Chapter 5 Scapula and Clavicle

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

Scapula Imaging Routine AP Lateral (Y) Erect or Supine* 40” SID

AP Scapula Position affected arm as a ___________ –Arm abducted __________ –Elbow flexed with hand supinated in front of head –Center to mid-scapula __________coracoid process Breathing technique or suspend respiration

Lateral Scapula ‘Y’ Anterior Oblique Have pt reach _____________across body and grab ___________ shoulder. Or flex elbow and place affected arm ___________ Rotate ___________anterior oblique with affected side ___________to IR until scapula is lateral CR to mid scapula

Lateral Scapula ‘Y’ Posterior Oblique Have pt reach ___________across body and grab opposite shoulder. Rotate approx ________ until borders are _________ with affected shoulder furthest from IR. CR to mid scapula

Clavicle Imaging Routine AP No Angle AP With Angle Erect or Supine 40” SID

AP No Angle Have arms in _____________ Center to mid clavicle Suspend respiration on ____________ Collimate down to clavicle

AP With Angle (Axial) Have arms in neutral position Angle tube ______________cephalad Center to mid clavicle Suspend respiration on ___________

AC Joint Imaging Routine AP Without Weights AP With Weights 72” SID

AP Without Weights Erect Position pt so they are _________ straight shoulders against bucky Center ____________jugular notch Collimate down to clavicles

AP With Weights Same as _____________ weights Have patient hold __________(Sand Bags). Instruct patient to ______and let arms hang. Center _____________jugular notch Collimate down to clavicles