부위별 주요 X선 검사

몸통(trunk)

가슴 

• Chest PA/lateral

갈비뼈(늑골, rib)

• rib AP/both oblique

rib AP

rib both oblique

복통/옆구리 

Abdomen supine/erect

KUB(Kidney/Ureter/Bladder)

상지(upper extremity)

Clavicle/Scapular/AC joint

Clavicle AP

Clavicle tilt view

Scapular AP

Scapular lateral

Scapular Y-View

Zanca view

어깨(shoulder)

• Shoulder impingement series: 4가지로 구성
  1. (Rt or Lt) Shoulder axillary view
  2. (Rt or Lt) Scapular outlet view
  3. (Rt or Lt) 30° caudal tilting view(Rockwood view)
  4. (Rt or Lt) Shoulder AP

Shoulder AP  

Shoulder (supraspinatus) Outlet View

30° caudal tilting view(Rockwood view)

Shoulder Axial(superior-inferior axial)

팔꿈치/전완부(elbow/forearm)

• (Rt or Lt) Elbow AP/lat/both oblique
• (Rt or Lt) Forearm AP/lat

Elbow AP

Elbow lateral

Elbow oblique

• Elbow medial oblique

• Elbow lateral oblique

Forearm AP

Forearm Lateral

손목(wrist)

• (Rt or Lt) Wrist AP/lat/both oblique
• tunnel view

wrist PA

Wrist Lateral

wrist oblique 

wrist oblique: supinated oblique view

wrist oblique (Billiard view)

wrist carpal canal

손(hand)/손가락(finger)

• Hand : (Rt or Lt) Hand AP/lateral/oblique
• Finger : (Rt or Lt)  Finger AP/lateral/oblique
• Thumb : (Rt or Lt) Finger AP/Lateral(thumb은 그 자체가 oblique)
• Scaphoid bone fx.가 의심될 때 : (Rt or Lt) Billiard view 추가

Hand AP

Hand oblique

Hand lateral (fan-like)

Finger AP

Finger Lat

finger both oblique

하지(lower extremity) 

고관절/골반(hip/pelvis)

• Both hip AP
• Both hip AP/(Rt or Lt) hip translateral
• Both hip AP/frog leg lateral

• Pelvis AP
• Pelvis both oblique(iliac wing view + obturator foramen view)
• Pelvis inlet view : Posterior displacement, anterior pelvic의 inward 또는 outward rotation 등을 보는데 유용
• Pelvis outlet view : 골절된 편측 골반의 상/하 전위를 평가하는데 유용
• Judet view(internal(obturator) oblique view + external(iliac) oblique view) : acetabulum fx.를 보기 위한 view

Hip AP

Frog leg Lateral

Hip lateral

Hip axial -Translateral

Pelvis AP

Pelvis lateral

Pelvis both oblique

pelvis Inlet view

Pelvis Outlet view

대퇴부(femur)

Femur AP 

Femur Lateral

무릎(knee)

• Knee AP/lateral
• Knee axial view: skyline view, Merchant view
• Knee Both oblique
• Knee Plateau(intercondylar notch view)
• Knee tunnel view
• Knee Standing AP, Standing Rosenberg view

• Knee AP, lateral
  ± skyline, merchant, tangential view

Knee AP

Knee Lateral

Knee both oblique

Knee axial view 

• Axial view에는 여러 가지 방법이 존재
  1. Inferosuperior or skyline or sunrise method
  2. Merchant method
  3. Settegast method(patient prone, 90º knee flexion)
  4. Hughston method(patient prone, 55º knee flexion) 
  5. Convention inferosuperior(patient supine 45º knee flexion) 
  6. Sitting tangential method(patient sitting, <90º knee flexion) 
  7. Laurine method(patient supine, 20º knee flexion)

Knee Skyline view(30,60,90도)

Merchant view

Knee Plateau view 

Knee tunnel view

•  크게 2가지 방법 존재

Knee Standing AP view

Knee standing Rosenberg view

발목/발(ankle/foot)

발목

• (Rt or Lt) Ankle AP/lateral
• (Rt or Lt) Mortise View : Ligament tear, lateral malleolus, medial malleolus 및 talus와의 interspace 등 관찰

발

• Foot AP, oblique
• Foot lateral, standing
• Calcaneus lateral/axial

Ankle AP

Ankle Lateral

ankle Both oblique

Ankle Mortice view

Foot AP

Foot Lateral

Foot Oblique

Calcaneus Lateral

Calcaneus Axial

척추(Spine)

경추

• AP/lateral/both oblique
  ± open mouth view
  ± swimmer view
  ± flexion/extension view

요추

• AP/lateral
  ± both oblique
  ± flexion/extension view

흉추/whole spine

• AP/lateral
  ± flexion/extension view

목(경추)

• C-spine series : C-spine AP/lateral/both oblique
• C-spine flexion/extension

• C-spine AP/lateral/both oblique
  ± open mouth view
  ± swimmer view
  ± flexion/extension view

C-spine AP

C-spine Both Oblique

C-Spine Lateral

C-Spine Dynamogram (Flexion/Extension)

Open mouth view

Swimmer view

등/허리(back)

• T-spine standing series: AP/lateral ± flexion/extension view
• L-S spine standing series(AP, Lateral, both oblique) + flexion/extension : Standing 안되면 Supine으로 시행
• Pelvis AP

L-Spine AP / L-S spine AP

L-Spine both oblique / L-S Spine both oblique

L spine Lateral / L-S spine Lateral

L spine flexion/extension view