Upper Extremity

1
Chapter 5

• Upper Extremity

2
Hand

• Digits (fingers)
• ______________
• ________________
• _________________
• 5 bones

3
Digits

• Digits 2 - 5 have ________________
• ____________
• ____________
• ____________
• 1st digit has ________________
• _______
• ________

4
Phalanges

• 3 segments to each
• ___________
• ____________
• ____________

5
Metacarpals

• Bones of the Hand
• 3 segments
• ____________
• ____________
• ____________

6
1st Digit Joints

• ____________________________ Between
  ________________phalanx.
• Ginglymus (Hinge)
• ________________________________ Between the
  base of ___________and head of _____________
• Ellipsoidal
• ________________________________ Between the
  base of _____________________
• Sellar joint

7
2nd 5th Digit Joints

• ________________
• ___________Between distal and middle phalanx
• Hinge
• ___________Between middle and proximal phalanx
• Hinge
• ___________________
• Between ________________and head of Metacarpal
• Ellipsoid (Condyloid)

8
Imaging the Digits2nd 5th

• Routine
• _____________
• Oblique affected digit
• Lateral affected digit
• _______________
• 50 60 kVp

9
PA Hand

• Remove ______________________
• __________Hand with digits _______________________
  ____
• Center at ________________
• Collimate on four sides to hand and wrist

10
Oblique Digit

• PA Oblique
• Use ___________sponge
• Usually ________________
• Center at ___________
• Collimate down to affected digit

11
Lateral Digit

• ____________________ site dependant
• Usually ____________
• Use block sponge
• ______ affected finger in __________
• Center at _______
• Collimate down to affected digit

12
1st Digit ImagingThumb

• Routine
• PA Hand (________________)
• _______ Thumb
• Lateral Thumb
• 40 SID
• 50 60 kVp

13
AP Thumb

• _______________hand so ___________of thumb is
  down
• Have pt _______ back _____________
• Center to _________
• Collimate to thumb

14
Lateral Thumb

• _____________
• __________ hand slightly until thumb is in
  _____________
• A ____________under palm can help
• Center to _________
• Collimate down to thumb

15
Hand Imaging

• Routine
• PA
• Oblique
• Lateral
• ___________
• 50 60 kVp

16
Oblique Hand

• _____________
• Rotate hand laterally _______________
• A sponge is helpful
• Center to _____________
• Collimate to include entire hand

17
Lateral Hand

• Place Hand _____________________
• Form the _______________
• _____ remaining digits
• A sponge can be helpful placed under __________
• Center at _____________

18
Wrist8 Carpals

• Proximal Row from Lateral to Medial
• ___________ (Navicular)
• __________ (Semilunar)
• _________________ (Triangular)
• _________

• Distal Row from Lateral to Medial
• _______________ (Greater Multangular)
• __________________(Lesser Multangular)
• _________ (Os Magnum)
• __________________(Unciform)

19
Wrist Imaging

• Routine
• ______
• Lateral
• Oblique
• ___________
• 40SID
• 60 kVp

20
PA Wrist

• ___________
• Align ________________parallel to film
• Center to ____________
• Just distal to _______________
• Collimate to skin laterally and to cassette
  proximal/distal

21
Lateral Wrist

• ________________
• Place ___________ aspect on cassette
• Align __________________to film
• Center to mid-carpal just distal to _______
• Collimate to skin

22
Oblique Wrist

• _____________
• Rotate wrist ___________________
• A _____________ can help
• Center to mid-carpal
• Collimate to skin

23
Ulnar Deviation (Flexion)

• _____________
• _______toward _________as much as patient can
  tolerate
• _________________tube angle
• Center at ________________
• Collimate down to carpal area
• Done for __________________