
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Term
| Corresponding method: Lawrence method |
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Definition
| Inferosuperior axial or transthoracic lateral |
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Term
| Corresponding method: Fisk modification |
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Definition
| Tangential for intertubercular groove |
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Term
| Corresponding method: Garth method |
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Definition
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Term
| Which nontrauma projections can be preformed erect to provide a lateral view of the proximal humerus in relationship to the glenohumeral joint? |
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Definition
| Superoinferior axial projection (Hobbs modification) |
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Term
| How much CR angled for the inferosuperior axial projection (Clements modification) if the patient cannot fully abduct the arm 90 degrees? |
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Definition
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Term
| What CR angle is required for the AP axial projection (Alexander method) for AC joints? |
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Definition
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Term
| T/F: the superoinferior axial projection (Hobbs modification) requires no CR angle |
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Definition
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Term
| T/F: the transthoracic lateral projection can be preformed for possible fractures or dislocations of the proximal humerus |
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Definition
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Term
| T/F: the use of breathing technique is recommended for the transthoracic lateral humerus projection |
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Definition
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Term
| T/F: the affected arm must be placed into external rotation for the transthoracic lateral projection |
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Definition
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Term
| T/F: a CR angle of 10-15 caudad maybe used for the transthoracic lateral projection if the patient is unable to elevate the uninjured arm and shoulder sufficiently |
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Definition
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Term
| T/F: the scapular Y lateral (anterior oblique) position requires the body to be rotated 45-60 degrees anteriorly toasted the affected side |
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Definition
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Term
| Which shoulder projection delivers the greatest skin dose to the Patient ? |
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Definition
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Term
Which of the following requires the smallest And highest thyroid dose?
AP neutral rotation
Transthoracic lateral
AP clavicle
Scapular Y lateral |
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Definition
Scapular Y lateral
Transthoracic lateral |
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Term
| Which special projection ofthe shoulder girdle requires that the affected side be rotated 45 degrees toward the cassette and uses a 45 degrees caudad central ray angle? |
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Definition
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Term
| A thin shouldered patient requires (more or less) CR angle for an AP axial clavicle projection than a large shouldered patient |
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Definition
|
|
Term
| A posterior dislocation of the humerus projects the humeral head (superior or inferior) to the glenoid cavity with the AP apial oblique axial |
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Definition
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