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Radiographic Anatomy and Positioning of the Upper Extremity
Intended Learning Outcomes The student should be able to recognize clinical radiographic technical principles of the upper limb
Upper extremity consists of: Phalanges Metacarpals Carpals Radius Ulna Humerus
The hand & wrist consists of : 27 Bones –Phalanges - 14 –Metacarpals - 5 –Carpals - 8
Phalanges Fingers & thumb 3 separate bones Digits 2-5 –Proximal –Middle –Distal Tuft Thumb –Proximal –Distal
Naming of Digits 1 2 3 4 5 Thumb Index Middle Ring Little
Joints Interphalangeal Metacarpophalangeal Distal Interphalangeal Proximal Interphalangeal
Metacarpals Palm Numbering Three parts –Head –Shaft –Base Joints –MP –Carpometacarpal Head Base Shaft
Carpals (Wrist) 8 bones Proximal row aScaphoid bLunate cTriquetrum dPisiform a b c d
Carpals (continued) Distal row aTrapezium bTrapezoid cCapitate dHamate a bc d
Carpal Joints Radiocarpal Intercarpal
Distal Radius & Ulna Radial Styloid Process Ulnar Styloid Process Distal Radioulnar Jt.
Tuft 2nd DIP Jt. 2nd PIP Jt. 2nd MP Jt. IP Jt. 1st MP Jt. CM Jt. Radiocarpal Jt.
Trapezium Trapezoid Scaphoid Pisiform
Capitate Lunate Hamate Triquitral
Motions of the Hand & Wrist Radial Flexion (Ulnar Deviation) Ulnar Flexion (Radial Deviation)
Positioning of the Hand & Wrist
Finger Routine projections –PA –Medial Oblique –Lateral Oblique –Lateral Film size SID CR
Prevention of Immobilize –Sandbags –Tape Short exposure time
Thumb Routine projections –AP –PA Oblique –AP Oblique –Lateral Film size SID CR
Hand Routine projections –PA –PA Oblique-Lateral Rotation –Fan Lateral Non-routine projections –Lateral for Foreign Body
Routine Hand Projections Routine projections –PA –PA Oblique-Lateral Rotation –Fan Lateral Film size SID CR
PA Oblique-Lateral Rotation
Non-routine projections of the Hand
Lateral for Foreign Body
Wrist Routine projections –PA (Ulnar Flexion) –PA Oblique-Lateral Rotation –Lateral Non-routine projections –PA-no flexion –Stetcher –Carpal Canal (Gaynor- Hart)
Routine Wrist Projections Routine projections –PA (Ulnar Flexion) –PA Oblique-Lateral Rotation –Lateral Film size SID CR
PA (Ulnar Flexion)
PA Oblique-Lateral Rotation
Non-routine projections of the Wrist
Scaphoid views (Stetcher)
Carpal Canal (Gaynor -Hart)
Anatomy of the Forearm & Elbow
Radius Distal –Styloid Process –Ulnar Notch Proximal –Head –Neck –Tuberosity Shaft
Ulna Distal –Head –Styloid Process Proximal –Olecranon process –Coronoid process –Trochlear notch –Radial notch Shaft
Effects of pronation on the forearm
Distal Humerus Humeral Condyle –Trochlea (Medial condyle) –Capitulum (Lateral condyle) Lateral epicondyle Medial epicondyle Depressions –Coronoid fossa –Radial fossa –Olecranon fossa
Classification of Joints Radioulnar –Proximal –Distal Elbow
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
Lateral epicondyle Capitulum Proximal radioulnar jt. Radial head Radial neck Radial tuberosity Olecranon fossa Medial epicondyle Trochlea Coronoid process
Coronoid Process Radial head Radial neck Condyles Trochlear notch Olecranon process Radial notch
Positioning of the Forearm & Elbow
Forearm Routine projections –AP –Lateral Film size SID CR
Elbow Routine projections –AP –Lateral –Coyle
Routine Elbow Routine projections –AP –Lateral –Coyle Film size SID CR
Question Mention routine radiographic positioning of the wrist joint
Suggested Readings Clark’s radiographic positioning and techniques
Consists of the bones of the upper and lower limbs as well as the girdles, which attach the limbs to the axial skeleton.
Head Capitulum Trochlea 12Intertubercular Sulcus 13Lateral Epicondyle Medial Epicondyle Radial Fossa Coronoid Fossa Deltoid Tuberosity.
Radiographic Anatomy RAD 242 Prepared By: Ala’a Ali Tayem Abed The Skeletal System.
The humerus is a long bone in the arm that runs from the shoulder to the elbow.long bonearm shoulderelbow.
Chapter 4 Forearm and Elbow. Forearm Bones _________ ________ Joints Wrist Elbow __________ Distal Proximal.
Elbow, Forearm, Wrist and Hand. Elbow Bones: –Humerus: only bone of the arm Landmarks: medial and lateral epicondyles, olecranon fossa, capitulum (articulation.
Image Evaluation Chapter 3 Critique of Upper Extremity.
1. Metacarpals3. Carpals 2. Phalanges. 1. Distal 2. proximal3. middle.
The Upper Limb aka The Arm This is going to take some studying!
