Clavicle AP with Cephalad Angle

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.

Clavicle AP Axial

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.

Clavicle AP

Overview

AP clavicle radiographs evaluate suspected clavicular fractures and alignment. The patient is positioned upright or supine with the detector centered to the clavicle. Additional angled views may improve visualization of fracture displacement.

Technique

Center the detector to include the entire clavicle from sternoclavicular to acromioclavicular joints. Use a slight cephalad tube angle if needed to project the clavicle above the ribs. Immobilize the arm to reduce motion.

Clinical Indications

AP clavicle is indicated for trauma shoulder pain and suspected fracture. It helps determine fracture location and displacement for management decisions. Follow up radiographs monitor healing and callus formation.

Image Assessment

Evaluate cortical continuity and alignment of the clavicle segments. Assess for shortening and involvement of adjacent joints. Document fracture type and recommend orthopedic consultation when indicated.