Upper Extremity El Camino College上肢埃尔卡米诺学院.pptVIP

* ?????????????????????????????????????????? * Bennetts fracture is caused by forced abduction of the thumb there is a dislocation of the base of the first metacarpal although a fragment continues to articulate with the trapezium. CONGENTIAL ABNORMALITIES * What abnormality do you see? * * G S W * * * *  * QUESTIONS ? End of Upper Extremity #1 Wrist will be covered if there is time … * bennetts * PA OBLIQUEanother -Alternate method keep hand PA then rotate hand 45o PA lateral medial * Compare :OBLIQUE OF RT HANDPA APWhat anatomy is seen specific to each position? * BILATERAL AP OBLIQUES * ? * For Arthritis “ballcatchers” * Keep arm level and elbow flexed 90o (not like this!) Legs should be at the side of the table – and where is the shield! * FILM CRITIQUE Pathology * Reduce OID, magnification * * * PATHOLOGYFOR UPPER EXTREMITY 1 SEE CHART PG 109 Bone cyst Bursitis Fractures /Dislocations Joint effusion Osteoporosis Rheumatoid Arthritis * * * * * * * * What abnormality do you see? Alternate method if you can’t get the fingers straight!!!!Do 2 projections –1 for hand, 1 for fingers in this position * OSTEOSARCOMA * * * Bennett’s FXfx at base of 1st MC * Mutilating rheumatoid arthritis. * RHEUMATOID ARTHRITIS * Rheumatoid arthritis * RA - inflammatory disease 3x more common in females * Osteoarthritis of fingers. Note narrowing of interphalangeal joints with spurring and erosions * OA - Non inflammatory joint disease involves the articular cartilage – Aging /erosion * * * BOXER’S FX * * * THUMB (1ST DIGIT) PA / AP PA OBLIQUE LATERAL * * * PA AP * * OBLIQUE * * LATERAL * * HAND Series (3vw or 4*vw) PA PA OBLIQUE (lat rotation) LATERAL (FAN) ------------------------------------- *AP OBLIQUE (med rotation) or PA OBLIQUE (med rotation) * HAND Series Re: LATERAL MEDIOLATERAL OR LATEROMEDIAL FAN /TRUE LATERAL/ FLEXION * * * * Note: Incorrect position of hand and fo