Shoulder series
Updates to Article Attributes
Body
was changed:
The shoulder series is fundamentally composed of two orthogonal views of the glenohumeral joint including the entire scapula. The extension of the shoulder series depends on the radiography department protocols and the clinical indications for imaging.
Indications
Shoulder radiographs are performed for a variety of indications including:
- shoulder trauma
- bony tenderness at the glenohumeral joint/region
- restriction of rotation
- instability
- suspected dislocation
- AC joint injury
- scapula trauma
- suspected arthritis
- non-traumatic shoulder pain
Projections
Standard projections
-
AP view
- demonstrates the glenohumeral joint in the natural anatomical position
-
demonstratesshows the humeral head superimposing the glenoid of the scapula -
demonstratesdisplays the entire clavicle, AC joint, scapula, superior ribs, SC joint and proximal humerus
-
lateral or scapular Y view
- orthogonal view of the AP shoulder view
- profile view of the scapula
- demonstrates the degree and direction of any suspected dislocations
Modified trauma projections
-
modified trauma axial 1
- a replacement examination to the lateral projection with a higher diagnostic yield
- best used in trauma
- appropriate examination for inspection of the articular surfaces of both the humeral head and the glenoid
- can be conducted regardless of body habitus or patient condition
-
Garth projection
- a modified trauma view for possible glenohumeral dislocations
-
supine lateral
- modified lateral shoulder projection often
utlisedutilised in trauma imaging where the patientis able tocan roll onto a sponge - cannot be used in trauma patients on spinal precautions
- modified lateral shoulder projection often
-
modified transthoracic supine lateral
- modified lateral shoulder projection often
utlisedutilised in trauma imaging when the patient cannot move from the supine position - involves no patient movement
- modified lateral shoulder projection often
-
supine axial view (inferosuperior)
- modified axial projection for supine patients
- demonstrated the articular surfaces of the glenoid and humerus
- orthogonal view to the AP shoulder
Additional projections
-
AP shoulder external rotation
- greater tubercle of the proximal humerus is in profile
-
AP shoulder internal rotation
- lesser tubercle of the proximal humerus is in profile
- ideal view for detection of a Hill-Sachs lesion
-
AP glenoid or Grashey view
- the view to prevent overlap of the humeral head over the glenoid
- this view is also known as the true AP
-
outlet (neers) view
- specialised projection demonstrating the coracoacromial arch often utilised in the investigation of speculated shoulder impingement
-
axial or axillary view
-
demonstrateddisplays the articular surfaces of the glenoid and humerus - orthogonal view to the AP shoulder
-
-
strykerStryker view-
demonstrateddisplays the articular surfaces of the glenoid and humerus - orthogonal view to the AP shoulder
-
-<li>demonstrates the humeral head superimposing the glenoid of the scapula </li>-<li>demonstrates the entire clavicle, AC joint, scapula, superior ribs, SC joint and proximal humerus</li>- +<li>shows the humeral head superimposing the glenoid of the scapula </li>
- +<li>displays the entire clavicle, AC joint, scapula, superior ribs, SC joint and proximal humerus</li>
-<li>Garth projection <ul><li>a modified trauma view for possible glenohumeral dislocations</li></ul>- +<li>
- +<a href="/articles/shoulder-garth-view">Garth projection</a> <ul><li>a modified trauma view for possible glenohumeral dislocations</li></ul>
-<li>modified lateral shoulder projection often utlised in trauma imaging where the patient is able to roll onto a sponge</li>- +<li>modified lateral shoulder projection often utilised in trauma imaging where the patient can roll onto a sponge</li>
-<li>modified lateral shoulder projection often utlised in trauma imaging when the patient cannot move from the supine position</li>- +<li>modified lateral shoulder projection often utilised in trauma imaging when the patient cannot move from the supine position</li>
-<a title="Shoulder (outlet view)" href="/articles/shoulder-outlet-view">outlet (neers) view</a><ul><li> specialised projection demonstrating the coracoacromial arch often utilised in the investigation of speculated shoulder impingement</li></ul>- +<a href="/articles/shoulder-outlet-view">outlet (neers) view</a><ul><li> specialised projection demonstrating the coracoacromial arch often utilised in the investigation of speculated shoulder impingement</li></ul>
-<li>demonstrated the articular surfaces of the glenoid and humerus</li>- +<li>displays the articular surfaces of the glenoid and humerus</li>
-<li>stryker view <ul>-<li>demonstrated the articular surfaces of the glenoid and humerus</li>- +<li>
- +<a title="Shoulder (Stryker notch view)" href="/articles/shoulder-stryker-notch-view">Stryker view </a><ul>
- +<li>
- +<span style="background-color:rgb(245, 246, 245)">displays </span>the articular surfaces of the glenoid and humerus</li>
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