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UpperLimbRadiography

  1. How many bones make up the hand and wrist?
    27
  2. How many bones make up the phalanges (fingers and thumb)?
    14
  3. how many metacarpals are there?
    5
  4. how many carpals are there?
    8
  5. Name the 8 carpal bones?
    • Proximal
    • -Scaphoid (most frequently Fx)
    • - Lunate (moon-shaped)
    • - Triquetrum (pyramid shape)
    • - Pisiform (smallest)
    • Distal
    • - Trapezium (4-sided, irregular shape)
    • - Trapezoid (4-sided, wedge-shaped)
    • - Capitate (largest)
    • - Hamate (hook-like hamulus)

    *(Steve Left The Party To Take Carol Home)*
  6. How many bones make up the forearm, and what are the names of them?
    2, Radius and Ulna
  7. How many bones make up the shoulder girdle, and what are the names of them?
    2, Clavicle and Scapula
  8. what nerve passes through the Carpal Sulcus (canal)?
    median nerve
  9. The ________ is a ligament that attaches to the pisiform & hamulus of the hamate, as well as to the scaphoid & trapezium
    flexor retinaculum
  10. _______ is a painful disorder that results from compression on the median nerve.
    Carpal tunnel syndrome
  11. Carpal Sulcus (Canal)
  12. where are the Metacarpophalangeal (MCP) joints?
    Between heads of metacarpals & base of each proximal phalanx
  13. CMC Joints (Carpometacarpal joints)
    • First MC with trapezium
    • Second MC with trapezoid
    • Third MC with capitate
    • Fourth & fifth MC with hamate
  14. Distal end:
    •Styloid process•Ulnar notch
    Body (shaft)
    Proximal end:
    •Head & Neck•Radial tuberosity

    Make up what bone?
    the Radius
  15. Distal end:
    •Styloid process•Head
    Body (shaft)
    Proximal end:
    •Olecranon process•Coronoid process•Coronoid tubercle•Trochlear (semilunar) notch•Radial notch

    Make up what bone?
    the Ulna

  16. whats A?
    Olecranon Process

  17. what's B?
    Radial Notch of Ulna

  18.  What's C?
    Head of Radius

  19. What's D?
    Neck of Radius

  20. What's E?
    Radial Tuberosity

  21. What's F?
    Styloid Process of Radius

  22. What's G?
    Trochlear notch

  23. What's H?
    Coronoid Process

  24. What's I?
    Ulnar tuberosity

  25. What's J?
    Ulnar Notch

  26. What's K?
    Head of Ulna

  27. What's L?
    Styloid Process

  28. This makes up the which part of what bone?
    Proximal Ulna
  29. Body (shaft)
    Distal end (part of elbow joint):
    Humeral Condyle
    Trochlea
    •Trochlear sulcus
    Capitulum
    Epicondyles:
    •Medial (“funny bone”) is larger
    •Lateral is smaller
    Coronoid fossa (anterior)
    Radial fossa (anterior)
    Olecranon fossa (posterior)

    These make up the what?
    Distal Humerus and Elbow
  31. Lateral Elbow Anatomy
  32. The 3 attachments that make up the Elbow Joint?
    • Humeroulnar joint
    • •Trochlea & trochlear notch
    • Humeroradial joint
    • •Capitulum & radial head
    • Proximal radioulnar joint
    • •Head of radius & radial notch on proximal ulna
  33. Joint Classifications

    All IP's (Interphalangeal) are?
    Ginglymus (hinge)
  34. Joint Classifications

    All MCP's (metacarpophalangeal) are?
    Ellipsoidal (condyloid)
  35. Joint Classifications

    1st CMC is?
    Sellar (saddle)
  36. Joint Classifications

    2-5 CMC & all IC joints are?
    Plane (gliding)
  37. Joint Classifications

    Radiocarpal joints are?
    Ellipsoidal (condyloid)
  38. Joint Classifications

    Proximal radioulnar are?
    Trochoidal (pivot)
  39. Joint Classifications

    Humeroulnar & humeroradial joints are?
    Ginglymus (hinge)
  40. Joint Classifications

    Distal radioulnar are?
    Trochoidal (pivot)
  41. Small collections of closely packed cells located outside the synovial sac near certain joints?
    Fat Pads (Stripes)
  42. Name the 3 concentric arches?
    • Trochlea sulcus
    • Outer ridges of trochlea & capitulum
    • Trochlea notch
  43. The 3 routine and one special positions for the Thumb are?
    • Routine -
    • AP or PA
    • PA oblique
    • Lateral

    • Special - 
    • AP Axial (Modified Roberts method)
    • *Same positioning as AP
    • *CR 15° proximal to first CMC joint
  44. Fingers (2-5) positioning?
    • Routine:
    • PA
    • PA oblique
    • Lateral
  45. Hand (positioning)
    • Routine:
    • PA
    • PA oblique
    • Lateral (Extension)
    • Lateral (Fan)

    • Special:
    • AP oblique bilateral (Norgaard method)
    • *Patient facing table with arms & hands extended
    • *Hands partially supinated & internally rotated 45°
    • *Sponges may be used to obtain correct oblique
    • *Fingers extended, thumbs slightly abducted to obtain “ball catcher’s position”
    • *CR to midpoint between both hands @ level of 5th MCP joints
  46. Wrist (positioning)
    • Routine:
    • PA
    • PA oblique
    • Lateral

    • Special:
    • Scaphoid views (PA, PA axial, PA modified Stecher method)
    • - Same positioning as PA scaphoid (ulnar deviation) but with hand & palm elevated on 20° angle sponge
    • - CR to scaphoid – ¾” distal & medial to radial styloid process

    • Tangential inferosuperior carpal canal (Tunnel/Gaynor-Hart method)
    • - Palm down with hand & wrist hyperextended (dorisflexed) as much as possible
    • - Tape, a band, or the patient’s other hand can be used to get fingers as near vertical (90° to forearm) as possible
    • - Rotate hand and wrist 10° toward radius
    • - CR 25°-30° to hand – 1” distal to the base of the 3rd metacarpal
  47. Forearm (positioning)
    • AP
    • Lateral
  48. Elbow (positioning)
    • Routine:
    • AP
    • AP obliques
    • Lateral

    • Special:
    • Axial lateral (Coyle methods)
    • - For radial head:
    • Same position as lateral elbow except hand pronated & CR 45° toward shoulder

    • - For coronoid process:
    • Same position as lateral except hand pronated, elbow flexed 80°, & CR 45° away from shoulder
Author
Marc817
ID
342969
Card Set
UpperLimbRadiography
Description
Unit 5 - Upper Limb Radiography
Updated

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