Shoulder Anatomy and Imaging Techniques

What is wrong with the positioning of your patient when the scapula is seen inside the lung field on a Scapula Y image?

Where should the scapula body be seen in an image of a PA Oblique scapula Y?

What projection is the Neer Method associated with?

Where does the CR enter for a Supraspinatus Outlet Tangential (Neer method) projection?

For the Neer method of the shoulder, the CR is angled:

The Neer Method - Tangential supraspinatus 'outlet' projection is used to aid in the diagnosis of:

What position would be used in the Neer Method to examine the supraspinatus outlet on a patient's right shoulder?

What projection is used to visualize the intertubercle grove of the humerus?

How many degrees of angulation is the humerus in for the Fisk method?

The humerus is in ____ position in a Fisk method projection in relation to the table.

The CR is ____ to the body in the Fisk Method.

In a bilateral AP-AC joint (Pearson) projection, the CR is perpendicular to the_____ of the body at the level of AC joint:

If the patient is too large and individual images need to be taken of each shoulder for an AP-AC Joint (Pearson), the CR enters perpendicular to:

The SID for an AP-AC joint (Pearson) projection is of:

A 72-inch SID for an AP-AC joint (Pearson) projection helps to:

How heavy are the weights for the bilateral Pearson?

AP-AC Joint (Pearson) projections are done to evaluate for dislocation, separation and function of the acromioclavicular joint.

For an AP Clavicle projection the CR enters at:

Besides the clavicle bone being included in an AP clavicle image, which two joints need to be included?

What is the respiration instructions for an AP Clavicle projection?

What is the respiration instructions for an AP Axial Clavicle projection?

The shoulder girdle is formed by which two bones?

What is the function of the shoulder girdle?

What bone classification is the scapula?

What classification of bone is the clavicle?

The medial aspect of the clavicle is also known as?

What bone articulates with the glenoid cavity?

What bone articulates with the medial end of the clavicle?

What structure of the scapula articulates with the lateral end of the clavicle?

The lateral aspect of the clavicle is also known as?

Which end of the clavicle articulates with the scapula?

Which end of the clavicle articulates with the manubrium?

Which classification of joints are sternoclavicular (SC) joints and acromioclavicular (AC) joints?

What type of joint are SC joints and AC joints?

The clavicle has a double curve body, this curve is more pronounced in ____ than in ____.

Which surface of the scapula is the costal surface?

What is the lateral, thickened end of the scapular spine called?

The scapular notch is located on the?

Shoulder procedures can be performed in?

Standard SID for shoulder images is:

What are the two basic shoulder projections routinely taken?

For AP projections (internal/external/neutral) of the shoulder the patient's respiration should be?

Supinating hand and adjusting epicondyles parallel to the IR positions the humerus in the _____ rotation in an AP Shoulder projection.

The CR enters patient ____ inch ____ to coracoid process and perpendicular to the IR for AP shoulder projections internal, external, and neutral rotation.

What structures should be in profile in an AP Shoulder projection in external rotation?

Posterior aspect of the hand placed against the hip and epicondyles adjusted perpendicular to the IR positions the humerus in _____ rotation in an AP Shoulder.

What structure should be in profile in an AP Shoulder projection internal rotation?

In which AP shoulder projection is the scapulohumeral joint visualized?

For an AP shoulder projection what positioning maneuver should be avoided if the patient possibly has a fractured humerus or dislocation of the scapulohumeral joint?

Palm of the hand placed against hip and epicondyles adjusted at approximately a 45 degrees angle with the IR positions the humerus in ____ rotation in an AP Shoulder.

What structure should be partially superimposing the humeral head in an AP Shoulder projection neutral rotation?

For trauma cases which AP shoulder projection would be best to?

What AP shoulder projection is obtained when the humeral epicondyles are parallel to the IR?

What AP shoulder projection is obtained when the humeral epicondyles are perpendicular to the IR?

