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Normal elbow (AP acute flexion view)

Case contributed by Dr Benoudina Samir

Presentation

Unable to straighten elbow joint

Annotated image
  1. Olecranon process
  2. Epicondylar groove (ulnar groove)
  3. Medial epicondyle
  4. Trochlea
  5. Olecranon fossa
  6. Lateral epicondyle
  7. Radial head
Diagram

AP distal humerus: acute flexion of elbow. CR perpendicular to humerus.

Case Discussion

Distal Humerus AP Acute flexion view.

Also known as tangential view, inferior-to-superior projection, or Jones view.

It is indicated in fractures and moderate dislocations of the elbow in acute flexion; and allows to see the olecranon, ulnar groove, trochlea, and radial head.

It is also useful for detecting intra-articular loose bodies and degenerative osteophytes in the olecranon-trochlear joint compartment.

To perform it, patient is seated alongside the radiographic table with acutely flexed elbow. (unless contraindicated). The central ray is perpendicular to the humerus, approximately 5 cm above to the olecranon process.

Evalutation Criteria: The following should be clearly shown:

  • Forearm and humerus should be superimposed
  • No rotation
  • Olecranon process and distal humerus
  • Soft tissue outside the olecranon process and bony trabecular detail

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Case information

rID: 73474
Published: 27th Jan 2020
Last edited: 22nd Mar 2020
Tag: anatomy
Inclusion in quiz mode: Included
Institution: Clinique Les Babors - SETIF - Algeria

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