Elbow (AP view)

Dr Aditya Shetty et al.

The elbow AP view is part of the two view elbow series, examining the distal humerus, proximal radius and ulna. 

The projection demonstrates the elbow joint in its natural anatomical position allowing for adequate radiographic examination of the articulations of the elbow including the radiohumeral and humeroulnar joints. It is the preferred projection to assess the medial and lateral epicondyles of the humerus for avulsion-type fractures 2,3.

  • patient is seated alongside the table
  • the fully extended arm and forearm, in a supinated position, are kept in contact with the table by lowering the shoulder joint to the level of the table they all must be in the same plane as the detector (see Figure 1)
  • the detector is placed below the elbow joint
  • anteroposterior projection
  • centring point
    • mid elbow which is approximately the midpoint between the epicondyles 
  • collimation
    • superior to the distal third of the humerus
    • inferior to include one-third of the proximal radius and ulna
    • lateral to include the skin margin 
    • medial to include medial skin margin 
  • orientation  
    • portrait
  • detector size
    • 18 cm x 24 cm
  • exposure
    • 50-60 kVp
    • 2-5 mAs
  • SID
    • 100 cm
  • grid
    • no 
  • the elbow is in an AP position, with slight internal rotation.
  • patient's arm should be rotated externally to ensure that the trochlea and capitulum are seen in profile. 

Sometimes patient may not be able to extend properly at elbow joint, in such cases, partial flexion may be used at the joint; at initial presentation two AP views may then be required (the first with the forearm flat against the detector, the second with the humerus flat against the detector)


Radiographic views
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Article Information

rID: 31132
Section: Radiography
Synonyms or Alternate Spellings:
  • Elbow AP (anteroposterior) view

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    Figure 1: right elbow AP positioning
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    Figure 2: right elbow AP with joint effusion
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