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AP and AP AXial - Clavical Flashcards

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15394985386RoutineMay include both the AP and AP Axial PA projection0
15395007181SID401
15395007182IRLandscape (10 x 12)2
15395016888CollimationCollimate to area of clavicle. ensure that both AC and sternoclavicular joints and included.3
15395057571Patient PositionPerform radiograph with patient in erect or supine position with arms at sides, chin raised, and looking straight ahead. Posterior shoulder should be in contact with IR or tabletop, without rotation of body.4
15395067051Part PositionCenter clavicle and IR to CR. (Clavicle can be readily palpated with medial aspect at jugular notch and lateral portion at AC joint above shoulder.)5
15395117481CR (AP)CR perpendicular to midclavicular6
15395133687CR (AP Axial)CR 15 to 30 degrees cephalad to midclavicle7
15395158957RespirationSuspend respiration at end of inhalation (helps to elevate clavicles)8
15395257141Position Criteria (AP)Clavicle is demonstrated without any foreshortening. The midclavicle is superimposed on the superior scapular angle. Collimation borders should be visible.9
15395293450Anatomy Criteria (AP)Entire clavicle visualized, including both AC and sternoclavicular joints and acromion.10
15395308020Exposure Criteria (AP)Midclavicle, sternal, and acromial extremities demonstrate clear, sharp bony trabecular markings and soft tissue detail.11
15395269291Position Criteria (AP Axial)Correct angulation of CR projects most of the clavicle above the scapula and second and third ribs. Only the medial portion of the clavicle is superimposed by the first and second ribs.12
15395338413Anatomy Criteria (AP Axial)Entire clavicle visualized, including both AC and sternoclavicular joints and acromion.13
15395351529Exposure Criteria (AP Axial)Optimal exposure demonstrates the distal clavicle and AC joint without excessive density (brightness). Bony margins and trabecular markings should appear sharp indicating no motion, and medial clavicle and sternoclavicular joint should be visualized through the thorax.14

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