Scapula and Clavicle

1
Chapter 6

• Scapula and Clavicle

2
Clavicle

• Long curved bone with 2 articulating ends
• _________________
• Lateral aspect articulates with acromion.
  ____________________
• _______________
• Medial aspect articulating with the menubrium.
• _____________________
• _______________
• Long portion of bone

3
Scapula

• ___________ aspect of shoulder girdle
• Triangular Flat bone with
• ___ borders
• ___ angles
• ___ surfaces

4
Scapula Borders

• ________________
• Uppermost aspect
• ____________________
• Border closest to Arm pit (Axilla)
• ___________________
• Border closest to vertebral column

5
Scapula Angles

• _______________
• Head of scapula forms glenoid fossa.
• _______________
• Lowest point on vertebral border.
• ________________
• Highest point on vertebral border.

6
Scapula Surfaces

• ________________
• Anterior Surface
• ________________
• Posterior Surface

7
Scapula AnatomyCostal Surface

• _________________
• Projection off of superior border.
• ________________
• Depression between superior border and coracoid.

8
Scapular AnatomyDorsal Surface

• _______________
• Elevated projection across posterior scapula
• _______________
• Large projection off of spine
• ________________
• Depression superior to spine
• ________________
• Depression inferior to spine

9
Scapula Imaging

• Routine
• AP
• Lateral (Y)
• Erect or Supine
• 40 SID

10
AP Scapula

• Position affected arm as __________
• Arm ____________
• Elbow ____________________in front of head
• Center to mid-scapula ____________ process
• Breathing technique or suspend respiration

11
Lateral Scapula YAnterior Oblique

• Have pt _____________arm across body and
  _____________shoulder.
• Or _______________and place ________ arm on back
• Rotate ___________________with affected side
  closest to IR until scapula is lateral
• CR to mid scapula

12
Lateral Scapula YPosterior Oblique

• Have pt ___________________body and grab
  ____________ shoulder.
• Rotate ____________until borders are lateral with
  affected shoulder ________ from IR.
• CR to mid scapula

13
Clavicle Imaging

• Routine
• AP No Angle
• AP With Angle
• Erect or Supine
• 40 SID

14
AP No Angle

• Have arms in ______________
• Center to mid clavicle
• Suspend respiration _____________
• Collimate down to clavicle

15
AP With Angle (Axial)

• Have arms in ______________
• Angle tube ________________
• Center to mid clavicle
• Suspend respiration on __________

16
AC Joint Imaging

• Routine
• AP Without Weights
• AP With Weights
• 72 SID

17
AP Without Weights

• Erect
• Position pt so they are __________ shoulders
  against bucky
• Center _____________jugular notch
• Collimate down to clavicles

18
AP With Weights

• Same as without weights
• Have patient ____________. Instruct patient to
  ________________hang.
• Center ______________jugular notch
• Collimate down to clavicles