Overview
AP axial clavicle radiographs use tube angulation to better visualize medial and lateral clavicular ends. The axial projection reduces overlap with thoracic structures and improves detection of subtle fractures. It is useful in trauma and follow up imaging.
Technique
Apply a cephalad tube angle and center to the clavicle ensuring the entire bone is included. Use immobilization and appropriate exposure settings. Document angle used for reproducibility.
Clinical Indications
AP axial clavicle is indicated for suspected medial or lateral clavicle fractures and non union assessment. It complements standard AP views for comprehensive evaluation. Orthopedic consultation is guided by displacement and joint involvement.
Image Assessment
Evaluate cortical continuity and alignment at the sternoclavicular and acromioclavicular ends. Assess for shortening and comminution. Report findings and recommend further imaging if surgical planning is required.