Clavicle series

Mr Andrew Murphy et al.

The radiographic series of the clavicle is utilised in emergency departments to assess the clavicle, acromioclavicular and sternoclavicular joint.  

Indications

Clavicle x-rays are indicated for a variety of settings including:

  • trauma
  • bony tenderness
  • suspected fracture 
  • congenital abnormalities 
  • obvious deformity

Projections

Standard projections
  • AP
    • demonstrates the entire clavicle including its articulation with the acromion and the sternum 
  • AP cephalad angulation
    • 'straightens' out the clavicle
    • often used to better visualise occult clavicle fractures 
Modified trauma projections
  • supine 
    • AP clavicle performed supine, with or without angulation
Additional projections
  • AP frontal projection with further cephalad angulation visualises the under surface of the clavicle
  • AP frontal projection with caudal angulation visualises the posterior surface of the clavicle
  • bilateral views may be required if there is a need for comparison or there is suspicion of a bilateral process
Radiographic views
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Article information

rID: 46351
Section: Radiography
Tags: refs, cases
Synonyms or Alternate Spellings:

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Cases and figures

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    Figure 1: AP
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    Figure 2: AP 20 deg cephalad
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    Figure 3: AP 20 deg cephalad
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    Figure 4: AP
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