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RS 211 - Elbow and Forearm Radiography

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Forearm Radiography

Position

CR

AP Projection
(Forearm)

CR is perpendicular to IR, directed to mid-forearm

Lateral/
lateromedial
Projection
(Forearm)

CR is perpendicular to IR, directed to mid-forearm

Demonstrates
AP projection of the entire radius and uln
shown, with a minimum of proximal row carp
distal humerus and pertinent soft tissues su
fat pads and stripes of the wrist and elbow
Lateral projection of entire radius and ul
proximal row of carpal bones, elbow, and dis
of the humerus are visible as well as pertine
tissue, such as fat pads and stripes of the w
elbow joints

Elbow Radiography
Position

CR

AP Projection
(Elbow fully
extended)
AP Projection
(Elbow cannot
be fully
extended)
AP Oblique
Projection/
Lateral
(external
rotation)
AP Oblique
Projection/
Medial
(internal
rotation)

CR is perpendicular to IR, directed to mid-elbow


joint, which is approximately 2 cm distal to midpoint
of a line between epicondyles

Distal humerus, elbow joint space, and pro


radius and ulna are visible

CR is perpendicular to IR, directed to mid-elbow


joint, which is approximately 2 cm distal to midpoint
of a line between epicondyles

Distal humerus is best visualized on hum


parallel projection and proximal radius and
are best visualized on forearm parallel pro

CR is perpendicular to IR, directed to mid-elbow


joint, which is approximately 2 cm distal to midpoint
of a line between epicondyles as viewed from the xray tube

Oblique projection of distal humerus and pr


radius and ulna is visible

CR is perpendicular to IR, directed to mid-elbow


joint, which is approximately 2 cm distal to midpoint
of a line between epicondyles as viewed from the xray tube

Oblique projection of distal humerus and pr


radius and ulna is visible

CR is perpendicular to IR, directed to mid-elbow


joint, which is approximately 4 cm medial to easily
palpated posterior surface of olecranon process

Lateral projection of distal humerus and pro


forearm, olecranon process, and soft tissue
fat pads of the elbow joint are visible

Lateral/
Lateromedial
Projection

Acute Flexion
Projection

Distal humerus: CR perpendicular to IR and


humerus, directed to a point midway between
epicondyles.
Proximal forearm: CR perpendicular to forearm
(angling CR as needed), directed to a point approx
2 inches proximal or superior to olecranon process

Trama Axial
Laterals/ Axial
lateromedial
projections
(Coyle
Method)

Radial Head: CR angled 45 degrees toward


shoulder, centered to radial head
Coronoid Process: CR angled 45 degrees from
shoulder into midelbow joint

Radial Head
Laterals/
Lateromedial
projection

CR is perpendicular to IR, directed to radial head


(approx 2 to 3 cm distal to lateral epicondyle)

Demonstrates

Proximal humerus: Forearm and humerus s


be directly superimposed. Medial and lat
epicondyles and parts of trochlea, capitulum
olecranon process all should be seen in pr
Optimal exposure should visualize distal hu
and olecranon process through superimp
structures. Soft tissue detail is not readily vis
either projection
Distal forearm: proximal ulna and radius, inc
outline of radial head and neck, should be
through superimposed distal humerus. Op
exposure visualizes outlines of proximal uln
radius superimposed over humerus
Radial Head: joint space between radial hea
capitulum should be open and clear. Radial
neck, and tuberosity should be in profile and
superimposition except for a small part o
coronoid process.
Coronoid Process: Distal portion of the cor
appears elongated but in profile. Joint sp
between coronoid process and trochlea sho
open and clear
Radial head and neck should be partia
superimposed by ulna but completely visua
profile in various projectons. Radial tuber
should be visualized.

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