Shoulder Ch. 6 & Bony Thorax Ch. 9 Part 3 SCAPULA STERNUM (RIBS)- pt 4RT 124 NEW ProjectionsSCAPULASlide 5Slide 6Slide 7Slide 8PA – TOWARDS IRSlide 10Slide 11AP – AWAY IRSlide 13Slide 14Slide 15STERNUMSlide 17Slide 18RAO STERNUM Pt PA – center to side upSlide 20RAO STERNUMSlide 22LAO RAOSuspended vs Breathing TechSlide 25Less rotation for smaller patientsAlternate position (not in lab)LATERAL STERNUM 40 or 72 “Slide 29Slide 30Slide 31Slide 32Difficulty with Lateral Sternum may need to take 2 laterals – 1 upper, 1 lowerSlide 34Slide 35Slide 36RIBS- next weekThat’s all for now ……1Shoulder Ch. 6 & Bony Thorax Ch. 9Part 3SCAPULASTERNUM(RIBS)- pt 4RT 124 – Wk 3 rev 20102•SHOULDER–ROUTINE–TRAUMA•CLAVICLE•A/C JOINTS•SCAPULA•RIBS•STERNUM3RT 124NEW Projections• SCAPULA– AP –LATERAL Scapular Y •STERNUM– RAO (no “AP”) & LAO– LATERAL4SCAPULA•AP • LATERAL SCAPULA(PA OR AP OBLIQUE SHOULDER )5AP SCAPULASHORT SIDC/R 2 “ below coracoid6Note – Shorter SID Blurs ribs – mags scapula for better detail78Note: Humerus down when trauma is suspected – this is shoulder Y for humerus (not the scapula lateral )9Aka: WESTPOINT VIEW (ARREST VIEW)PA – TOWARDS IR101112AP – AWAY IR13AP = UPSIDE / AWAYPA - DOWNSIDE / TOWARD141516STERNUMRAO & LAOLATERAL171819RAO STERNUMPt PA – center to side upSHORT SID –SHORTER THAN SHOWNBREATHINGTECHNIQUE60 KVPLESS MAS LAO2021RAO STERNUM2223LAO RAO24Suspended vs Breathing Tech2526Less rotation for smaller patients27Alternate position (not in lab)28LATERAL STERNUM40 or 72 “2930313233Difficulty with Lateral Sternummay need to take 2 laterals – 1 upper, 1 lower34Difficulty with Lateral Sternummay need to take 2 laterals – 1 upper, 1 lower353637RIBS-next week UNILATERAL OR BILATERAL•AP / PA•RAO / LPO•LAO/ RPOABOVE & BELOW THE DIAPHRAM38That’s all for now ……Practice Practice