Human Anatomy & Physiology FIFTH EDITION Elaine N. Marieb PowerPoint ® Lecture Slide Presentation by Vince Austin Copyright © 2003 Pearson Education, Inc.
© 2015 Pearson Education, Inc. The Appendicular Skeleton Includes: – Limbs (appendages) – Pectoral girdle (Shoulder joint) – Pelvic girdle (hip joint)
THE HAND, FOREARM AND SHOULDER. 14 Phalanges-2 in the thumb Middle
Wrist, Hand, and Fingers Sports Medicine I. Anatomy Site of most minor, yet irritating conditions Site of most minor, yet irritating conditions Wrist.
BONES OF THE UPPER LIMB Dr. Jameela Al-Medany Associate Professor College of Medicine King Saud University Dr. Jameela Al-Medany Associate Professor College.
Upper-Limb Positioning HAND, FINGERS, THUMB and WRIST Positioning Remove rings, watches, and other radiopaque objects. Seat the patient at the.
C. Upper Extremities 1. Consists of 60 bones a. Includes humerus, ulna, radius, carpals, metacarpals, and phalanges 2. Humerus- (arm bone) longest and.
The Wrist and Finger Joints. Remember, a joint is simply two bones which articulate. The wrist/hand region consists of 29 bones and multiple joints -
Ms. Bowman. Proximal articulation of the radius and ulna Pivot Joint Radius pivots on Ulna Allows for pronation and supination.
Wrist Anatomy Distal end of radius (and ulna) and the carpal bones Proximal row Scaphoid, lunate, triquetrum, pisiform Distal row Trapezium, trapezoid,
THE SKELETAL SYSTEM Focus on the Pectoral Girdle.
The Arm Muscles BIO 238 Instructor: Dr. Gourdine 1.
Chapter 4 Hand and Wrist. Hand Digits (fingers) –____ bones __________ –Phalanx Metacarpals (Hand) –_____ bones.
Appendicular Skeleton. Pectoral (Shoulder) Girdle.
KinesiologyKinesiology Chapter 7. Wrist, Hand and Fingers Eaton Hand Web Site Hand Kinesiology Eaton Hand Web Site Hand Kinesiology.
Class # 12. Forearm and Hand Forearm muscles Hand muscles and bones.
Hand/Wrist/Thumb. Anatomy Bones Carpal Bones Scaphoid Lunate Triquetral Pisiform Trapezium Trapezoid Capitate Hamate Easy way of remembering carpal bones..starting.
3-1 Bones of Upper Extremity. Scapula-Superior Border.
Human anatomy. Bones of Upper Limb Shoulder Girdle Bones of Free Upper Limb.
THE ELBOW: Bones and Actions. TERMINOLOGY Proximal and Distal Medial and Lateral Superior and Inferior Ligament and Tendon Condyle – large round projection.
Anatomy and Physiology I Bones of the Pectoral Girdle And Upper Limb Instructor: Mary Holman.
Upper Appendicular Skeleton. Pectoral Girdle Composed of 2 clavicles & 2 scapulae Open in the back between the scapulae Sternum separates its bone in.
Recommended text book. SHOULDER GIRDLE: Is made of 1- clavicle 2- scapula SHOULDER GIRDLE: Is made of 1- clavicle 2- scapula 1-Clavicle عظم الترقوة اين.
1 Myology Myology of the Wrist and Hand. 2 Anatomical Review Distal Ulna and Radius (Notes in Lecture 3)
Chapter 4 Hand and Wrist. Hand Digits __________ Phalanx Metacarpals 1-5.
Pectoral Girdle and Upper Limb Correne Reyes, Summer Abiad, Jordan Kolb.
Film Critique 1 st year class 4 th class Fingers-Wrist.
Upper Extremity Anatomy (Shoulder,elbow,and wrist) IN COMPUTED TOMOGRAPHY Frank Cairo R.T. ( R ) ( CT ) ( MR )
Upper extremity part 2 (forearm, elbow,humerus) 1.
REVIEW OF THE WRIST Bones, Actions/Movements, and Muscles.
The Forearm, Wrist, Hand, and Fingers 5/3/2016Sports Medicine - Mr. Cronin1.
Fig Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Upper limb Humerus Pectoral girdle Scapula Clavicle.
The bones of limbs The upper & The lower Limbs By Khaled Na3im.
The skeleton consists of: Bones: special connective tissue, hard. Cartilage: special connective tissue, less hard than bones. Joints: joint is the location.
Pectoral Appendage with labeled photographs By Andrew W. Parsons Copyright 2000, All Rights Reserved. To advance to next slide: -click mouse or “page down”
Elbow Anatomy. The elbow joint A hinge joint Made up of Bones Ligaments Muscles Nerves Bursae.
Upper Appendicular Skeleton Mrs. Halkuff Anatomy & Physiology.
The Elbow. The Views…. AP Lateral Medial (internal) Oblique Lateral (external) Oblique.
Appendicular Skeleton Upper Appendicular Skeleton Bone Lower Appendicular Skeleton Bone SimilaritiesDifferences ClavicleIschium/Pubis ScapulaIlium HumerusFemur.
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