Which view is standard for Xray clavicle?
An anteroposterior (AP) view and a 45° cephalic tilt view are standard for the initial radiographic evaluation. These will delineate fracture displacement, as well as fractures to the medial clavicle and first rib.
How many views are on a clavicle xray?
Evaluation of the distal third of the clavicle and the acromioclavicular joint (ACJ) is accomplished with two radiographs, an anteroposterior (AP) view in the plane of the thorax and an axillary lateral view (which has already been discussed in the section on glenohumeral joint radiographs).
How much do you angle for a clavicle x-ray?
Thinner patients will require more angulation to project the clavicle off the scapula and ribs. For the standing lordotic position, 0°-15° is recommended. For the supine position, 15°-30° is recommended.
Where is the most common area for a clavicle to fracture?
The most common fractures of the clavicle are in the middle of the shaft of the bone, approximately halfway between the sternum and the AC joint.
How do you clavicle an image?
Patient position
- patient is preferably erect.
- midcoronal plane of the patient is parallel to the image receptor, in other words, the patient’s back is against the image receptor.
- the clavicle of the affected side is at the center of the image receptor.
- affected arm is in a neutral position.
What is the weakest point of clavicle?
Most common site of fracture is the middle third segment of the clavicle because its weakest point is at the junction of the middle and lateral third of the clavicle.
How do you assess a fractured clavicle?
Physical examination should include assessment of the following:
- Pain – Patients with clavicle fractures have focal pain with palpation over the fracture site.
- Deformity – It may be possible to appreciate obvious deformity, motion, or crepitus depending on the extent of displacement and injury severity.
What is AP view and PA view in xray?
The erect anteroposterior chest view is an alternative to the PA view when the patient is too unwell to tolerate standing or leaving the bed 1. The AP view examines the lungs, bony thoracic cavity, mediastinum, and great vessels.
What is XRAY clavicle?
A clavicle series (or clavicle x-ray) is a set of two images taken of the clavicle to determine whether there is evidence of injury or bony abnormality.
What does a normal clavicle look like?
There are two clavicles, one on the left and one on the right. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle….Muscle.
| Attachment on collarbone | Muscle/Ligament | Other attachment |
|---|---|---|
| Posterior border | Trapezius muscle | lateral third |
Why is the clavicle so easy to break?
Your clavicle is easy to fracture because it’s frequently exposed to force. The middle third of your clavicle is its thinnest and outermost part and has a lack of support by muscles and ligaments, so it’s more vulnerable to injury.
What is the most common type of clavicle fracture?
Midshaft fractures account for approximately 75 to 80 percent of all clavicle fractures and typically occur in younger persons. Distal third fractures represent about 15 to 25 percent of clavicle fractures. Medial third fractures are least common, accounting for less than 5 percent of clavicle fractures.
Can you see a clavicle fracture on a Xray?
In most instances, the fracture is evident clinically and easily identified on radiographs. It is common for clavicle fractures to be displaced due to a combination of the weight of the upper limb pulling the distal fragment down and the sternocleidomastoidpulling the medial fragment upwards.
What is the AP view of a clavicle fracture?
The AP view needs to include the sternoclavicular joint and the shoulder girdle; most clavicle fractures are evident on this view. The 45° cephalad view may be required to define the degree of displacement. Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation.
How to interpret an ankle X-ray?
Interpreting an ankle X-ray. Use a methodical approach such as ABCs to look at a radiograph. Adequacy. Ideally, you should be able to see at least the distal third of the tibia and fibula and the talus on the mortise view and in addition to those, you should be able to see the calcaneum and the base of the 5 th metatarsal on the lateral view.
What is the presentation of fracture of the ankle?
They have a bimodal presentation, involving young males and older females. Ankle injuries play a major part in post multitrauma functional impairment thereby necessitating a detailed evaluation.