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upper limb · AP / Lateral

Elbow AP & Lateral

Seated at end of table, shoulder and elbow on same plane.

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AI Patient · KV Sir

How to perform this view

  1. 01

    AP: extend elbow, supinate, epicondyles parallel.

  2. 02

    CR to midpoint of epicondyles.

  3. 03

    Lateral: flex elbow 90 deg, humeral epicondyles perpendicular.

  4. 04

    Lower shoulder to level of elbow.

Anatomical & patient position

Patient: Seated at end of table, shoulder and elbow on same plane.

Part: AP: arm extended, hand supinated. Lateral: elbow flexed 90 deg, thumb up.

Central ray & centring point

Perpendicular to elbow joint (mid-epicondyles AP; lateral epicondyle on lateral).

Exposure factors

kVp

60-70 kVp

mAs

3-5 mAs

SID

100 cm

IR size

24 x 30 cm

Grid

No

Respiration

N/A

Clinical indications

  • Supracondylar fracture
  • Radial head fracture (fat pad sign)
  • Dislocation

Contraindications & precautions

  • Gross deformity / open fracture - do not manipulate; adapt projection and use horizontal beam

Structures shown & evaluation criteria

  • Distal humerus, proximal radius & ulna
  • Fat pads on lateral
  • Trochlear sulcus concentric circles

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.