The%20Elbow

1
The Elbow
2
The Views.

• AP
• Lateral
• Medial (internal) Oblique
• Lateral (external) Oblique

3
General things to know about The Elbow

• Cassette Size 10 x 12 cross wise
• Divided in half
• Shield on lap!
• Marker
• Measures 7
• 64_at_6

4
The AP.

• Patient seated at end of table
• Extend arm until Elbow is FULLY extended
• Supinate the hand
• Align entire arm in same plane.
• Note the patient might have to lean forward for
  a true AP
• Mid elbow to the middle of cassette

5
CR middle of elbow SID 40 Collimate
to skin borders
6
The AP. Contd

• Seen on the Radiograph
• -Elbow joint open
• -proximal radius and ulna and distal humerus
• - No rotation
• - The radial head, neck, and tuberosity
  slightly superimposed by ulna or separated

7
The Lateral View

• Flew elbow 90 degrees,
• Place thumb up for a true lateral wrist
• align entire arm in the same place
• Center mid elbow to center of IR.

8
CR is mid-elbow SID 40
9
The Lateral. Contd.

• Seen on Radiograph
• Lateral Distal Humerus,
• Proximal Radius and ulna
• Olecranon Process

10
The Medial (internal) Oblique

• Extend arm fully, place entire arm in the same
  plane.
• Pronate the hand
• line between epi-condyles forms a 45
  degrees

11
CR is Mid-Elbow SID 40
12
The Medial Contd.

• Seen on the Radiograph
• Radial head and neck superimposed over the center
  of proximal ulna.
• The olecranon process seated in its fossa
• The medial epi-condyle appears elongated
• Coroniod process in profile

13
The Lateral (external) Oblique

• Placement extend arm fully,
• place entire arm in the same plane.
• Supernate the hand.
• Rotate the entire arm and body laterally until a
  45 degree obtained with epi-cdondyles

14

• Central Ray Perpendicular to mid joint of elbow.
  SID 40

15
The Lateral (external) Oblique

• Seen on Radiograph
• Tuberosity and radial neck are free of any
  imposition
• Distal humerus and proximal forearm
• The capitulum and lateral epi-condyle is
  elongated and in profile

16
The Forearm

• 2 views AP and Lateral
• Measures 8
• 62_at_8
• Measure
• Mark
• Shield

17
General things you need to know about The
Forearm.

• Cassette Size 11 x14 or 14x 17
• Divided in half LW

18
The AP view ?

• Placement straighten the entire forearm
• supinate the hand.
• Drop the shoulder so the entire arm is on the
  same plain.
• Center forearm to the center of cassette.
• Must Include both joints.

19
CR is Mid-Arm SID 40
20
The AP Contd

• Seen on Radiograph
• The entire forearm along with both joints
• The radial head, neck tuberosity should be
  imposed by the ulna
• The humeral epi-condyles in profile

21
The Lateral

• Flex the elbow 90 degrees and center the
  forearm to film.
• Turn the thumb up to ensure true lateral of the
  wrist.
• Place the entire upper arm in the same plane
• You will turn cassette to match the finger
  placement

22
CR Mid-Arm SID 40
23
The lateral view.. ? contd.

• Seen on Radiograph
• The entire forearm along with both joints.
• The radius and ulna superimposed
• The humeral epi-condyles superimposed
• Radila tuberosity in profile