Pediatric clavicle (AP view)

Last revised by Andrew Murphy on 23 Mar 2023

Citation, DOI, disclosures and article data

Citation:

Ng J, Murphy A, Fahrenhorst-Jones T, Pediatric clavicle (AP view). Reference article, Radiopaedia.org (Accessed on 18 Apr 2024) https://doi.org/10.53347/rID-99560

DOI:

https://doi.org/10.53347/rID-99560

Permalink:

https://radiopaedia.org/articles/99560

rID:

99560

Article created:

5 May 2022, Jessica Hui Shi Ng ◉

Disclosures:

At the time the article was created Jessica Hui Shi Ng had no recorded disclosures.

View Jessica Hui Shi Ng's current disclosures

Last revised:

23 Mar 2023, Andrew Murphy ◉

Disclosures:

At the time the article was last revised Andrew Murphy had no financial relationships to ineligible companies to disclose.

View Andrew Murphy's current disclosures

Revisions:

4 times, by 3 contributors - see full revision history and disclosures

Systems:

Paediatrics

Sections:

Radiography

Synonyms:

pediatric clavicle ap view
clavicle ap view child
child clavicle anteroposterior

The anteroposterior clavicle view for pediatrics is part of a two view series examining the entirety of the clavicle and the sternoclavicular and acromioclavicular joints. This view is ideally performed erect, but supine may be necessary depending on the patient's level of distress and severity of injury.

anteroposterior projection
centering point
- mid clavicle
collimation
- superior to the skin margins
- inferior to include mid scapula
- lateral to include the skin margin
- medial to include the sternoclavicular joint
orientation
- landscape
detector size
- 18 cm x 24 cm
exposure ¹
- 63-66 kVp
- 2-4 mAs
SID
- 100 cm
grid
- no (this can vary departmentally or based on the patient's age or size)

Image technical evaluation

The clavicle is demonstrated in its entirety with no foreshortening. This is demonstrated through superimposition of the midclavicle over the superior aspect of the scapula ². Appropriate metal markers are visualized as this is ideal for pediatric imaging.

Practical points

Preparing the room beforehand (setting up the detector, exposure and preparing lead gowns) is important as pediatric patients may not remain still for the duration of the x-ray.

Immobilization techniques

It is important for the radiograph to be free from motion artifact and rotation to avoid repeated x-rays.

it may be necessary for the parent or radiographer to hold the patient in position
ideally the parent should be in the child's direct line of sight
techniques will vary based on the department
distraction techniques can be utilized to avoid scattered radiation to parents and staff ³