THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors: Film Size: Half of a 14 x 17" (35 x 43 cm) LW
a) NB
b) Minimize anode-heel effect if possible
e. LM: Place corresponding LM on cassette
f. Patient/Part position: Supine or erect Shoulder and elbow joints are the same distance from ends
of the film
a) Rotate body toward affected side as needed to bring the shoulder and
proximal humerus in contact with cassette
b) Align humerus to long axis of the unmasked half of film, unless diagonal
placement is needed to include both shoulder and elbow joints
c) Extend elbow, internally rotate arm into true lateral
d) Epicondyles should be directly superimposed as viewed from the x-ray tube
for a true lateral
g. CR: CR perpendicular to film, directed to
h. SID: 40"
i. Collimation:
mid point of humerus
Collimate on four sides to soft
tissue borders of humerus
Collimation field should include both
joints and up to 1" of the proximal
forearm
j. Immobilization: Sandbag against turned
k. Respiration: Suspend respiration during
out palm
exposure
l. Shielding: Secure or place lead shield over pelvic area
m. Demonstrates: Lateral view of entire humerus to include the, Proximal Humerus, Greater
tuberosity, Lesser tuberosity, Surgical neck, Glenoid Fossa, Coracoid Process, AC Articulation, Distal
Humerus, Condyles, Epicondyles, Shaft of humerus, Proximal Forearm, Radius and the Ulna
MD0961
5-32
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