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Chapter 5 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 abducted __________ –Elbow flexed with hand supinated in front of head –Center to mid-scapula __________coracoid process Breathing technique or suspend respiration
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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
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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
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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 ______________cephalad 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 _________ straight shoulders against bucky Center ____________jugular notch Collimate down to clavicles
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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
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