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Comprehensive Overview of Shoulder and Rib Imaging Techniques in Trauma Situations

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This resource provides an in-depth exploration of imaging protocols for the shoulder and ribs, focusing on trauma assessments. It covers essential techniques such as AP, external and internal rotation views, Grashey oblique positioning, and lateral views. The guide emphasizes the importance of various imaging perspectives, including bilateral rib views and sternum imaging. Key topics include positioning strategies for optimal visualization of the shoulder girdle, assessment techniques for clavicle and A/C joints, and practical lab demonstrations to reinforce learning. Ideal for students and professionals in radiology.

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Comprehensive Overview of Shoulder and Rib Imaging Techniques in Trauma Situations

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  1. RT 124 – week 2SHOULDER Shoulder/Ribs Unit - #1 lecture rev 2010

  2. SHOULDER ROUTINE TRAUMA Week 3 CLAVICLE A/C JOINTS Scapula RIBS STERNUM Week 2 Week 4

  3. CLAVICLEAP LT CLAVICLE - UPRIGHT AXIAL LT CLAVICLE- UPRIGHT AP RT CLAVICLE - SUPINE AXIAL RT CLAVICLE- SUPINE A/C JOINTSA/C JTS – (BILATERAL) W/O WTS A/C JTS – (BILATERAL) WITH WTS LT - A/C JTS - W/O WTS LT - A/C JTS – WITH WTS SHOULDER (UPRIGHT OR SUPINE) NON- TRAUMA AP RT SHOULDER – INT ROT AP RT SHOULDER – EXT ROT LT SHOULDER – GRASHEY TRAUMA AP RT SHOULDER – NEUTRAL ROT LT SHOULDER – TRANSTHORACIC LAT RT SHOULDER – SCAPULAR Y SCAPULA(UPRIGHT OR SUPINE) AP , LAT – RT SCAPULA SC joints – Lecture only RIBS – (UPRIGHT OR SUPINE) UNILATERAL: AP RT UPPER & LOWER RIBS PA RT UPPER & LOWER RIBS OBLIQUE – FOR RT AXILLARY UPPER RIBS OBLIQUE – FOR RT AXILLARY LOWER RIBS OBLIQUE – FOR RT POSTERIOR UPPER RIBS OBLIQUE – FOR RT POSTERIOR LOWER RIBS BILATERAL: AP BILATERAL UPPER RIBS AP BILATERAL LOWER RIBS PA BILATERAL UPPER RIBS PA BILATERAL LOWER RIBS RPO - BILATERAL UPPER RIBS RPO BILATERAL LOWER RIBS LPO - BILATERAL UPPER RIBS LPO BILATERAL LOWER RIBS STERNUM “PA” - RAO LATERAL - UPRIGHT, RECUMBANT LATERAL SUPINE – XTABLE LATERAL SHOULDER & THORAX CH. 6 & 9

  4. Projections for Lab Demonstration & Practice This WEEK LAB • SHOULDER – ROUTINE • AP : EXT & INT ROT • GRASHEY OBLIQUE GLENOID FOSSA • SHOULDER – TRAUMA • AP Neutral • Transthoracic Lateral • AP Oblique – Scapular Y

  5. SHOULDER GIRDLEAnterior Posterior view

  6. LATERIAL VIEW

  7. ARTICULATIONS

  8. SHOULDER SERIESbegin series notes….. REVIEW PAGES IN MERRILLS

  9. ROUTINE SHOULDER • AP – EXTERNAL ROTATION • AP - INTERNAL ROTATION • (NEUTRAL ROTATION) • GRASHEY (OBLIQUE) • AXILLARY (INFERIOR/SUPERIOR) • (Lecture only) Lab demo only Sup/Inf

  10. EXTERNAL ROTATION

  11. INTERNAL ROTATION

  12. NEUTRAL ROTATION

  13. GRASHEY OBLIQUE OF SHOULDER TO OPEN UP JOINT SPACE

  14. Inferosuperior axial shoulder joint: Lawrence method / Axillary “view”

  15. Alternate positioningnot in lab

  16. Alternate axillaryWill demo in lab

  17. OUTLET VIEWNOT IN LAB

  18. “TRAUMA SERIES”SHOULDER AP – NEUTRAL “AS IT LAYS” TRANSTHORACIC LATERAL SCAPULAR Y - FOR SHOULDER

  19. TRANSTHORACIC LATERAL

  20. TransThroacic LAT – BREATHING TECH

  21. Scapular Y for shoulderPA OBLIQUE

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