unit 3 scapula

Question 1

routine projections for scapula

Answer 1

AP and lateral

Question 2

gen procedures before AP scapula

Answer 2

-remove jewelry, clothes, and undergarments
-pat wears gown opening to back
-stand pat infront of upright bucky
-SID 100cm

Question 3

how to position for AP scapula

Answer 3

-pat in true AP
-affected side humerus abducted 90 degrees and hand is supinated
-CR 5cm inferior to caracoid process
-resp is suspended

Question 4

evaluation criteria for AP scapula

Answer 4

AD:
-lateral half of scapula w/o sup imp
-med half of scapula seen thru thorax

P:
-lat border free of sup imp and superior scapula angle inferior to clavicle

Question 5

how to position for lateral scapula

Answer 5

-pat facing bucky, takes affected arm and grasps opp shoulder
-put pat into 45 degree RAO/LAO
-body of scapula perp to IR
-CR perp to id vertebral/medial border of scapula
-resp suspended

Question 6

evaluation criteria for lateral scapula

Answer 6

AD:
-true lateral scapula
-minimal sup imp w humerus and ribs

P;
-med and lat birders sup imp

Question 7

how can you tell the patient is under rotated in a lateral scapula? how do you fix it?

Answer 7

when med and lat borders arent sup and medial border is seen next to the thorax, so order is thorax, med border, lat border.

solution: increases patient rotation

Question 8

how can you tell a patient is over rotated for a lateral scapula? how do you fix it?

Answer 8

when you see the order being thorax, lateral border, and then medial border.

solution: decrease pat rotation