Upper Extremity

Question 1

shoulder series

Answer 1

AP internal rotation
AP posterior oblique with external rotation
PA Y view

Question 2

which bucky do we use for AP shoulder with internal rotation?

Answer 2

upright bucky

Question 3

film size and orientation for AP shoulder with internal rotation?

Answer 3

10x12

transverse

Question 4

patient blocker location for AP shoulder with internal rotation?

Answer 4

down

Question 5

CR for AP shoulder with internal rotation?

Answer 5

middle of glenohumeral joint space

Question 6

collimation for AP shoulder with internal rotation?

Answer 6

film size

Question 7

what are some extra things to remember for all UE xrays?

Answer 7

40” SID
always shield
don’t breathe, don’t move
side marker for extremity being xrayed

Question 8

patient instructions for AP shoulder with internal rotation?

Answer 8

internally rotate arm until epicondyles are perpendicular to the film
keep back flat against bucky

Question 9

what anatomy do we see in AP shoulder with internal rotation?

Answer 9

clavicle
coracoid process
acromion
lesser tubercle

Question 10

what anatomy do we see in posterior oblique shoulder with external rotation?

Answer 10

coracoid process
clavicle
acromion
greater tubercle
intertubercular groove
glenohumeral joint space

Question 11

which bucky do we use for posterior oblique shoulder with external rotation?

Answer 11

upright bucky

Question 12

film size and orientation for posterior oblique shoulder with external rotation?

Answer 12

10x12

transverse

Question 13

ID blocker location for posterior oblique shoulder with external rotation?

Answer 13

down

Question 14

CR for posterior oblique shoulder with external rotation?

Answer 14

middle of glenohumeral joint space

Question 15

patient instructions for posterior oblique shoulder with external rotation?

Answer 15

rotate patient toward affected side until you feel the joint space open
externally rotate arm until epicondyles are parallel to film

Question 16

collimation for posterior oblique shoulder with external rotation?

Answer 16

film size

Question 17

patient position for PA Y view?

Answer 17

scapula in lateral position
perpendicular to bucky
facing bucky

Question 18

which bucky do we use for PA Y view?

Answer 18

upright bucky

Question 19

film size and orientation for PA Y view?

Answer 19

10x12

lengthwise

Question 20

ID blocker location for PA Y view?

Answer 20

down

Question 21

how much do you rotate the patient for PA Y view?

Answer 21

45-60 degrees

Question 22

CR for PA Y view? Is there a tube tilt?

Answer 22

10-15 degree caudal tube tilt

medial end of scapular spine of affected scapula

Question 23

collimation for PA Y view?

Answer 23

film size

Question 24

what anatomy will you see on a PA Y view?

Answer 24

clavicle
acromion
coracoid process

Question 25

what is the point ot PA Y view?

Answer 25

detect shoulder impingement syndrome

Question 26

what bucky do you use for AC joint unweighted?

Answer 26

upright bucky

Question 27

film size and orientation for AC joint unweighted?

Answer 27

10x12 | lengthwise

Question 28

ID blocker location for AC joint unweighted?

Answer 28

down

Question 29

CR AC joint unweighted? Is there a tube tilt?

Answer 29

5 degree cephalic tube tilt | enter middle of AC joint

Question 30

patient instructions for AC joint unweighted?

Answer 30

arms at sides in neutral anatomic position

Question 31

collimation for AC joint unweighted?

Answer 31

part size

Question 32

what is the differences between weighted and AC joint unweighted?

Answer 32

patient holds weights in both hands during exposure | use extra marker to indicate weight bearing

Question 33

clavicle series

Answer 33

PA clavicle | AP axial clavicle

Question 34

which bucky do we use for PA clavicle

Answer 34

upright bucky

Question 35

film size and orientation for PA clavicle

Answer 35

10x12 | transverse

Question 36

ID blocker location for PA clavicle

Answer 36

down

Question 37

CR PA clavicle

Answer 37

mid clavicle | clavicle in middle of film

Question 38

collimation for PA clavicle

Answer 38

part size

Question 39

CR for AP axial clavicle

Answer 39

15 degree cephalic tube tilt entering inferior border of mid clavicle

Question 40

ID blocker orientation AP axial clavicle

Answer 40

down

Question 41

film size and orientation for AP axial clavicle

Answer 41

10x12 | transverse

Question 42

collimation for AP axial clavicle

Answer 42

part size

Question 43

humerus series

Answer 43

AP humerus | lateral humerus

Question 44

what type of bucky do we use for AP humerus?

Answer 44

upright bucky

Question 45

film size and orientation of AP humerus?

Answer 45

14x17 | lengthwise

Question 46

ID blocker location for AP humerus?

Answer 46

down

Question 47

collimation for AP humerus?

Answer 47

7x17

Question 48

patient placement for AP humerus?

Answer 48

body slightly oblique so arm hangs straight down along the side of the body be sure to include joint closes to injury

Question 49

what type of bucky do we use for lateral humerus?

Answer 49

upright bucky

Question 50

film size and orientation for lateral humerus?

Answer 50

14x17 | lengthwise

Question 51

collimation of lateral humerus?

Answer 51

7x17

Question 52

patient position for lateral humerus?

Answer 52

PA or AP with elbow flexed 90 degrees | include joint of interest

Question 53

hand series

Answer 53

PA hand PA oblique hand lateral hand

Question 54

type of bucky for PA hand?

Answer 54

table top

Question 55

film size and orientation for PA hand?

Answer 55

10x12 | lengthwise

Question 56

ID blocker location for PA hand?

Answer 56

toward elbow

Question 57

patient instrucitons for PA hand?

Answer 57

hand pronated

Question 58

CR for PA hand?

Answer 58

center of part (3rd knuckle)

Question 59

collimation for PA hand?

Answer 59

part size

Question 60

PA oblique hand bucky type

Answer 60

table top

Question 61

film size and orientation for PA oblique hand

Answer 61

10x12 lengthwise

Question 62

ID blocker location for PA oblique hand

Answer 62

toward elbow

Question 63

patient instrucitons for PA oblique hand

Answer 63

supinate hand 45 degrees from PA

Question 64

CR for PA oblique hand

Answer 64

center of part (3rd knuckle)

Question 65

collimation for PA oblique hand

Answer 65

part size

Question 66

bucky type for lateral hand?

Answer 66

table top

Question 67

film size and orientation for lateral hand?

Answer 67

10x12 | lengthwise

Question 68

ID blocker location for lateral hand?

Answer 68

toward hand

Question 69

patient instructions for lateral hand?

Answer 69

place hand in lateral position (ulnar side touching film)

Question 70

CR for lateral hand?

Answer 70

center of part

Question 71

collimation for lateral hand?

Answer 71

part size

Question 72

which films are taken transverse?

Answer 72

AP internal oblique shoulder, eternal oblique shoulder, PA and axial clavicle

Question 73

tube tilts

Answer 73

Y view 10-15 caudal AP axial clavicle 15 cephalic ulnar fleion 20 cephalic

Question 74

accessory views

Answer 74

``` olecranon/Jone's view ball-catchers AP hands carpal tunnel fingers and thumb baby arms ```

Question 75

pediatric considerations

Answer 75

minimize exposure to patient