Lecture (11)

Clavicle AP & AP Axial Exposure Factors Patient position Erect Kv mAs FFD (cm) Grid Focus Cassette 65 15 100 No Fine 24x30 cm Patient position Erect Part position Arms at side chin raised looking straight ahead For AP posterior shoulder contact with cassette For PA anterior shoulder contact with cassette and Chin raised up Expose on suspend expiration which help to elevate clavicle

For AP& PA Perpendicular Central Ray For AP& PA Perpendicular For AP axial either15-30 cephalic or Perpendicular with patient leaning backward 15-30 degrees Center Point Mid clavicle Structures shown Entire clavicle including both acromioclavicular And sternoclavicular joints

Acromioclavicular joints AP Bilateral standing with & without weigh Exposure Factors Kv mAs FFD (cm) Grid Focus Cassette 65 15 100 No Fine 24x30 cm Patient position Erect Part position Adjust mid point of cassette to level of A.C joints Center MSP to midline of cassette Patient should hold sandbags of equal weight in each hand Second radiograph must obtained without weight Expose on suspend expiration

Central Ray Perpendicular Center Point Mid point between A.C joints Structures shown Both acromioclavicular joints, as well as entire clavicles and sternoclavicular joints

Scapula & coracoids' process Basic Projection Lateral AP Scapula Exposure Factors Kv mAs FFD (cm) Grid Focus Cassette 75 7 100 yes Fine 24x30 cm Patient position Erect or supine Part position Abduct arm and flex elbow Support arm near head Center scapular area to cassette ( 2 inches inferior to coracoid process

Mid scapula( 2 inches inferior to coracoid process) Central Ray Perpendicular Center Point Mid scapula( 2 inches inferior to coracoid process) Structures shown Lateral border of scapula free of superimposition Medial portion of scapula through the thoracic structures

Erect or prone oblique (semi prone ) Lateral Scapula Exposure Factors Kv mAs FFD (cm) Grid Focus Cassette 80 15 100 No Fine 24x30 cm 85 28 Yes Patient position Erect or prone oblique (semi prone ) Part position Center affected scapula to cassette Extend affected arm across affected chest Adjust body so scapula in lateral and free from ribs cage Central Ray Perpendicular Center Point Mid vertebral border of scapula

Lateral Scapula

Lateral Scapula