Overview
AP clavicle with cephalad angulation projects the clavicle free of thoracic structures for improved visualization. A slight cephalad tube tilt reduces overlap with the ribs and scapula. This view enhances detection of subtle fractures and displacement.
Technique
Center the detector to the clavicle and apply a cephalad tube angle typically 15 to 30 degrees. Ensure the patient is upright or supine and immobilize the arm to reduce motion. Collimate to the clavicle to minimize dose.
Clinical Indications
This projection is indicated when standard AP views do not adequately visualize the clavicle. It helps assess fracture displacement and involvement of adjacent joints. Follow up radiographs monitor healing and alignment.
Image Assessment
Evaluate cortical continuity clavicular alignment and displacement. Inspect for shortening and involvement of the acromioclavicular or sternoclavicular joints. Report findings for orthopedic management.