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Viewing:

Proximal Humerus and Shoulder Girdle

front 1

1.The shoulder consists of what 2 bones?

back 1

Scapula and clavical

front 2

2. The medial or sternal extremity articulates with the manubrium which is the upper part of the? The articulation is at what joint?

back 2

sternum, sternoclavicular joint

front 3

3. Whos clavicle is longer males or female?

back 3

males

front 4

4. Whos clavicle is usually thicker and more curved?

back 4

males

front 5

5. What exam is this and what is it checking for and how can you tell what it is?

back 5

Y view, you can tell because the vertebral border of scapula and it is checking for dislocation of humerus.

front 6

6. What shoulder exam is this and how can you tell

back 6

AP external rotation and you can see the greater tubercle

front 7

7. What view is this and how can you tell?

back 7

Internal rotation and the lesser tubercle is medial.

front 8

8. What is number 3 labeling

back 8

Acromion of the scapula

front 9

9. What is number 12 labeling

back 9

Body of clavicle

front 10

10. The three corners of the scapula are called angles, what are they?

back 10

Lateral, superior, inferior angles

front 11

11, The humeral head articulates with the glenoid cavity of the scapula to form what joint?

back 11

scapulohumeral joint

front 12

12. The three shoulder girdle joints are classified as what type of joints

back 12

synovial joint

front 13

13. What rotation is true AP projection

back 13

External rotation

front 14

14.The AP projection of the shoulder taken in the internal rotation is what position for the humerus

back 14

lateral position of the humerus

front 15

15. Shoulder and humerus kV range is?

back 15

70 - 80 with grid

65 - 70 without grid

front 16

16. Nuclear medicine bone scans are useful in demonstrating ____?

back 16

osteomyelitis, metastatic bone lesions, and cellulitis

front 17

17. Sonography is often used to check for ____ on the shoulder?

back 17

rotator cuff tears, bursa injuries, disruption and damage of the nerves

front 18

18. What clinical indication refers to an injury in which the distal clavicle usually is displaced superiorly. This is commonly caused by a fall.

back 18

Acromioclavicular dislocation

front 19

19. What clinical indication refers to trauma to the upper shoulder region resulting in a partial or complete tear of the AC or coracoclavicular ligament or both ligaments.

back 19

AC joint seperation

front 20

20. What clinical indication is an injury of the anterioinferior aspect of the glenoid labrum. This type of injury often is caused by anterior dislocation of the proximal humerus. Repeated dislocation may result in a small avulsion fracture in the anteriorinferior region of the glenoid rim.

back 20

Bankart lesion

front 21

21. What clinical indication is inflammation of the bursea, or fluid filled sacs enclosing the joints. It generally invloves the formation of calcification in associated tendons, causing pain and limitation of joint movement.

back 21

Bursitis

front 22

22. What clinical indication is a compression fracture of the articular surface of the posterolateral aspect of the humeral head that often is associated with an anterior dislocation of the humeral head.

back 22

Hill-Sachs defect

front 23

23. What clinical indication is a disability of the shoulder joint that is caused by chronic inflammation in and around the joint. It is characterised by pain and limitation of motion,

back 23

Idiopathic chronic adhesive capsulitis

front 24

24. What clinical indication is impingement of the greater tuberosity and soft tissues on the coracoacromial ligamentous and osseous arch, generally during abduction of the arm.

back 24

Impingement syndrome

front 25

25. What clinical indication is a noninflammatory joint disease characterized by gradual deterioration of the articular cartilage with hypertrophic bone formation? Usually happens in people over 50.

back 25

Osteoathritis

front 26

26. What clinical indication result in fractures due to a reduction in the quantity of bone or atrophy of skeletal tissue?

back 26

Osteoporosis

front 27

27. AP projection of the humerus CR?

back 27

Perpendicular to IR, directed to midpoint of humerus.

front 28

28. What landmarks can you see on a AP projection of the humerus

back 28

Acromion of scapula, Greater tubercle, Head of humerus, Lesser tubercle, Coracoid process of scapula, scapulohumeral joint and proximal humerus.

front 29

29. The use of a grid is not required for shoulder studies that measure less than 10 cm. true or false

back 29

true

front 30

30. The kV range for adult shoulder projections is between 80 and 90 kV for analog and 100 to 110 kV for digital systems. True or false

back 30

false

front 31

31. Low mA with short exposure time should be used for adult shoulder studies. true or false

back 31

false

front 32

31. Large focal spot setting should be selected for most adult shoulder studies. true or false

back 32

false

front 33

33. A high speed screen - IR system is recommended for analog shoulder studies when using a grid. true or false

back 33

true

front 34

34. A 72 inch SID is recommended for most shoulder girdle studies. true or false

back 34

false

front 35

35. CT arthography of the shoulder joint often requires the use of iodinated contrast media injected into the joint space. true or false

back 35

true

front 36

36. MRI is an excellent modality for demonstrating bony injuries of the shoulder girdle. true or false

back 36

false

front 37

37. How much is the CR angled for the inferosuperior axial projection (clements modification) if the patient cannot fully abduct the arm 90 degrees?

back 37

25 to 30

front 38

38. Which of nontrauma projections can be performed erect to provide a lateral view of the proximal humerus in relationship to the glenohumeral joint.

back 38

PA transaxillary projection (Hobbs modificaiton)

front 39

39. Which projections produces a tangential of the intertubercular groove?

back 39

Fisk modification

front 40

40. To best demonstrate a possible Hill - sachs defect, what additional positioning technique can be added to the inferosuperior axial projection?

back 40

Rotate affected arm externally appoximately 45 degree