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upper limb · Axiolateral

Radial Head (Coyle) View

Seated, elbow flexed 90 deg (lateral).

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AI Patient · KV Sir

How to perform this view

  1. 01

    Position as lateral elbow.

  2. 02

    Pronate hand.

  3. 03

    Angle CR 45 deg toward shoulder.

  4. 04

    Centre to radial head.

Anatomical & patient position

Patient: Seated, elbow flexed 90 deg (lateral).

Part: Hand pronated; CR angled 45 deg toward shoulder.

Central ray & centring point

45 deg toward shoulder, through radial head.

Exposure factors

kVp

65-75 kVp

mAs

4-6 mAs

SID

100 cm

IR size

18 x 24 cm

Grid

No

Respiration

N/A

Clinical indications

  • Occult radial head fracture
  • Coronoid process fracture

Contraindications & precautions

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

Structures shown & evaluation criteria

  • Radial head free from ulna superimposition

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

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