Voltage of the xray beam should be reduced by 50% relative to glenohumeral radiographs to avoid overpenetrating the distal clavicle. Clavicle series summary radiology reference article. The clavicle ap cephalic angulation view is a standard projection part of the. Often used in conjunction with the ap clavicle, this projection straightens out the clavicle and projects it above overlaying anatomy. A clavicle series or clavicle xray is a set of two images taken of the clavicle to determine whether there is evidence of injury or bony abnormality. The central ray is at right angles to the coronal plane of the clavicle. In ap central ray is zero, while in axial varies depending on patients habitus. The clavicle ap cephalic angulation view is a standard projection part of the clavicle series and is often used in conjunction with the ap clavicle view. Position patient is erect with arms relaxed and hanging freely at the side. Clavicle x rays are indicated for a variety of settings including. The clavicle ap view is a standard projection part of the clavicle series.
The clavicle is the most proximal bone of the upper limb, and provides leverage and support for the shoulder girdle structures. Fracture and dislocation of clavicle can be studied in this view. Routine radiographic projections for imaging of the acute shoulder include the ap with an additional projection. The various projections described in this book have been produced mainly from the twelfth edition of clarks positioning in radiography. Xray cassette is behind the patient parallel to thorax. Shoulder x ray basics shoulder anatomy shoulder pain neet pg usmle the young orthopod duration. Positioning for the mta shoulder projection with the supine patient. Clarks pocket handbook for radiographers slideshare. Central ray directed from behind the patient to the clavicle. The clavicle ap cephalic angulation view is a standard projection part of the clavicle series. Hearon clavicle imaging advanced orthopedic associates. If this is true, the patient position at the time of xray may affect.
Trauma xray upper limb clavicle radiology masterclass. Clavicle fractures result in inferior displacement of the distal component. Radiography is useful in the evaluation of fractures of the shoulder girdle. Xray beam directed anterior to posterior, perpendicular to cassette or angled 10degrees cephalad and centered at the coracoid. Ce4rt radiographic positioning of the chest for xray techs. Radiographic positioning adult other related pages of interest applied radiography radiographic anatomy radiographic protocols. This page considers clavicle radiography techniques and clavicle trauma image interpretation. The projection demonstrates the shoulder in its natural anatomical position allowing for adequate radiographic examination of the entire clavicle. Position same as ap except tube is angles 1020 degree cephalad.
Clavicle ap cephalic view radiology reference article. An xray examination demonstrating the clavicle in ap and ap axial view. This does not imply protocol standards for all radiology facilities. Thin asthenic patient 10 to 15 but more angulation is required with thicker patients. Radiographic anatomy of facial bones free pdf epub medical books. This is a basic article for medical students and other nonradiologists. Chest x rays are correctly aligned if the medial ends of clavicles are equidistant from the spinous process of vertebrae at the t45 level. Indications clavicle xrays are indicated for a variety of settings including.
Clavicle fracture undergraduate diagnostic imaging fundamentals. Indication this projection straightens out the clavicle and projects most of it above the. All radiographic shoulder studies should include frontal examinations. The digital x ray cpt codes are for reference only. For more information, you can read a more indepth reference article. Radiography of the acutely injured shoulder radiography. The radiographic series of the clavicle is utilized in emergency departments. A clavicle series or clavicle x ray is a set of two images taken of the clavicle to determine whether there is evidence of injury or bony abnormality reference article.
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