The Elbow.

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Presentation transcript:

The Elbow

The Views…. AP Lateral Medial (internal) Oblique Lateral (external) Oblique

General things to know about The Elbow Cassette Size: 10 x 12 cross wise Divided in half Shield: on lap! Marker Measures 7 64@6

The AP…. Patient seated at end of table Extend arm until Elbow is FULLY extended Supinate the hand Align entire arm in same plane. Note: the patient might have to lean forward for a true “AP” Mid elbow to the middle of cassette

CR middle of elbow SID 40 Collimate to skin borders

The AP…. Contd Seen on the Radiograph: -Elbow joint open -proximal radius and ulna and distal humerus - No rotation - The radial head, neck, and tuberosity slightly superimposed by ulna or separated

The Lateral View Flew elbow 90 degrees, Place thumb up for a true lateral wrist align entire arm in the same place Center mid elbow to center of IR.

CR is mid-elbow SID 40

The Lateral…. Contd. Seen on Radiograph: Lateral Distal Humerus, Proximal Radius and ulna Olecranon Process

The Medial (internal) Oblique Extend arm fully, place entire arm in the same plane. Pronate the hand line between epi-condyles forms a 45 degrees

CR is Mid-Elbow SID 40

The Medial… Contd. Seen on the Radiograph: Radial head and neck superimposed over the center of proximal ulna. The olecranon process seated in its fossa The medial epi-condyle appears elongated Coroniod process in profile

The Lateral (external) Oblique Placement: extend arm fully, place entire arm in the same plane. Supernate the hand. Rotate the entire arm and body laterally until a 45 degree obtained with epi-cdondyles

Central Ray: Perpendicular to mid joint of elbow. SID 40

The Lateral (external) Oblique Seen on Radiograph: Tuberosity and radial neck are free of any imposition Distal humerus and proximal forearm The capitulum and lateral epi-condyle is elongated and in profile

The Forearm 2 views: AP and Lateral Measures 8 62@8 Measure Mark Shield

General things you need to know about The Forearm…. Cassette Size: 11 x14 or 14x 17 Divided in half LW

The AP view  Placement: straighten the entire forearm supinate the hand. Drop the shoulder so the entire arm is on the same plain. Center forearm to the center of cassette. Must Include both joints.

CR is Mid-Arm SID 40

The AP… Contd Seen on Radiograph: The entire forearm along with both joints The radial head, neck tuberosity should be imposed by the ulna The humeral epi-condyles in profile

The Lateral… Flex the elbow 90 degrees and center the forearm to film. Turn the thumb up to ensure true lateral of the wrist. Place the entire upper arm in the same plane You will turn cassette to match the finger placement

CR Mid-Arm SID 40

The lateral view..  contd. Seen on Radiograph: The entire forearm along with both joints. The radius and ulna superimposed The humeral epi-condyles superimposed Radila tuberosity in profile