OS HUMERUS RADIOGRAPHY

EXAMINATION TECHNIQUES IN
FRACTURE CASE
IN RADIOLOGY INSTALLATION
HOSPITAL BUDI RAHAYU PEKALONGAN
BY: ZAFA FARADILLA
INTRODUCTION

• Humerus fracture is a disconnection of the humeral bone with soft tissue

damage (muscle, skin, nerve tissue, blood vessels). Humeral fracture in
clinical conditions is very rare, the cause of this fracture is trauma to the
humeral shaft resulting soft tissue damage accompanied by a broken humeral
shaft (Muttaqin, 2011).
• X-ray machine
• Brand: DR. GEM ROTANODE
• Serial No: 13CXXX
• Model Unit: E723XX
• Radiography Cassette
• Patient Position: The patient is positioned supine on the examination table
• Object Position:
• the body is directed at the affected part
• The humerus is aligned on the tape for an elbow joint and shoulder joint to be placed in the irradiation field
• palm position abduction
• Cassette Size: 35x43 cm
• CR: Vertically perpendicular to the cassette
• CP: in the middle of the humeral os
• FFD: 100 cm
• Exposure factor: 70-80 Kvp with grid, non-gid 65-70 kVP
• Radiograph Criteria :
• There is a clear picture of Humerus
• Both elbow joint and shoulder joint are visible
• The lateral and medial epicondyle are visualized
• Markers and patient identity are visible
• Patient's position: The patient is positioned recumbent on the examination table on the part that will
be examined.
• Object Position:
• Placing the cassette perpendicular between the armpits or in the middle between the chest and arms
• The arm is positioned straight with the affected part close to the IR
• Cassette Size: 35x43 cm
• CR: Horizontal perpendicular to the side of the humerus os
• CP: At 1/3 distal humerus
• FFD: 100 cm
• Exposure factor: 70-80 Kvp with grid, non-gid 65-70 kVP
• Radiograph Criteria:
• The distal radiograph of the 1/3 humerus is clearly visible
• Elbow joint and proximal antebrachii are visible
• The lateral and medial epicondyle are visualized
 A. Results of examination readings by Radiology Doctor Os. Humerus AP and Lateral
Modifications:

• Good bone structure and trabeculation

• Discontinuity at 1/3 distal Os. Right humerus with good alignment and a position
• No visible point / sclerotic lesions and periosteal reaction
• There was no visible dislocation of the shoulder or elbow joint
• Impression : FRACTURE 1/3 DISTAL OS. RIGHT HUMAN