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Citation, DOI & article dataCitation: Murphy, A., Fahrenhorst-Jones, T. Sternoclavicular joint (anterior oblique views). Reference article, Radiopaedia.org. (accessed on 08 Sep 2022) https://doi.org/10.53347/rID-54318 The anterior oblique projections of the sternoclavicular joints are complimentary to the front on PA view in the sternoclavicular joint series The side of obliquity pertains to the joint of interest i.e. RAO to assess the right sternoclavicular joint. However, this projection is often performed bilaterally, subsequently, this article will describe the projection as a bilateral examination. On this page:The oblique positioning maneuvers the join of interest away from central structures to produce a clearer view of articulation. It is often requested in the context of significant trauma that can result in sternoclavicular joint dislocation or medial end clavicular fractures. Furthermore, this projection can be requested when following up on already known sternoclavicular injuries in the setting of outpatient appointments.
ReferencesRelated articles: Imaging in practicePromoted articles (advertising)Which procedure should be performed to demonstrate only one sternoclavicular joint with the PA projection?Cards
Where is the center of the IR positioned for a PA projection of sternoclavicular joints?Cards
What is the central ray for PA projection sternoclavicular joints?CENTRAL RAY: PA: 3” inferior to the C7 spinous process, perpendicular to midsagittal plane. Obliques: 3” inferior to the C7 spinous process, 1-2” lateral to midsagittal plane (toward elevated side).
Which way is the CR directed for the oblique SC joints?For the oblique view of the cervical spine, the patient may be erect or recumbent. The patient is rotated 45° to the left, to demonstrate the right-side neural foramina. The CR is directed to the C-4 vertebra with 15°-20° cephalad angulation.
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