1. 서 론 2. anatomy of the shoulder bone of shoulder joint of shoulder muscle of shoulder 3. x-ray...

Download 1. 서 론 2. Anatomy of the shoulder Bone of shoulder Joint of shoulder Muscle of shoulder 3. X-ray evaluation of the shoulder

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Slide 2 1. 2. Anatomy of the shoulder Bone of shoulder Joint of shoulder Muscle of shoulder 3. X-ray evaluation of the shoulder Slide 3 shoulder shoulder AP, Axial Supraspinatus outlet view, West point view, stryker notch view shoulder routine technique Slide 4 Scapula Clavicle Humerus Slide 5 2~7 rib ligament muscle Slide 6 Acromion Spine of scapula Supraspinous fossa Infraspinous fossa Slide 7 Slide 8 Slide 9 Slide 10 CCL CAL SGHL ACL MGHL IGHL Slide 11 Supraspinatus Infraspinatus Teres minor Subscapularis Deltoid Teres major Rotator cuff Slide 12 OriginSupraspinous fossa of scapula InsertionSuperior facet on greater tuberosity of humerus ActionInitiates and assists deltoid in abduction of arm and acts with other rotator cuff muscles InnervationSuprascapula nerve (C4, C5 and C6) (C4, C5, C6) Arterial Supply Suprascapula artery Slide 13 OriginInfraspinous fossa of scapula InsertionSuperior facet on greater tuberosity of humerus ActionInitiates and assists deltoid in adduction of arm and acts with other rotator cuff muscles InnervationSuprascapula nerve (C4, C5 and C6) (C4, C5, C6) Arterial Supply Suprascapula artery Slide 14 OriginSubscapula fossa of scapula InsertionLesser tuberosity of humerus ActionMedially rotates arm and adducts it; Help to hold humeral head in glenoid cavity of scapula InnervationUpper and lower subscapula nerve (C5, C6 and C7)(C5, C6, C7) Arterial Supply Subscapula artery Slide 15 OriginSuperior part of lateral border of scapula InsertionInferior facet on greater tuberosity of humerus ActionLateral rotates arm; Help to hold humeral head in glenoid cavity of scapula InnervationAxillary nerve (C5 and C6)(C5, C6) Arterial Supply Subscapula and circumflex scapula arteries Slide 16 Shoulde r Shoulder AP G-H joint Lawrence Westpoint Axillarly Stryker notch Zanca view Supraspinatus 30 Tilt view Slide 17 Patient positionCasette center Supine or erect (external rotation) Coracoid process X-ray center Coracoid process Check point , 1/2, . Shoulder . Slide 18 Half-moon sign Routine AP : Half-moon sign Molony's arch Half-moon Molonys Slide 19 Routine APPosterior dislocation Anterior dislocation Slide 20 Patient position Casette center Supine or erect 35~45 Coracoid process X-ray center Check point Humerus head Glenoid fossa , Glenoid fossa . Slide 21 Shoulder APG-H joint Slide 22 NormalSuperior Migration Slide 23 Patient positionCasette center Supine position 7.5~10cm ( ) . Axillary X-ray center Axillary Check point (glenohumeral joint), coracoid Acromioclavicula joint . Subscapularis tendon Teres minor tendon Slide 24 coracoid humerus head . acromion humerus head . humerus head glenoid . Slide 25 Anteroinferior glenoid rim tangential Glenoid rim traumatic anterior-subluxation calcification , . Slide 26 Patient positionCasette center prone position 7.5cm 90 . table . Axillary X-ray center 25 25 Check point (bony abnormalities) . Bankart fracture . Slide 27 Patient positionCasette center 90 Axillary X-ray center 5~15 Check point glenoid fossa (medial structure) . Slide 28 Cassette Slide 29 IP cassette Slide 30 Patient positionCasette center supine Parm elbow . A-C joint 4cm X-ray center Head 10 Check point Humerus head posterolateral compression fracture Humerus head dislocation Hill-Sachs Slide 31 Hill-sachs lesion ExternalInternalNormal Slide 32 Slide 33 Slide 34 Slide 35 Slide 36 Hill-sachs Bankart Slide 37 Impingement syndrome Rotator cuff A-C joint dislocation calcification Purpose Slide 38 Slide 39 (flat) (curved) (hooked) spur (round) (spur) Slide 40 Patient positionCasette center shoulder cassette internal rotation 45~50 rotation . Coracoid process X-ray center Check point . A-C joint . (supraspinatus outlet) . Slide 41 A PLateral Slide 42 Slide 43 BODY ANGLE 45 TUBE ANGLE CAUDAL 10CAUDAL 15 CAUDAL 20 Slide 44 BODY ANGLE 50 TUBE ANGLE CAUDAL 10CAUDAL 15CAUDAL 20 Slide 45 BODY ANGLE 45 TUBE ANGLE CAUDAL 10CAUDAL 15 CAUDAL 20 Slide 46 BODY ANGLE 45TUBE ANGLE 15 Slide 47 TUBE ANGLE CAUDAL 5CAUDAL 30 Slide 48 BODY ANGLE 30BODY ANGLE 60 Slide 49 Posterior dislocationImpingement syndrome Slide 50 Patient positionCasette center Sitting or erect shoulder elbow epicondyle . Coracoid process X-ray center A-C joint 30 Check point impingement syndrome calcification Slide 51 Distal clavicle acromioclavicular joint Slide 52 A P Slide 53