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Humerus X-ray positioning

How to position for each of the 4 humerus X-ray views: where the patient goes, where to centre, which receptor and distance to use, and what a good image looks like.

By the ScanFlo Editorial Team · Updated

In this section · X-ray positioning

X-ray positioning/Humerus

The routine humerus views are Humerus AP and Humerus lateral. Humerus AP (after injury) and Humerus lateral (after injury) come in when you need to answer a particular question, or when the patient can't manage a routine view. Each guide walks you through the set-up step by step, with a short video, exposure settings for different patient sizes and what a good image should show.

A radiographer is still checking these guides.

Routine views

Extra views

All views in this region

  • Humerus AP
  • Humerus lateral
  • Humerus AP (after injury)
  • Humerus lateral (after injury)

Quick reference

Where to centre, how far and which receptor, for every humerus view at a glance. Open a guide for the full set-up.

ProjectionCentre onSIDReceptorBreathing
Humerus APthe mid-shaft100 cm18×43 portraitSuspend respiration
Humerus lateralthe mid-shaft100 cm18×43 portraitSuspend respiration
Humerus AP (after injury)the mid-shaft110 cm18×43 portrait, gridSuspend respiration
Humerus lateral (after injury)the mid-shaft110 cm18×43 portrait, gridSuspend respiration

Mistakes that lead to repeats

  • Elbow cut off on the humerus AP: include both joints.
  • Not a true lateral on the humerus lateral: rotate fully, palm down.
  • Overlap with ribs on the humerus lateral (after injury): turn the trunk to clear the ribs.

Common questions

Which humerus views are routine?
Usually Humerus AP and Humerus lateral.
What distance (SID) do humerus X-rays use?
Anywhere from 100 to 110 cm, depending on the view. Each guide gives the exact figure.
Do humerus X-rays need a grid?
Only Humerus AP (after injury) and Humerus lateral (after injury) need one; the rest are taken without a grid.

Try it in ScanFlo: the ScanFlo XR X-ray Room, coming soon, lets you set up every humerus projection in a 3D room and score your positioning. See ScanFlo XR →

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