Humerus - Lateral

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Radiographic Positioning


Adult
Other related pages of interest

Name of projection Humerus - Lateral
Area Covered Entire Humerus
Pathology shownFractures, bone lesions, foreign bodies
Radiographic AnatomyHumerus Radiographic Anatomy
IR Size & Orientation 35 x 43cm
Portrait
Film / Screen Combination Regular
(CR and DR as recommended by manufacturer)
Bucky / Grid Moving or stationary grid
FilterNo
Exposure 65 kVp
20 mAs
FFD / SID 100cm
Central Ray Central ray to midpoint of humerus and perpendicular to IR
Collimation Collimate on sides to the soft tissue borders of the humerus
Lower margin to include elbow joint, Upper margin to include shoulder
Markers Distal and Lateral
Marker orientation is PA
Shielding Gonadal (check your department's policy guidelines)
RespirationSuspended
PositioningErect
  • May be performed lateromedial or mediolateral
Lateromedial
  • Position patient erect with their back against the upright bucky and elbow partially flexed
  • Body slightly rotated towards the affected side to bring humerus and shoulder in contact with IR
  • Internally rotate arm to achieve a lateral position (epicondyles perpendicular to IR)
  • Central ray to midpoint of humerus and perpendicular to IR
Mediolateral
  • Position patient erect and facing towards the upright bucky
  • Oblique patient as needed approximately 20° towards the affected side to enable close contact of humerus to IR
  • Flex elbow 90°
  • Central ray to midpoint of humerus and perpendicular to IR
Supine
  • May be performed supine using a lateromedial technique on the X-ray table
Critique

Positioning
Area Covered
Collimation
Exposure
Special Notes