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Upper Extremity WRIST

Upper Extremity WRIST. RTEC 123 # 1B LECTURE Contributions by: MOSBY – MERRILLS & BONTAGER XRAY2000.CO.UK rev 10/10/11. ANATOMY REVIEW. WRIST. S L T P T T C H. TEST YOURSELF. www.rad.washington.edu. POSITIONING. Use a FULL SHIELD

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Upper Extremity WRIST

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  1. Upper ExtremityWRIST RTEC 123 # 1B LECTURE Contributions by: MOSBY – MERRILLS & BONTAGER XRAY2000.CO.UK rev 10/10/11

  2. ANATOMY REVIEW WRIST

  3. S L T P T T C H

  4. TEST YOURSELF

  5. www.rad.washington.edu

  6. POSITIONING • Use a FULL SHIELD • PROTECT THE BREAST & THYROID • HAVE PATIENT TURN THEIR HEAD

  7. WRIST (5) • PA • OBLIQUE (MEDIAL)- PA OBLIQUE • LATERAL • OBLIQUE (LATERAL) AP OBLIQUE • ULNAR DEVIATION (SCAPHOID “view”)

  8. PA WRIST Note incorrect position of patient ! ↑

  9. PA vs AP WRIST

  10. PA OBLIQUE WRIST

  11. PA OBLIQUE

  12. PA OBLIQUE

  13. AP OBLIQUE WRIST

  14. Alternate positioning for obliques

  15. THESE ARETHE SAMEPOSITIONON THE IMAGE PA OBLIQ / AP OBLIQ : LAT ROTATION

  16. Which Oblique & What is seen?

  17. OBLIQUE WRISTPA OBL (LAT ROT) / AP OBLIQ (MED ROT)

  18. PA Oblique / AP Oblique

  19. “true” Lateral

  20. MOST COMMONLY FX CARPAL BONE

  21. SCAPHOID

  22. When the hand is turned toward the ulnar side, it is termed: • A. adduction • B. abduction • C. ulnar deviation • D. radial deviation

  23. When the hand is turned toward the ulnar side, it is termed: • A. adduction • B. abduction • C. ulnar deviation • D. radial deviation

  24. ADDITONAL VIEWS - WRIST • CARPAL CANAL • LECTURE ONLY – • NOT FOR LAB PRACTICE

  25. CRITIQUE WRIST Digital “issues”

  26. 43

  27. PATHOLOGYFOR UPPER EXTREMITY 1 SEE CHART PG ______ Avulsion fx Bone cyst Bursitis fractures Joint effusion Osteoporosis Rheumatoid Arthritis

  28. AP/LAT wrist showing complete dislocation of the lunate

  29. Fracture type?

  30. Fracture type? What else should be done?

  31. Problem/ Path?

  32. greenstick

  33. Impacted fracture with bulging of the periosteum. Torus or Buckle 50

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