Chapter 5

1. Chapter 5 Scapula and Clavicle

2. Clavicle • Long curved bone with 2 articulating ends • _____________ – Lateral aspect articulates with acromion. Acromioclavicular joint (AC). • _____________ – Medial aspect articulating with the menubrium. Sternoclavicular joint (SC). • Shaft – Long portion of bone

3. Scapula Imaging Routine • AP • Lateral (Y) • Erect or Supine* • 40” SID

4. AP Scapula • Position affected arm as a ___________ • Arm abducted __________ • Elbow flexed with hand supinated in front of head • Center to mid-scapula __________coracoid process • Breathing technique or suspend respiration

5. Lateral Scapula ‘Y’Anterior Oblique • Have pt reach _____________across body and grab ___________ shoulder. • Or flex elbow and place affected arm ___________ • Rotate ___________anterior oblique with affected side ___________to IR until scapula is lateral • CR to mid scapula

6. Lateral Scapula ‘Y’Posterior Oblique • Have pt reach ___________across body and grab opposite shoulder. • Rotate approx ________ until borders are _________ with affected shoulder furthest from IR. • CR to mid scapula

7. Clavicle Imaging Routine • AP No Angle • AP With Angle • Erect or Supine • 40” SID

8. AP No Angle • Have arms in _____________ • Center to mid clavicle • Suspend respiration on ____________ • Collimate down to clavicle

9. AP With Angle (Axial) • Have arms in neutral position • Angle tube ______________cephalad • Center to mid clavicle • Suspend respiration on ___________

10. AC Joint Imaging Routine • AP Without Weights • AP With Weights • 72” SID

11. AP Without Weights • Erect • Position pt so they are _________ straight shoulders against bucky • Center ____________jugular notch • Collimate down to clavicles

12. AP With Weights • Same as _____________ weights • Have patient hold __________(Sand Bags). Instruct patient to ______and let arms hang. • Center _____________jugular notch • Collimate down to clavicles