X Ray Clavicle Lateral View

The best routine radiographic view for the clavicle is an AP axial (cephalic angulation) projection, typically with a 15–30° cephalic tilt. This projects the clavicle above thoracic structures, visualizes the entire bone from sternoclavicular to acromioclavicular ends, and better shows fractures and displacement. Upright positioning is preferred; supplementary 0° AP or oblique views can be added if needed.

Position the patient upright or supine with the clavicle centered on the detector. Obtain an AP view and an AP axial (15–30° cephalic tilt) to project the clavicle above the ribs; a PA axial or lordotic view can help visualize the medial end. Center the beam at mid‑clavicle, immobilize the arm, instruct breath hold, use lead shielding, and follow radiation‑safety protocols.

Position patient upright or supine with shoulders relaxed and arms by sides. Center the image receptor to the mid‑clavicle so the entire clavicle, including AC and SC joints, is visualized. For an AP view direct the central ray perpendicular to the mid‑clavicle; for an AP axial view angle the CR 15–30° cephalad toward the mid‑clavicle. Instruct the patient to suspend respiration during exposure.

The two standard clavicle radiographic views are: 1) anteroposterior (AP) view — a straight frontal projection of the entire clavicle; and 2) an AP cephalic-tilt (axial) view — the x‑ray beam angled cephalad (commonly 15–45°) to better profile the bone. They help detect fracture location, alignment and joint involvement.

The three standard shoulder X‑ray views are: Anteroposterior (AP) — shows the glenohumeral joint, proximal humerus and acromioclavicular joint; often done with external or internal rotation. Scapular Y (lateral) — assesses humeral head position relative to the glenoid, useful for dislocations and scapular fractures. Axillary (axillary lateral) — visualizes joint space and detects anterior/posterior dislocation or glenoid rim fractures.

A standard chest X‑ray usually includes the clavicles, showing their medial and often lateral ends, so it can detect obvious clavicle injuries. However, chest X‑rays aren’t optimized for detailed clavicle assessment; dedicated clavicle views (or CT for complex cases) provide clearer visualization and more accurate fracture detection. If a clavicle injury is suspected, request targeted imaging.