Axial Lateromedial (Coyle Method) Elbow position
Elbow flexed 90°; hand pronated; shoulder
dropped & entire limb on same plane;
epicondyles perpendicular to IR (for radial
head)
*For coronoid process, same as above except
elbow flexed 80°
Where is the CR for AP, AP External oblique& AP Internal
oblique Elbow?
Enters mid elbow joint -
3/4" distal to epicondyles
Where is the CR for Lateral Elbow?
Enters mid elbow joint -
1.5" medial to posterior
surface of olecranon
process
Where is the CR for Axial lateromedial Elbow? For radial head
To mid elbow joint:
45° angle toward shoulder
Where is the CR for Axial lateromedial Elbow? For coronoid
process
45° angle away from shoulder
,Anatomy demonstrated in AP elbow
Open elbow joint & epicondyles
in profile with radial head, neck
& tuberosity slightly
superimposed over ulna
Anatomy demonstrated in AP external (lateral) oblique elbow
Radial head, neck, & tuberosity
in profile, not superimposed
over ulna. Open proximal
radioulnar joint
Anatomy demonstrated in AP internal (medial) oblique Elbow
Radius & ulna superimposed
(crossed). Coronoid, trochlea, &
medial epicondyle in profile
Anatomy demonstrated in lateral (lateromedial) Elbow
3 concentric arcs, olecranon in
profile, epicondyles
superimposed
Anatomy demonstrated in Axial lateromedial Elbow (for radial
head)
Radial head free of superimposition from ulna
Anatomy demonstrated in Axial lateromedial Elbow (for
coronoid process)
Coronoid process free of superimposition from radius
, AP Humerus Position
Pt. facing tube; arm fully extended; hand
supinated; arm abducted slightly; body slightly
rotated to bring arm closer to IR; epicondyles
parallel to IR
Rotational lateral (lateromedial) Humerus position
Pt. facing tube; arm fully extended & elbow
partially flexed; arm internally rotated until
back of hand against thigh; body slightly
rotated to bring arm closer to IR; epicondyles
perpendicular to IR
Rotational lateral (mediolateral) Humerus position
Pt. facing Bucky; body rotated 20°-30°; arm
flexed 90°; epicondyles perpendicular to IR
Lateral (distal humerus) Humerus position
Pt. supine & elbow on sponge; elbow flexed
90° & hand lateral; epicondyles perpendicular
to IR; IR placed between elbow & thorax
Transthoracic lateral Humerus Position
Affected arm in neutral position with shoulder
dropped; unaffected limb raised over head;
expose using breathing technique
Where's the CR for AP &Rotational lateral (lateromedial
&mediolateral) Humerus?
Enters mid humerus