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Chapter 6 Scapula and Clavicle
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Clavicle Long curved bone with 2 articulating ends –___________________ – Lateral aspect articulates with acromion. Acromioclavicular joint (AC). –___________________ – Medial aspect articulating with the menubrium. Sternoclavicular joint (SC). –Shaft – Long portion of bone
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Scapula Imaging Routine AP Lateral (Y) Erect or Supine* 40” SID
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AP Scapula Position affected arm as a ___________ –Arm ____________ –Elbow flexed with hand ___________ in front of head –Center to mid-scapula ____________ process Breathing technique or suspend respiration
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Lateral Scapula ‘Y’ Anterior Oblique Have pt reach _____________ across body and grab ___________ shoulder. Or _______________and place affected arm on back Rotate _________________with affected side closest to IR until scapula is lateral CR to mid scapula
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Lateral Scapula ‘Y’ Posterior Oblique Have pt reach ____________across body and grab opposite shoulder. Rotate approx _____ until borders are lateral with affected shoulder _________ IR. CR to mid scapula
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Clavicle Imaging Routine AP No Angle AP With Angle Erect or Supine 40” SID
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AP No Angle Have arms in ______________ Center to mid clavicle Suspend respiration on ___________ Collimate down to clavicle
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AP With Angle (Axial) Have arms in neutral position Angle tube ________________ Center to mid clavicle Suspend respiration on _________
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AC Joint Imaging Routine AP Without Weights AP With Weights 72” SID
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AP Without Weights Erect Position pt so they are standing straight shoulders against bucky Center _____________________ Collimate down to clavicles
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AP With Weights Same as without weights Have patient hold light weights (Sand Bags). Instruct patient ___________ and let arms hang. Center ____________________ Collimate down to clavicles
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