Which AP shoulder projection is obtained by positioning the humeral epicondyles at an angle of approximately 45 degrees with the IR?

Which AP shoulder projection shows the greater tubercle in profile on the lateral aspect of the humerus?

Which AP shoulder projection shows the lesser tubercle in profile and pointing medially?

The CR enters the patient ____ inches _____ and inferior to the superolateral border of the shoulder, perpendicular to the glenoid cavity in an AP Oblique shoulder-Grashey Method.

How many degrees should the patient be rotated for an AP Oblique shoulder (Grashey) projection?

What patient position would be required if the patient's right shoulder is to be examined in an AP Oblique projection?

The CR enters ____ to the glenoid cavity in an AP Oblique projection (Grashey Method).

The scapula bone should be ____ to IR in the AP Oblique shoulder (Grashey) projection when rotating the patient 35 to 45 degrees towards IR.

What is the proper arm position for the Grashey method?

What shoulder projection produces an image of the glenoid cavity in profile?

The Transthoracic Lateral projection (Lawrence Method) may be performed with the patient positioned upright or:

In a transthoracic lateral shoulder projection, having the patient raise the non-injured arm, and resting the forearm on the head, while NOT suspending respiration will help your image in which way?

This method is used when trauma exists and the affected arm cannot be rotated or abducted because of an injury.

Where does the CR enter a patient for the Transthoracic lateral projection (Lawrence Method)?

How many degrees and in which direction should the CR be directed if it cannot be directed perpendicular to the IR because the patient is unable to elevate the unaffected shoulder for a transthoracic lateral projection?

In a Transthoracic lateral projection (Lawrence Method), slow, deep breathing and a minimum exposure time of 3 seconds allows for?

Which two of the following demonstrate appropriate patient positioning for a Transthoracic lateral projection (Lawrence Method) of the humerus?

How much tube angulation is needed when performing a Transthoracic lateral projection (Lawrence Method) of the humerus?

In a transthoracic lateral projection (Lawrence Method), of the humerus, which anatomical structures should be seen through the lung field?

What is the angle degree for the CR in an Inferosuperior axial projection?

What positioning factor determines how many degrees the CR should be directed medially in an Inferosuperior Axial Projection?

In the Inferosuperior axial projection, the hand should be in:

In an Inferosuperior axial projection (Lawrence method), when the patient is recumbent, the head and upper torso should be elevated 3 inches from the x-ray table on a radiolucent sponge.

In an Inferosuperior axial projection (Lawrence method), when using a horizontally directed CR, the patient is placed in the supine body position.

What joint does the CR enter a patient in an Inferosuperior axial projection (Lawrence Method)?

In an _____ image you will see the scapulohumeral joint with slight overlap, coracoid process and lesser tubercle in profile.

The CR enters perpendicular to the ____ for PA Oblique Scapular Y projections?

The PA oblique -scapula Y projection is particularly useful to diagnose?

What side of the shoulder should be placed closest to the IR when imaging a PA oblique -scapula Y projection?

PA Oblique -Scapula Y is named this way because when properly positioned the ____ and ____ form a Y shape.

The patient should be rotated for a PA oblique -scapula Y projection how many degrees towards the IR?

In an image of a normal shoulder, the humeral head should be directly superimposed over the junction of the scapula Y (acromion and coracoid process).

What position and degrees of rotation would you place a patient with an injured left shoulder when using the PA oblique -scapula Y projection?

What are the breathing instructions for a PA Oblique Scapular Y projection?

The CR enters ____ to the scapulohumeral joint for PA Oblique Scapular Y projections?

90% of shoulder dislocations are anterior dislocations.

When the head of the humerus appears to be below the coracoid process in an image of a Scapula Y, what does this mean?

When the head of the humerus appears to be behind or at the tip of the acromion process in an image of a Scapula Y, what does this mean?

You take a Scapula Y image and see that the scapula looks flat. What is wrong with the positioning of your patient?