Shoulder Xrays

AP Shoulder

 

Technique

- in plane of thorax

- oblique of GHJ

 

 

AP in plane of scapula

 

Grashey

- angle 45^o lateral

- allows estimation of glenohumeral space

 

 

AP IR / ER

 

Demonstrates Hill Sach's and other humeral head morphology

 

Scapular lateral

 

Patient erect

- affected shoulder against plate

- rotate other shoulder 45^o out of way

- beam aimed along spine of scapula

 

 

Axillary lateral

 

Patient seated

- arm abducted

- plate under axilla

- beam angled down towards shoulder

 

 

Supraspinatous outlet view

 

For acromial morphology and impingement

 

Similar to scapular lateral

- tilt beam caudal 10^o

 

 

West Point View

 

Variation axillary lateral

- tangential view anterior / inferior glenoid 

- for bony bankart

 

Patient prone with arm hanging off bed

- plate superior to shoulder

- camera 25° cephalad to horizontal / 25° to long axis body

 

 

Garth View / Apical Oblique

 

True AP with 45^o caudal tilt

- to show anterior / inferior capsule 

- bony bankhart / Hill Sachs

- standing with plate behind joint

- 45° caudal tilt / 45° in coronal

 

 

Stryker Notch view

 

Patient supine with cassette posterior to shoulder

- hand on head, elbow straight up

- beam 10^o cephalic aiming at corocoid

 

Demonstrates Hill-Sach's

 

 

Zanca view

 

ACJ

 

Patient erect with cassette behind shoulder

- aim beam at ACJ 10 - 15^o cephalic

- half strength to not overexpose ACJ

 

 

Serendipity view

 

SCJ

 

Technique

- prone with cassette under chest

- aim beam 40^o cephalic