WorksheetsRADIOLOGY SHOULDER, ELBOW, AND WRIST
Total questions: 48
Worksheet time: 26mins
IDENTIFY THE VIEW
AP
PA
AP-O
A
IDENTIFY THE VIEW
AP
AL
PA
P
Age where ossification of clavicle, scapular body, and humeral shaft begins
7th to 8th week fetal life
7-8 months
7-8th weeks neonate
7 years old
Age of ossification center for proximal humeral head
36 weeks fetal life
5 weeks old
12 months old
7 years old
The bone development, the greater and lesser tuberosity appears at the age of______
3-5 weeks of fetal life
3-5 weeks old
3-5 months
3-5 years old
The following are indication for routine radiologic examination of the shoulder
Trauma
Metabolic changes
Systemic Disease
Nutritional Issues
Neoplasm
Aly was referred to radiology for an xray of the shoulder the following are the correct position
AP view in IR
PA view in IR
AP view in ER
AP view IR
This view is taken in the true AP anatomic position, which places the shoulder and arm in external rotation.
AP ER
AP IR
AP FLEXION
AP-O
The average width of the glenohumeral joint can be observed by drawing lines across the joint surfaces and the average distance is __________
10mm
5mm
5cm
10cm
Minimal widening of the acromioclavicular joint space with the coracoclavicular distance still within normal range: AC ligaments are sprained.
Gr 1 sprain
Gr 2 sprain
Gr 3 sprain
NOTA
Identify the grade of the AC joint sprain
1
2
3
4
Widening of the AC joint space to 1.0 to 1.5 cm with a 25% to 50% increase in the coracoclavicular distance: AC ligaments are torn, coracoclavicular ligaments are sprained.
Gr1
Gr2
Gr3
Gr4
Widening of the acromioclavicular joint space 1.5 cm or greater with a 50% or more increase in the coracoclavicular distance: Both the AC and coracoclavicular ligaments are torn.
In viewing the scapula should be position into
Abduction IR
Adduction IR
Adduction ER
Abduction ER
The patient's position in the lateral view of the scapula
The patient’s arm is positioned across the front of his or her chest to free the body of the scapula from superimposition of the humeral shaft, or the patient’s arm maybe positioned behind his or her back to free the acromion and coracoid process from superimposition of the humeral head.
The patient’s arm is positioned across the front of his or her chest to free the body of the scapula from superimposition of the humeral shaft, or the patient’s arm maybe positioned behind his or her back to free the acromion from superimposition of the humeral head.
The first imaging test performed for most suspected bone and soft tissue abnormalities of the shoulder
The following are imaging planes for CT and MRI
Axial, O-Sagittal, O-Coronal
Axial, O-Sagittal, O-Transverse
Axial, O-Scaption, O-Coronal
The following are the practice guidelines for CT of the shoulder
▪ Identification of loose bodies in the glenohumeral joint
Evaluation of labral or rotator cuff pathology, if MRI is unavailable or contraindicated
Evaluation of any condition typically seen by MRI if MRI is contraindicated
This includes the use of intraarticular contrast for a CT arthrogram, if MR arthrogram is contraindicated
The axial scanning plane is ________ to the humeral shaft.
Parallel
Perpendicular
Oblique Coronal
Oblique Sagittal
The oblique sagittal plane is parallel to the bony __________ of the shoulder.
acromion
glenoid fossa
coracoid process
nota
The oblique coronal is parallel to the ________ a shoulder muscle.
Infraspinatus
Subscapularis
Supraspinatus
Deltoid
Synovitis of the shoulder is best seen using this imaging modality
X-ray
Flouroscopy
Computed Tomography
MRI
Contraindication in using MRI as an imaging modality.
Pacemaker
Brace
Infection
Magnetic hypersensitivity
True or False: AP view with the arm externally rotated —the greater tuberosity is in profile
(a)
This ligament attaches to medial humeral epicondyle and extends in a broad triangular expanse to the olecranon
(a)
This ligament an oval band that encloses the head of the radius and attaching it to the anterior and posterior margins of the radial notch; allows radial head to rotate.
(note: ligament pertaining to the red mark on x-ray)
Annular Ligament
Lateral Ulnar Collateral
Medial Ulnar Collateral
Radial Collateral
The Normal ROM of elbow flexion is _______.
0-135
0-145
0-150
0-120
Ossification of elbow begins at ____________ of fetal life at the shafts of the humerus, ulna and radius; they are the only ones visible on xray at birth, the rest of the elbow is still cartilage
10th week
8th week
6th week
5th week
Supinator line normally seen on the lateral radiograph of a thin, lucent line parallel to the anterior aspect of the proximal 3rd of radius approximately 1 cm from anterior margin of radius.
True or False: Line becomes blurred in acute radial head fracture
(a)
The second most common fx in children, can develop compartment syndrome called (Volkmann’s contracture due to occlusion of brachial artery
Olecranon
Supracondylar
Transcondylar
Condylar
Identify this fracture
Supracondylar
Olecranon
D/3 FX
NOTA
Distal humerus fracture describes as oblique fracture uncommon in adults but can be seen in children
Condylar
Transcondylar
Articular
NOTA
Most common distal humeral fracture in adults & results from a direct force that causes the wedgelike olecranon to be driven into the distal humeral articular surface, splitting the condyles
Intercondylar
Condylar
Articular
NOTA
Fracture radial shaft only, involving proximal 3rd w/ associated dislocation or subluxation of the distal radioulnar joint
Colles
Galleazzis
Smith
Murphy
Fracture of ulnar shaft only, usually due to a direct blow during a defensive maneuver
Nightstick fracture
Monteggia's fracture
Colles
Murphy
Affects flexor muscle group at the musculotendinous junction and its origin on the medial epicondyle
Medial Epicondylitis
Lateral Epicondylitis
Involves musculotendinous junction of the extensor carpi radialis brevis muscle at the lateral epicondyle
Lateral Epicondylitis
Medial Epicondylitis
Localized joint injury that involves a separation of a segment of cartilage and subchondral bone from the articlar surface.Most common at the knee (75%) but can also occur in the elbow, wrist and ankle.
Osteochondritis Dissecans
OA
RA
Osghgood Schlatter
Radiographic sign of osteochondritis dessicans
sclerotic rim of subchondral bone adjacent to articular surface, irregular ossification, radiolucency, bony defect
Lytic lesions and subchondral erosions, degeneration and subluxation
This joint allows cupping of the palm
CMC rolling gliding joints
CMC gliding joints
Age of ossification center for triquetrum appears, and followed by lunate, trapezium, trapezoid and scaphoid up to age 6
2 years
3 years
1 year
3 1/2 years
Age of complete ossification at the carpals
14-16
11-14
13-15
14-17
Recommended projection for the wrist and hand
AP-L-O
AP-L
PA-L
PA-L-O
This view allows better visualization of phalanges,carpals,metacarpals, and all joints of the hand
AP
A
P-L
PA
demonstrates the phalanges, metacarpals, carpals, and all joints of the hand in an oblique view
O
A
P
L
The thumb is seen in a true _ projection
PA
AP
O
L
Oblique projections best shown the trapezium,
the scaphoid, and the first carpometacarpal
joint of the thumb
Trapezium, Scaphoid
Pisiform,Lunate
Scaphoid,Lunate
Capitate,Hamate
This type of projection is tangential infero-superior view of the wrist that allows visualization of the carpal sulcus
Carpal Zone View
Guyon's View
Phalen Tunnel View
Carpal Tunnel
