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Prosedur Pemeriksaan Thorax Dengan Klinis Suspected Acromioclavicular Joint Injury Di Instalasi Radiologi Rsud Sleman

Year: 2026
Type: article
Abstract: Radiographic examination of the acromioclavicular (AC) joint at the Radiology Department of Sleman Regional General Hospital (RSUD Sleman)—for cases with suspected AC joint injury—is performed using an Anteroposterior (AP) chest projection with weights applied to both hands. This study aims to analyze the applied examination procedure, the rationale for selecting the AP projection, and the purpose of using weights during the examination. This is a qualitative study employing a case study approach, conducted at the Radiology Department of RSUD Sleman from January to June 2026. The research subjects consisted of three radiographers, one radiologist, and one referring physician, while the research object was the chest radiography procedure for cases of suspected AC joint injury. Data were collected through observation, interviews, and documentation, then analyzed descriptively via narrative presentation, theoretical verification, result interpretation, and conclusion drawing aligned with the research objectives. The results indicate that the examination is performed without special preparation, other than the removal of metal objects that could cause artifacts. The examination utilizes an X-ray unit, a bucky stand, a detector, a computer, a printer, an apron, and weights. The technique involves an erect AP projection with 5 kg weights held in both hands to generate an inferior traction force on the shoulders. This projection captures both bilateral AC joints in a single exposure, facilitating a comparison between the right and left sides and providing information on thoracic structures; meanwhile, the use of weights serves to accentuate the joint space and coracoclavicular distance, thereby enabling the detection of instability, separation, or dislocation that might not be visible without the load.
DOI: 10.58738/jhn.v4i1.1906
Subfield: Epidemiology
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W7220896229
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