RT 124 – week 2 SHOULDERSlide 3Projections for Lab Demonstration & Practice This WEEK LABSHOULDER GIRDLE Anterior Posterior viewSlide 6LATERIAL VIEWSlide 8Slide 9Slide 10ARTICULATIONSSlide 12SHOULDER SERIES begin series notes…..Slide 14ROUTINE SHOULDERSlide 16EXTERNAL ROTATIONSlide 18Slide 19INTERNAL ROTATIONSlide 21NEUTRAL ROTATIONSlide 23Slide 24Slide 25Slide 26Slide 27Slide 28Slide 29Slide 30Slide 31Slide 32Inferosuperior axial shoulder joint: Lawrence method / Axillary “view”Slide 34Slide 35Slide 36Slide 37Slide 38Slide 39Alternate positioning not in labAlternate axillary Will demo in labOUTLET VIEW NOT IN LAB“TRAUMA SERIES” SHOULDERSlide 44Slide 45Slide 46TRANSTHORACIC LATERALSlide 48TransThroacic LAT – BREATHING TECHScapular Y for shoulder PA OBLIQUESlide 51Slide 52Slide 53Slide 54Slide 55ANTERIOR DISLOCATIONSlide 57Slide 58Slide 59Slide 60Slide 61Slide 62Immobilization necessarySlide 64Position?Position? Path?Calcific tendonitis/ Position?Slide 68Slide 69Slide 70Posterior dislocationPosition? Pathology?Pseudoarthosisthere is separation of humeral head from glenoid fossa caused by fluid in joint space.Osteolytic metastasis to humerus from carcinoma of kidney.Slide 76DISLOCATION OF SHOULDER Anterior PosteriorSlide 78Slide 79Projections for Lab Demonstration & Practice THIS WEEK or NextShoulder & Bony Thorax 2010 Part 2 CLAVICLE AC JOINTS Part 3 SCAPULA STERNUM – Part 4 RIBS –1RT 124 – week 2SHOULDERShoulder/Ribs Unit - #1 lecture rev 20102•SHOULDER–ROUTINE–TRAUMAWeek 3•CLAVICLE•A/C JOINTS•Scapula•RIBS•STERNUMWeek 2 Week 43•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 LATERALSHOULDER & THORAX CH. 6 & 94Projections 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 Y5SHOULDER GIRDLEAnterior Posterior view67LATERIAL VIEW891011ARTICULATIONS1213SHOULDER SERIESbegin series notes…..REVIEW PAGES IN MERRILLS1415ROUTINE SHOULDER•AP – EXTERNAL ROTATION•AP - INTERNAL ROTATION• (NEUTRAL ROTATION)•GRASHEY (OBLIQUE)•AXILLARY (INFERIOR/SUPERIOR)–(Lecture only) Lab demo only Sup/Inf1617EXTERNAL ROTATION181920INTERNAL ROTATION2122NEUTRAL ROTATION23242526272829GRASHEYOBLIQUE OF SHOULDERTO OPEN UP JOINT SPACE30313233Inferosuperior axial shoulder joint: Lawrence method / Axillary “view”34353637383940Alternate positioningnot in lab41Alternate axillaryWill demo in lab42OUTLET VIEWNOT IN LAB43“TRAUMA SERIES”SHOULDERAP – NEUTRAL “AS IT LAYS”TRANSTHORACIC LATERALSCAPULAR Y - FOR SHOULDER44454647TRANSTHORACIC LATERAL4849TransThroacic LAT – BREATHING TECH50Scapular Y for shoulderPA OBLIQUE515253545556ANTERIOR DISLOCATION•PA oblique shoulder joint showing anterior dislocation •(humeral head projected beneath coracoid process).575859Film Critque & Anatomy Review60616263Immobilization necessarySome PATHOLOGY6465Position?66Position? Path?67Calcific tendonitis/ Position?Important to include soft tissue of shoulder68Position? Pathology?69Position? Pathology?70ANTERIOR DISLOCATION•PA oblique shoulder joint showing anterior dislocation •(humeral head projected beneath coracoid process).71Posterior dislocation72Position? Pathology?73Pseudoarthosis74there is separation of humeral head from glenoid fossa caused by fluid in joint space.75Osteolytic metastasis to humerus from carcinoma of kidney.7677DISLOCATION OF SHOULDERAnterior Posterior78Position? Pathology?79Projections for Lab Demonstration & Practice This WEEK LAB•SHOULDER – ROUTINE– AP : EXT & INT – GRASHEY OBLIQUE GLENOID FOSSA •Practice in classroom during lab testing….. Then in lab80Projections for Lab Demonstration & Practice THIS WEEK or Next •SHOULDER – TRAUMA– AP Neutral– Transthoracic Lateral– AP Oblique – Scapular Y81Shoulder & Bony Thorax 2010Part 2CLAVICLEAC JOINTSPart 3SCAPULA STERNUM –Part 4 RIBS