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Radiographic Anatomy and Positioning of the Upper Extremity Dennis Winders Jeff Ahrendsen
Anatomy
Upper extremity consists of: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of the Hand & Wrist
The hand & wrist consists of : ,[object Object],[object Object],[object Object],[object Object]
Phalanges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Naming of Digits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Joints ,[object Object],[object Object],[object Object],[object Object]
Metacarpals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Head Base Shaft
Carpals (Wrist) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],a b c d
Carpals (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],a b c d
Mnemonic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Alternative mnemonic
Carpal Joints ,[object Object],[object Object]
Distal Radius & Ulna ,[object Object],[object Object],[object Object]
Radiographic  Anatomy
A. B. C. D. E. F. G. H.
Tuft 2nd DIP Jt. 2nd PIP Jt. 2nd MP Jt. IP Jt. 1st MP Jt. CM Jt. Radiocarpal Jt.
A. B. C. D.
Trapezium Trapezoid Scaphoid Pisiform
A. B. C. D.
Os Magnum Semilunar Unciform Cuneiform
Carpal Canal ,[object Object],[object Object],[object Object],[object Object]
Motions of the Hand & Wrist ,[object Object],[object Object]
Positioning of the Hand & Wrist
Finger ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PA
Lateral
Medial oblique
Lateral oblique
Parallel vs. Not Parallel
Structures shown
Technique
Prevention of ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thumb ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AP
Lateral
PA Oblique
AP Oblique
Structures shown
Technique
Hand ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Hand Projections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PA
PA Oblique-Lateral Rotation
Fingers Down vs. Fingers Straight
Fan Lateral
Structures Shown
Technique
Non-routine projections of the Hand
Lateral for Foreign Body
Wrist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Wrist Projections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PA (Ulnar Flexion)
PA Oblique-Lateral Rotation
Lateral
Structures shown
Technique
Non-routine projections of the Wrist
PA-no flexion
Scaphoid views (Stetcher)
Carpal Canal (Gaynor -Hart)
10° Supination Lateral
Casted Extremities
Changes in technique  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of the Forearm & Elbow
Radius ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ulna ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of pronation on the forearm
Distal Humerus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],posterior anterior
Classification of Joints ,[object Object],[object Object],[object Object],[object Object]
Radiographic Anatomy
A. B. C. D. E. F. G. H. I. J. (Jt.) K.
Medial Epicondyle Coronoid Process Shaft (Ulna) Ulnar Head Ulnar Styloid Process Lateral Epicondyle Radial Head Radial Tuberosity Shaft (Radius) Distal Radioulnar Jt. Radial Styloid Process
A. B. C. (Jt.) D. E. F.  G. Post. H. I. J.
Lateral epicondyle Capitulum Proximal radioulnar jt. Radial head Radial neck Radial tuberosity Olecranon fossa Medial epicondyle Trochlea Coronoid process
C.  B.  A.  D. E. (not the jt.)  F.  G. (depression)
Coronoid Process Radial head Radial neck Condyles Trochlear notch Olecranon  process Radial notch
Positioning of the Forearm & Elbow
Forearm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AP
Lateral
Structures shown
Technique
Elbow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Elbow ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AP
Lateral
Coyle
Structures shown
Technique
Non-routine projections of the Elbow
Obliques
Reverse Coyle
Partial Flexion
Humerus parallel
Forearm parallel
Rotational views of the Radial Head
Hand supinated
Hand AP oblique
Hand lateral
Hand pronated
Lateral positioning

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