x ray humerus AP and lateral view

x ray humerus AP and humerus lateral view

x ray humerus, humerus ap lat
AP PROJECTION
ANATOMIC STRUCTURES
Humerus
Shoulder joint
Elbow joint
FILM SIZE
11 x 14in (30 x 35 cm), lengthwise
PATIENT POSITION
NOTE: If the patient is unable to stand or sit, the examination may be performed in the supine position with the opposite shoulder elevated by sponges to place the affected humerus in contact with the table or the cassette. Remember humeral injuries can be very painful, and usually the erect position is more comfortable for the patient
Have patient stand or sit with back against upright table or vertical grid device.
Place patient so that arm is in midline of griddevice and abduct arm enough to prevent superimposition of humerus by other body parts.Secure lead shield around patient to protect gonads
PART POSITION
Place entire arm parallel to plane of grid device(if necessary, rotate patient slightly toward affected arm) Supinate hand (palm up) and extend elbow joint as far as patient can tolerate
NOTE: Remember to include entire humerus with both joints. To accomplish this, it may be necessary to abduct upper extremity to place humerus across diagonal length of cassette
Palpate lateral and medial epicondyles of humerus with your thumb and index finger
Align coronal plane that passes through epicondyles parallel with plane of film
NOTE: II is only necessary to place the coronal plane of the epicondyles (not the entire body) in a plane parallel to the table The body can be rotated to assist the patient in obtaining the correct position of the humeries
Center cassette (in Bucky tray) to mid portion of arm, or place upper margin of cassette 1 in above head of humerus.

CENTRAL RAY
Direct central ray perpendicular to mid portion of arm or midpoint of cassette.
TECHNICAL NOTE
This projection may be obtained with or without a grid, depending on patient’s size, physician’s and technologist’s preference, and departmental procedure.
IMAGE CRITERIA
Entire humerus (including shoulder and elbow joints) should be seen.
Humerus should be in an AP position (as evidenced by visualization of both head and greater tuberosity of humerus in profile).
Lesser tuberosity of humerus should be seen superimposed between head and greater tuberosity of humerus
Lateral and medial epicondyles should be seen in same plane without rotation or distortion.

LATERAL PROJECTION
ANATOMIC STRUCTURES
lateral humerus xray
Shoulder joint
Elbow joint
FILM SIZE
11 X 14 in (30 x 35 cm), lengthwise
PATIENT POSITION
NOTE: // the patient is unable to stand or sit, the examination can be performed in the supine position for shoulder fracture x ray.
Have patient stand or sit facing vertical grid device.
Place patient so that arm is in midline of grid device.
Secure lead shield around patient to protect gonads.
PART POSITION
Flex elbow, and place hand on abdomen. Abduct arm to prevent superimposition of humerus by other body parts.
Remember to include entire humerus with both joints. To accomplish this, it may be necessary to abduct upper extremity to place humerus along diagonal of cassette Place an imaginary line connecting medial and lateral epicondyles perpendicular to plane of film.
Center cassette (in Bucky tray) to mid portion of arm, or place upper margin of casset to 1 and 1/2 in. above head of humerus

CENTRAL RAY
Direct central ray perpendicular to mid portion of arm or midpoint of cassette.
TECHNICAL NOTE
This projection may be obtained with or without a grid, depending on patient’s size, physician’s and technologist’s preference, and departmental procedure.
IMAGE CRITERIA
Entire humerus (including shoulder and elbow joints) should be seen.
Humerus should be in lateral projection (as evidenced by greater tuberosity superimposed over humeral head while lesser tuberosity is seen in profile).
Lateral and medial epicondyles should be superimposed.

EXCEPTION
If the patient is unable to assume an upright position, this projection can be obtained with the patient supine on the table with the affected extremity extended. Rotate the hand medially (internally) into the lateral position
with the thumb side resting on the table. Place an imaginary line connecting the medial and lateral epicondyles perpendicular to the plane of the cassette. For an alternate view, place the patient in the lateral decubitus position with the affected extremity up.
Place the cassette between the affected arm and the body. Flex the elbow, abduct (turn out) the hand enough to allow the imaginary line connecting the medial and lateral epicondyles to be placed perpendicular to the plane of the cassette. This projection will only include the elbow joint; if the proximal humerus is in question, a transthoracic lateral projection should be considered
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