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64 Cards in this Set

  • Front
  • Back

How many bones are in the hand and wrist and how many are in each section?

27


Phalanges 14


Metacarpals 5


Carpals 8

What is another name for the Palm?

Metacarpals

Name the carpal bones lateral to medial proximal to distal both names

P:


Scaphoid Navicular


Lunar Semilunar


Triquezum Triangular Cuneiform


Pisiform


Trapezium Greater Multangler


Trapezoid Lesser Multangler


Capitate Os Magnum


Hamate Unciform

Most frequently fractured carpal bone both names

Scaphoid navicular

Largest carpal bone both names

Capitate Os Magnum

Smallest carpal bone

Pisiform

Smallest bone in distal carpal row

Trapezoid

Radius is on what side


Ulna is on what side

Thumb lateral


Medial

Which stupid process extends farther? Ulnar or radial?

Radial

The ulna is and what is it primary in forming

Longer than radius


The elbow joint

Depressions anterior and posterior

Anterior


Coronoid fossa


Radial fossa



Posterior


Olecrannon fossa

Arcs visible on lateral elbow

Trochlear sulcus


Capitulum and trochlea


Trochlear notch of ulna

Where does the ulnar ligament and radial collateral ligament attach?

Ulnar: triquetrum and pisiform



Radial collateral: scaphoid and trapezium

Which deviation of the wrist is most common and which carpal is demonstrated?

Ulnar and scaphoid navicular

Which elbow rotation superimposes the radius and ulna?

Medial

The lateral rotation of the elbow does what

Separated the radius and ulna

How many fat pads are located in the wrist?

2

What fat pad of the wrist can be visualized in a PA and oblique view and what does the absence of it mean?

Scaphoid


Indicator of fracture

Which fat pads can be visualized in a lateral view of the wrist or elbow and what does each mean?

Pronator fat stripe- 1 cm from radius


-subtle fracture



Anterior fat pad- superimposed coronoid and radial pads


-trauma or infection



Posterior fat pad- in olecrannon fossa


-joint pathologic process



Supinator fat stripe


-radial head or neck fracture

How does your technique change for geriatric pts

Reduced because of destructive pathologies

Bone metastases

Transfer of disease or cancerous lesion from one organ or part directly connected

What is the most common malignant bone tumor

Bone metastases

Bursitis

Inflammation of bursae or fluid filled sac enclosing joints

Carpal tunnel syndrome and who is it mostly seen in

Wrist and hand from compression of median nerve



Middle aged women

Barton's fracture

Fracture or dislocation of post radius involving wrist joint

Bennetts fracture

Base of first MC bone to CMC joint

Boxers fracture and most commonly seen in which bone

Transverse fracture through metacarpal neck



5th metacarpal

Colles fracture


What is it associated with and what age people

Transverse fracture of radius



Ulnar stylus fracture seen in 50-60%



Older adults

Which fractures are commonly seen in children

Greenstick and Torus

What is the posterior and anterior displacement of radius and styloid

Posterior: Colles


Anterior: Smiths

Cast technique adjustments

Small-medium dry plaster:


Increase 50-60% or +5-7 kV



Large or wet plaster:


Increase mAs 100% or +8-10 kV



Fiberglass:


Increase 25-30% or +3-4 kV

Joint effusion and what is it a sign of

Accumulated fluid in joint cavity



Underlying condition such as fracture

Osteoarthritis is also known as and def

Degenerative Joint Disease



Deterioration of articulate cartilage of articular cartilage with enlarged bone formation

Most common arthritis

Osteoarthritis

Osteomyelitis

Infection of bone by trauma or surgery

Osteopetrosis also known as and def

Hereditary marked by abnormally dense bone



Aka marble bone

Osteoporosis

Reduction of quantity of bone

Paget's disease also known as and def who is it most common in

Osteitis deformans



Common chronic skeletal disease



40 year old men

Skiers thumb

Sprain tear of ulnar collateral ligament of thumb

Bone neoplasia

Bone tumors or neoplasms

Multiple myeloma and age affects

Primary cancerous bone tumor



40-70

Osteogenic sarcoma (osteosarcoma) and age affects

Second most common primary cancerous bone tumor



10-20

Ewing's sarcoma

Common primary malignant bone tumor in kids

Chondrosarcoma

Slow growing malignant tumor or cartilage

Endochroma and who is it seen in

Slow growing benign cartilaginous tumor in small bones of hand and feet



Young adults and adolescents

Osteochondroma aka and def and age seen in

Exostosis



Most common type of benign bone tumor



10-20 year olds

Increase technique for

Paget's disease


Osteopetrosis

Decrease technique

Osteoarthritis


Osteoporosis


Rheumatoid arthritis

No change to technique

Bursitis


Carpal tunnel


Fractures


Joint effusion


Osteoarthritis


Osteomyelitis


Skiers thumb


Tumors

Above the elbow lie two _______


With the largest and most palpable being ________


And the smallest being ______

Epicondyles


Medial


Lateral

Gout

Hereditary form of arthritis where Utica acid is deposited in joints

What projection of the elbow will demonstrate the radial head and neck free of superimposition

AP obl with lateral rotation

The PA axial projection of wrist is also know as

Stecher method

Stecher method clearly demonstrates the

Scaphoid navicular

Most common obl of 2nd-5th digits

PA lateral rotation

How much should hand be elevated for Stecher

20 degrees

How many IP joints are found in one upper limb

9

What is in profile on medial internal obl elbow

Coronoid process

What is in profile on medial external obl elbow

Radial head

Primary structures demonstrated using coyle method are

Coronoid process and radial head

Where is trochlear notch located

Proximal ulna

What method best demonstrates carpal canal

Gaynor hart

Better demonstrate carpal interspaces

AP

PA ulnar deviation CR is angled

10-15