> ## Documentation Index
> Fetch the complete documentation index at: https://support.xraysim.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Elbow Simulation

> Quick reference for supported elbow views, free-plating setup, movement, bone variations, and current limitations.

## Quick reference

| Question                             | What to expect                                                                                                         |
| ------------------------------------ | ---------------------------------------------------------------------------------------------------------------------- |
| **Which projections are confirmed?** | PA, lateral, and oblique elbow views.                                                                                  |
| **Can users try other projections?** | **Yes.** These are confirmed examples. Other projections may be possible when the simulated setup supports them.       |
| **What anatomy is included?**        | Humerus, radius, and ulna.                                                                                             |
| **What setup is used?**              | Free-plating detector workflow.                                                                                        |
| **What movement is included?**       | Shoulder internal/external rotation, elbow flexion/extension, and patient anteroposterior and mediolateral adjustment. |
| **What bone variations exist?**      | Healthy bone version, distal humerus fracture, radial head fracture, and ulnar olecranon fracture.                     |
| **Known limitation**                 | Forearm supination and pronation are not included.                                                                     |

<Card title="Projection expectations" icon="circle-info" type="note">
  The projections listed on this page are confirmed examples for this simulation module. They do not define the full limit of what can be attempted. The simulator creates an image from the selected anatomy, patient position, joint movement, detector setup, tube position, collimation, and exposure settings, so other projections may be possible when the setup supports them.
</Card>

## Visual examples

<Tabs sync={false}>
  <Tab title="Simulator setup" icon="monitor">
    <Frame caption="Simulator setup and positioning environment">
      <img src="https://mintcdn.com/xraysim/VnvTWKY52Qa6Plu5/Assets/simulation-catalog/v1.9.0/elbow-preview.jpg?fit=max&auto=format&n=VnvTWKY52Qa6Plu5&q=85&s=93e8263a06a998cfd8d96148be8260cb" alt="Simulator setup preview" width="626" height="354" data-path="Assets/simulation-catalog/v1.9.0/elbow-preview.jpg" />
    </Frame>
  </Tab>

  <Tab title="Example exposure" icon="image">
    <Frame caption="Example exposure only: shows included anatomy, not a positioning standard or diagnostic-quality image. Results vary with tube, detector, collimation, patient movement, and alignment.">
      <img src="https://mintcdn.com/xraysim/VnvTWKY52Qa6Plu5/Assets/simulation-catalog/v1.9.0/elbow-exposure.jpg?fit=max&auto=format&n=VnvTWKY52Qa6Plu5&q=85&s=93a6a18bc19055bf96e4a9a9e0da8552" alt="Example exposure from the simulator" width="313" height="358" data-path="Assets/simulation-catalog/v1.9.0/elbow-exposure.jpg" />
    </Frame>
  </Tab>
</Tabs>

## Imaging capabilities

| Capability            | Details                                                                                                                                                                                                |
| --------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| Radiographic tube     | Full range of motion, including vertical, horizontal, tilt, and rotation. The cassette can be rotated, and collimation size is adjustable.                                                             |
| Detector methods      | The detector setup uses free plating.                                                                                                                                                                  |
| Confirmed projections | Confirmed examples include PA, lateral, and oblique elbow views. They do not define the full limit of what can be attempted. Other projections may be possible when the simulated setup supports them. |

## Anatomy and movement

| Area             | Details                                                                                                                    |
| ---------------- | -------------------------------------------------------------------------------------------------------------------------- |
| Included anatomy | Humerus, radius, and ulna.                                                                                                 |
| Joint mobility   | Shoulder internal and external rotation. Elbow flexion and extension. Patient anteroposterior and mediolateral adjustment. |

## Bone variations

* Healthy bone version
* Distal humerus fracture
* Radial head fracture
* Ulnar olecranon fracture

## Known limitations

The forearm cannot supinate or pronate, which limits how accurately some elbow exposures can be simulated.