Acromioclavicular - (Bilateral) AP 'Pearson Method'

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Radiographic Positioning


Adult
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Name of projection Acromioclavicular - (Bilateral) AP "Pearson Method"
Area Covered AC joints
Pathology shown
Radiographic Anatomy
IR Size & Orientation 18 x 43 cm
Film / Screen Combination
(CR and DR as recommended by manufacturer)
Bucky / Grid Vertical grid device
Filter
Exposure
FFD / SID
Central Ray Perpendicular to the midline of the body at the level of the AC joints for a single projection
Collforimation
Markers
Shielding gonads; and the thyroid gland by using a thyroid collar as the thyroid gland is exposed to the primary beam. (check your department's policy guidelines)
Respirationsuspended
Positioning
  • Place the patient in an upright body position, either seated or standing, before a vertical grid device
  • Midpoint of IR should be at the same level of AC joints
  • Ensure weight of body is equally distributed on the feet to avoid rotation
  • Make two exposures: one with patient WITHOUT weights attached to wrists, and second: patient WITH equal weights (5 - 10 lbs) affixed to each wrist by a band or strap.
  • AVOID having the patient hold the weights in each hand as this reduces the possibility of demonstrating a small AC separation
.CACinritique

Positioning
  • No rotation or leaning by the patient
Area Covered
  • AC joints visualized with some soft tissue and without excessive density
  • Both AC joints, with and without weights, entirely included in one or two radiographs
Collimation
Exposure
Special Notes