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Advanced Procedures II (Sir Robert)

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    Elbow and Hand special views, AC Joints, carpal tunnel
  •   Study   Slideshow
  • What is the official name for the carpal canal view?
    Gaynor-Hart Method
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  • How much and which ways is the hand rotated for a carpal tunnel view?
    10 degrees internally
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  • How much is the CR angled in the carpal tunnel view?
    25-30 degrees
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  • Where is the CR directed for the carpal tunnel view?
    1 inch distal to the base of the third metacarpal
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  • Why is the Norgaard Method done?
    to check for rheumatoid arthritis in the IP joints
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  • Why is the ball catcher's view done?
    to check for rhumatoid arthritis in the metacarpal joints
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  • Where is the CR directed for the Norgaard and ball catcher's views?
    midpont between both hands at level of the fifth MCP joints
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  • What is the positioning for a Coyle Method projection, looking at the radial head?
    elbow flexed 90 degrees, hand pronated and a 45 degree CR angled toward shoulder and centered to radial head
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  • How much do the hands get internally rotated for both the Norgaard and ball catcher's view?
    45 degrees
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  • How much does the hand need to be dorsiflexed for the carpal tunnel view?
    as close to 90 degrees to the forearm as possible
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  • The two versions of the Coyle method looks at what two structures?
    Radial head and the coronoid process
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  • What is the positioning for a Coyle Method projection of the coronoid process?
    Elbow flexed80 degrees from extended position, hand pronated, 45 degrees CR away from the shoulder directed to mid elbow joint
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  • What SID is recommended for AC joints?
    a minimum of 72"
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  • Are AC joints done unilaterally or bilaterally?
    bilaterally
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  • AC joints should be a two image exam. What do you do differently between the two images?
    One with weights and one without
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  • Where is the CR centered for the AC joint exam?
    midway between the AC joints and 1 inch above the jugular notch
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