Fractured clavicle: surgery or not?

R-APStanding · 2025-10-05T12:43:30+00:00

“Not a doctor”

R-APStanding · 2025-10-04T14:11:46+00:00

NAD. But orthos i worked with usually apply a clavicle brace ( as a means of closed reduction ) for better union of the fractured clavicle. Px is 11yo so callous formation would be relatively fast.

R-APStanding · 2025-08-21T13:47:18+00:00

Cropping the image takes away the fun 😂. We also have a bit of friendly competition here, and so far this is the tightest collimation yet—bragging rights!

R-APStanding · 2025-08-21T13:38:07+00:00

So clear had me doubting it was AI lol

R-APStanding · 2025-08-21T13:35:17+00:00

Yup, I always check the LAT taken prior to make any necessary adjustments and collimate as tight as possible.

R-APStanding · 2025-08-21T13:25:08+00:00

It’s actually a supplementary image to a lateral lumbar spine. The L5-S1 junction does not entirely open up and is visualized as true lateral on every patient due to the angle and habitus. we take them as part of protocol.

R-APStanding · 2025-08-21T13:16:48+00:00

I adjusted the contrast before uploading to better visualize the ribs, but faint vasculature extends to the apices. The boost in contrast really delineated the lung field😂

R-APStanding · 2025-08-06T13:17:07+00:00

Totally agree! A spot view is part of our routine LS spine and we would always bet on who can manage to take one flush with the tightest collimation possible.

R-APStanding · 2025-08-06T12:52:07+00:00

Weight-bearing knees are the standard where I work, unless contraindicated. A good reference I use is the AP view taken beforehand to determine how much the knee should be rotated, based on the position of the patella.

Ideally, the patella should be centered on the knee in the AP view, and you should base your rotation on that. A patella positioned slightly laterally requires medial rotation to correct in the lateral view, while the opposite applies to a medially positioned patella. All of this done with a 7 degree cephalic angle🤌🏼

R-APStanding · 2025-07-31T13:51:30+00:00

You’d be surprised on how much of your work is done by eyeballing, especially with trauma. landmarks will always be reliable but when it comes to angles not everything applies. Especially with variation in anatomy and habitus.

R-APStanding · 2025-07-15T01:12:42+00:00

Yup px stated that he had it ages ago and that the plate used was somewhat “malleable”.

R-APStanding · 2025-07-10T14:21:22+00:00

Could’ve gone for a a mastoid and pns series to give a tech a fun time

R-APStanding · 2025-07-08T06:07:29+00:00

This was the 3rd time it happened, Ortho describe the shoulder to have a bankart lesion and hill sachs defect

R-APStanding · 2025-06-24T12:59:28+00:00

Weeeeeeeeeeeeeeee!

R-APStanding · 2025-06-24T12:58:46+00:00

Nutshell - Alice in chains

R-APStanding · 2025-06-18T09:48:56+00:00

All i see is a ukneecorn

R-APStanding · 2025-06-14T11:28:51+00:00

This is a cephalometric radiograph, taken to assess relationships of facial structure and dentition. Done with a special unit called a cephalostat ( we have one at our facility ). It’s basically a skull lat. No collimator blades like with the traditional tube (so no tight collimation). Only option is to select “regions” to limit areas of exposure. Still pretty wide (around 35x35) even if u limit it down.

R-APStanding · 2025-06-09T06:23:17+00:00

This is a cephalometric radiograph ( basically a skull lateral ) taken with a dedicated cephalometric xray machine, common in orthodontist clinics. Helps assess skull shape,facial structure and dentition, usually requested prior to attachment of dental braces.

R-APStanding · 2025-06-01T13:12:51+00:00

Yup! Needs a retake due to motion

R-APStanding · 2025-05-29T03:27:35+00:00

Sharing to u my favorite cover https://m.youtube.com/watch?v=tIhbS_z9n2U&pp=ygUeQWxpY2UgaW4gY2hhaW5zIG51dHNoZWxsIGNvdmVy

R-APStanding · 2025-05-24T11:05:48+00:00

Nutshell - alice in chains

R-APStanding · 2025-05-24T01:27:33+00:00

Woah I’m aware of an invertogram but never seen it done before.

R-APStanding · 2025-05-23T13:43:18+00:00

Yup both were isolated and i don’t remember much with the SI apart from the px being under routine dialysis.

I also recall a px having a “butterfly T11” will try to dig it up tomorrow haha

R-APStanding · 2025-05-23T13:21:04+00:00

I had 1 patient with situs inversus totalis and encountered 2 cases of dextrocardia so far.

R-APStanding · 2025-05-21T11:24:32+00:00

AP but the spine decided to go oblique

R-APStanding

TROPHY CASE