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Upper Extremities

24 Acromioclavicular (AC) Joints

Anatomy

sternoclavicular joint, clavicular notch, acromioclavicular joint, acromial extremity, sternal extremity, acromion, coracoid process, scapula

Projections

[Part], PA or AP

CR Location

[Part], PA or AP –

Evaluation Criteria

AP AC Joints with and without weights

Image Criteria: Long narrow collimation visualizing both AC joints. Symmetrical SC joints (indicating no rotation). Rt, Lt, and weight markers visible on image.

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Hows & Whys of [Part] Radiography

  • Why should AC joints not be done lying down?
    • Lying down can cause dislocated AC joints to go back in place (be reduced).
  • Why should AC joints be done at 72 inches?
    • A 72 inch SID reduces magnification which enables both joints to be included on one image.
  • Why are AC joints done with and without weights?
    • Using weights can demonstrate separation of the joint spaces.
  • How can you tell that a patient was not rotated on a image of AP AC joints?
    • The sternoclavicular joints are equal distance from the vertebrae.
  • How can you tell that the patient for AP AC joints is not rotated before you take the image?
    • The shoulders are equal distance from the bucky.

 

License

Radiographic Procedures Review Guide Copyright © by Carla M. Allen. All Rights Reserved.