UPPER EXTREMITY, Exams of Anatomy

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UPPER EXTREMITY

SHOULDER^ Positioning^ „^

Patient supine „ Affected arm by side of body „ Contralateral arm raised above head.

SHOULDER

-^ Axial- Coronal- Sagittal 2 2 Reformat -^ Bone- Soft Tissue

Reconstruct

Type/Plane Interval (mm) Slice (mm)

Large 0

mA KV FOV Gantry Tilt

SHOULDER

Scanning Plane •Prescribe plane parallel to humeral shaft.•Cover from AC joint through proximal humeral diaphysis.

Relevant Anatomy

Clavicle Acromium HumeralHead

AC joint

SHOULDERSagittal Imaging Plane

Relevant Anatomy^ HumeralHead Bony Glenoid

Sagittal Imaging Plane •Prescribe sagittal plane off axial images withline parallel to bony glenoid.•Image from scapular wing through deltoid muscle.

DeltoidMuscle

ELBOW^ Positioning^ „^

Patient supine „ Arm by side or raised above head „ Palm up

ELBOW

-^ Axial- Coronal- Sagittal

Reformat -^ Bone- Soft Tissue

Reconstruct

Type/Plane Interval (mm) Slice (mm)

Small 0

mA KV FOV Gantry Tilt

Elbow

Scanning Plane •Prescribe plane perpendicular to coronal plane (©).•Scan from humeral diaphysis

past radial tuberosity

Relevant Anatomy

ELBOWSagittal Imaging Plane

Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane (©).

Scan through entire elbow. ©

© *

Lateral Humeral Condyle

Medial Humeral Condyle Olecranon processof Ulna Relevant Anatomy^ Humerus

WRIST^ Positioning^ „^

Patient prone „ Arm over head (“Mighty Mouse Position”) „ Arm as straight as possible „ Wrist centered in gantry

WRIST

-^ Axial- Coronal- Sagittal

Reformat -^ Bone- Soft Tissue

Reconstruct

Type/Plane Interval (mm) Slice (mm)

Small 0

mA KV FOV Gantry Tilt

WRIST

Scanning Plane •. Prescribe plane parallel to distal radius.•Scan from proximal metacarpals through distalradial/ulnar metaphysis.

Relevant Anatomy

metacarpals trapztrapmhamcapscaphtriqlun DistDistalradius^ ulna

WRISTSagittal Imaging Plane^ Relevant Anatomy^ UlnarStyloid

RadialStyloid

Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane (©).Scan through entire wrist.

WRISTSagittal Imaging Plane^ UlnarStyloid

RadialStyloid Relevant Anatomy

Sagittal Imaging Plane *Prescribe plane perpendicular to coronal plane (©).Scan through entire wrist.

© ©

UlnarStyloid

RadialStyloid