Overview
Oblique rib views rotate the patient to project ribs away from the spine and thoracic structures. This technique improves visualization of rib contours and fracture lines. Both anterior and posterior rib segments can be assessed with targeted obliques.
Technique
Rotate the patient toward the side of interest and center the detector to the rib region. Use appropriate exposure and include the costochondral junction when indicated. Obtain both ipsilateral and contralateral obliques if necessary.
Clinical Indications
Oblique ribs are used when AP views are inconclusive or when detailed assessment of a specific rib is required. They are helpful in trauma and persistent localized pain. Correlate with clinical exam and consider CT for complex injuries.
Image Assessment
Inspect the cortical margins for discontinuity and displacement. Evaluate adjacent soft tissues and lung fields for associated injury. Report fracture location relative to anatomic landmarks for surgical planning if needed.