UPPER EXTREMITY Flashcards by Queenie Francisco

[RP] Digits 2nd-5th

⊥ PIP JT

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Digits 2nd-5th - LAT
Reduce OID

Radial S. 2nd & 3rd
Ulnar S. 4th and 5th

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Digits 2nd-5th
PAO - Medial Rotation for 2nd digit

STREET JM
2nd digit - IR

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[RP] Thumb 1st

⊥ 1st MCP JT

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Thumb 1st MCP
Magnified image

PA PROJECTION

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[RP] Thumb 1st Digit

⊥ 1st CMC Jt

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ROBERT (AP)
Arm and Hand [posi]

Arm- INT Rot
Hand-HyperE

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[SS] ROBERT (AP)

Arthritic Changes
Bennet’s/Rolando Fx

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Thumb 1st Digit
RAFERT LONG [CR-RP]

15 deg prox -1st CMP

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Thumb 1st Digit
LEWIS [CR-RP]

10-15 deg prox- 1st MCP

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BURMAN (AP)
Hand & Thumb [posi]

Hand-HyperE.-INT Rot
Thumb-abd

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BURMAN (AP)
[SID,CR]

18” SID -Magnif
45deg twd elbow-1st CMC

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BURMAN (AP)
[SS]

magnified
Trapezium -Concave
1st MC Base - Convex

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FOLIO (PA)
SKIER’S/GAMEKEEPER’S
[SS]

Dx Ulnar Collateral Ligament Rupture

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[RP] Hand

⊥ 3rd MCP JT / Head of 3rd MC

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Hand PAO [techniques]

45deg
1. Foam Wedge: IP JT
2.Fingertips: MC JT

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[SS] LANE-KENNEDY-KUSCHNER (Reverse Oblique)

SS:severe MC deformities

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[PP,CR,SS] KALLEN (Tangential Oblique)

Flex 75-85deg
CR 40-45deg twd Ulnar side& fwd MCP JT
SS: MC Head fx

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LAT (Extension)
LM PROJ [..]
ML PROJ [..]

LM Proj: U. Down
ML Proj: R. Down
Thumb 90deg -palm
⊥-2nd MCP JT

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Localize Fb & MC fx
displacement

LAT (Extension)

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LEWIS METHOD [PP, RP, SS]

Hand 5deg post
⊥- midshaft of 5th MC
SS: 5th MC fx

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SS: Anterior or Posterior
Displacement in MC fx

LAT (Flexion)

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Rhematoid Arthritis

NORGAARD M. (APO) / Ball Catcher’s

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NORGAARD M. (APO) / Ball Catcher’s
[exposure technique]

fine grain -IS; 60-65 kVp

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FX 5th MC- Boxer’s fx

STAPCZYNSKI

Erosions of MC heads and bases of phalanges Alt. Rheumatoid Arthritis

BREWERTON (REVERSE KALLEN)

BREWERTON (REVERSE KALLEN) [PP,CR]

MCP JT 45deg flexed CR 20 deg -US to 3rd MC head

[RP] Wrist

⊥ midcarpal / midway b/n the ulnar & radial styloid processes

ELONGATED scaphoid/capitate

DAFFBER-EMMERLING-BUTTERBAUGH REC PA Axial -30 deg twd elbow

ELONGATED capitate only

DAFFBER-EMMERLING-BUTTERBAUGH REC PA Axial -30 deg twd fingertips

30 deg twd elbow - ELONGATED scaphoid/capitate 30deg twd ftips - ELONGATED capitate only

DAFFBER-EMMERLING- BUTTERBAUGH REC

Carpal interspaces / No rot of ulna

AP Wrist

Prox MC & dist R&U Trapezium & Scaphoid (ant)

LAT :LM Projection 90deg flexion

Lateral scaphoid

BURMAN SUG -palmar flexion (rotate scaphoid in dorsovolar pos)

CARPAL BOSSU/ CARPAL BOSS

FOILLE - palmar flexion

Lat side (SCAPHOID & TRAPEZIUM)

PAO 45 deg LAT ROT - Aff side UP (Ulnar dev - scaphoid only)

Med side (PISIFORM, TRIQUETRUM & HAMATE)

APO 45deg - MED ROT Aff side DOWN

correct scaphoid foreshortening

PA -ULNAR DEV

PA -ULNAR DEV [CR,SS]

⊥ or 10-15prox/dist SCAPHOID-open carpal spaces (lat side)

Open carpal interspaces (med side)

PA -RADIAL DEV

STECHER (PA AXIAL) 20deg support [CR]

20deg twd elbow 20deg twd dgits Clench fist (NO CR)

Stecher M w/ ulnar dev

BRIDGMAN METHOD

RAFERT-LONG (PA& PA AXIAL) X-ULNAR DEV -4images [CR]

⊥; 10deg; 20deg; 30deg cephalad

Addt’l to evaluate sus widening of scapholunate interval (Bilat) “function view”

