RT 124 week 2SHOULDER

Shoulder/Ribs Unit - #1 lecture rev 2010

SHOULDERROUTINETRAUMA

Week 3CLAVICLEA/C JOINTSScapulaRIBSSTERNUMWeek 2 Week 4

CLAVICLE AP LT CLAVICLE - UPRIGHTAXIAL LT CLAVICLE- UPRIGHTAP RT CLAVICLE - SUPINEAXIAL RT CLAVICLE- SUPINE

A/C JOINTS A/C JTS (BILATERAL) W/O WTSA/C JTS (BILATERAL) WITH WTSLT - A/C JTS - W/O WTSLT - A/C JTS WITH WTS

SHOULDER (UPRIGHT OR SUPINE) NON- TRAUMAAP RT SHOULDER INT ROTAP RT SHOULDER EXT ROT LT SHOULDER GRASHEY TRAUMAAP RT SHOULDER NEUTRAL ROTLT SHOULDER TRANSTHORACIC LATRT 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

STERNUMPA - RAO LATERAL - UPRIGHT, RECUMBANT LATERAL SUPINE XTABLE LATERAL

SHOULDER & THORAX CH. 6 & 9

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

SHOULDER GIRDLEAnterior Posterior view

LATERIAL VIEW

ARTICULATIONS

SHOULDER SERIESbegin series notes..REVIEW PAGES IN MERRILLS

ROUTINE SHOULDERAP EXTERNAL ROTATIONAP - INTERNAL ROTATION (NEUTRAL ROTATION)

GRASHEY (OBLIQUE)AXILLARY (INFERIOR/SUPERIOR)(Lecture only) Lab demo only Sup/Inf

EXTERNAL ROTATION

INTERNAL ROTATION

NEUTRAL ROTATION

GRASHEYOBLIQUE OF SHOULDER

TO OPEN UP JOINT SPACE

Inferosuperior axial shoulder joint: Lawrence method / Axillary view

Alternate positioningnot in lab

Alternate axillaryWill demo in lab

OUTLET VIEWNOT IN LAB

TRAUMA SERIESSHOULDERAP NEUTRAL AS IT LAYSTRANSTHORACIC LATERALSCAPULAR Y - FOR SHOULDER

TRANSTHORACIC LATERAL

TransThroacic LAT

BREATHING TECH

Scapular Y for shoulderPA OBLIQUE

ANTERIOR DISLOCATIONPA oblique shoulder joint showing anterior dislocation (humeral head projected beneath coracoid process).

Film Critque & Anatomy Review

Immobilization necessarySome PATHOLOGY

Position?

Position? Path?

Calcific tendonitis/ Position?Important to include soft tissue of shoulder

Position? Pathology?

Position? Pathology?

ANTERIOR DISLOCATIONPA oblique shoulder joint showing anterior dislocation (humeral head projected beneath coracoid process).

Posterior dislocation

Position? Pathology?

Pseudoarthosis

there is separation of humeral head from glenoid fossa caused by fluid in joint space.

Osteolytic metastasis to humerus from carcinoma of kidney.

DISLOCATION OF SHOULDERAnterior Posterior

Position? Pathology?

Projections for Lab Demonstration & Practice This WEEK LAB

SHOULDER ROUTINE AP : EXT & INT GRASHEY OBLIQUE GLENOID FOSSA Practice in classroom during lab testing.. Then in lab

Projections for Lab Demonstration & Practice THIS WEEK or Next

SHOULDER TRAUMA AP Neutral Transthoracic Lateral AP Oblique Scapular Y

Shoulder & Bony Thorax 2010Part 2CLAVICLEAC JOINTSPart 3SCAPULA STERNUM Part 4 RIBS