Elbow - AP (partial flexion)

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Radiographic Positioning


Adult
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Name of projection Elbow - AP (Partial Flexion)
AboutThis view is used when the elbow cannot be fully extended.
Two AP views are normally taken
  1. With humerus parallel to IR
  2. With forearm parallel to IR
Area Covered Distal humerus, elbow joint space, proximal radius and ulna
Pathology shownFractures and dislocations of the elbow and pathologic processes such as osteomyelitis and arthritis
Radiographic AnatomyElbow Radiographic Anatomy
IR Size & Orientation 18 x 24 cm
Portrait
Film / Screen Combination Detail
(CR and DR as recommended by manufacturer)
Bucky / Grid No
FilterNo
Exposure 52 kVp
5 mAs
FFD / SID 100cm
Central Ray CR perpendicular to IR
Directed to midelbow , 2cm distal to a midpoint of a line between epicondyles
Collimation Four sides of collimation
Collimate closely to area of interest
Markers Distal and Lateral
Marker orientation AP
Shielding Gonadal (check your department's policy guidelines)
RespirationNot applicable
Positioning
  • Patient seated at end of table
  • Elbow partially flexed
  • Obtain two AP projections
    1. With humerus parallel to IR
    2. With forearm parallel to IR
  • Place support under wrist and forearm for projection with humerus parallel to IR to prevent motion
  • CR perpendicular to IR, directed to mid-elbow, 2cm distal to a midpoint of a line between epicondyles
Critique

Positioning
Area Covered
Collimation
Exposure
Special Notes