CLENCH FIST VIEW

Scaphoid Views

STECHER (PA AXIAL) BRIDGMAN METHOD-ud RAFERT-LONG (PA& PA AXIAL)-4images-ud CLENCH FIST VIEW ZITTER’S 25deg

Trapezium/ Trapezium Fx

CLEMENTS-NAKAYAMA (PA AXIAL OB)

45 deg sponge+ ulnar dev CR 45deg distally - ANATOMICAL SNUFFBOX

CLEMENTS-NAKAYAMA (PA AXIAL OB) or (No UD) Rotate elbow end of IR & arm 20deg away from CR

45 deg sponge+ ulnar dev 45deg distally - ANATOMICAL SNUFFBOX

CLEMENTS-NAKAYAMA (PA AXIAL OB) or (No UD) Rotate elbow end of IR & arm 20deg away from CR

Carpal Bridge

LETINO (TAN)

LETINO (TAN) [PP,CR,SS]

90deg to FA 45deg caudad - 1.5” prox wrist jt Famous Landmarks Connect Cities CARPAL BRIDGE Fx Scaphoid & FB Lunate disloc Calcif (dorsum) Chip fx (dorsal)

MODIFIED LETINO [PP,CR]

FA elev SB; wrist flexed @ R< 45deg twd wrist

CARPAL CANAL/TUNNEL

GAYNOR-HART (TAN (I-S)

GAYNOR-HART (TAN (I-S) [SS]

Carpal canal/tunnel (Carpal sulcus + flexor retinaculum) carpal tunnel syndrome fx of hook of PHT

GAYNOR-HART (TAN (I-S) [CR]

20-30deg to LA of hand -1” dist to 3rd MCP base

MCQUILLEN MARTENSEN CR

15deg twd palm

CARPAL CANAL (cant assume Gaynor)

SUPEROINFERIOR (TAN)

CARPAL CANAL Views

GAYNOR-HART (TAN (I-S) - 20-30deg to LA of hand MCQUILLEN MARTENSEN CR 15deg twd palm TEMPLETON AND ZIM CR 40 deg tws fingers MARSHAL SUGGESTION (For limited dorsiflexion) 45deg sponge

SS if FA in pronation

1. Crosses radius over ulna @ Prox third 2. Rotate humerus medially

FA Lateral SSS-R

SSS-R SI R&U @ distal end SI RH over Coronoid P. SI Humeral Epicondyles Radial Tuberosity facing ant

EJ.R.U Ant & post displ fx

LATERAL-FA

[RP] Elbow

⊥ Elbow Jt/ midway b/w the epicondyles

Elbow AP [HE]

HE & ant surface ll - IR

Elbow LAT HE

HE ⊥-IR

Elbow Lat [SS]

OLECRANON PROCESS SI HE, RT facing ant, RH partially SI Coronoid P

GRISWOLD (2 Reasons 90deg) - elbow

1. OLECRANON PROCESS 2.Elbow Fat Pads least compressed

APO (MED ROT) - elbow 45deg

C.O.Me.T CORONOID PROCESS, Medial epicondyle, TROCHLEA

APO (LAT ROT) 45 deg

CRL CAPITULUM, RH &N & Lateral epicondyle

HOLLY (AP-RH)

dist humerus H-wrist 30 deg

JONES (AP) ACUTE FLEXION-DIST HUMERUS [SS]

OLECRANON PROCESS

JONES (AP) PROX FLEXION-PROX FA [SS]

EJ more open

LAT (RH) latermed [positions]

E-90deg 1. Supinated 2. In lat 3. Pronated 4. Int Rot

LAT (RH) latermed [SS]

RT facing ant (1st and 2nd) RT facing post (3rd and 4th)

GREENSPAN & NORMAN (RH) [CR]

45deg medially (twd the shoulder)

COYLE (AXIOLAT) [CR]

45deg twd(ceph) shoulder (RH) 45deg away (cau) fr shoulder (CP)

COYLE (AXIOLAT) [FLEXION]

RH 90deg CP 80deg

RADIOHUMERAL BURSITIS (TENNIS ELBOW)

PA AXIAL (rp:ulnar sulcus)

PA AXIAL - elbow [PP,CR,RP]

Humerus to FA 75deg flexion 15deg fr CR Perp ulnar sulcus

PA AXIAL (rp:ulnar sulcus) [SS]

Epicondyles ;trochlea. Ulnar sulcus, olecranon fossa RADIOHUMERAL BURSITIS (TENNIS ELBOW) detect obscured calcif

AP-humerus [HE]

HE ll-IR (Ext Rot)

Humeral Head & GT SUPRACONDYLAR FX -MC (pedia)-dist humerus

AP-humerus

LAT (Latermed) [HE,PP]

HE ⊥-IR; flex 90deg Mediolateral - hand holding broken arm

LESSER TUBERCLE, GT SI over HH

LATERAL- Humerus

UPPER EXTREMITY Flashcards

(82 cards)