Download - Shoulder x-ray
AP view
Glenohumeral (GH) view
Lateral view
Neers Lateral
Superioinferior (SI) view
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Fractures, dislocations, calcium deposits in muscle, tendon and bursae
Positioning
The entire clavicleMedial end of clavicle is seen next to the lateral vertebral column
The humeral head should overlap the glenohumeral joint (this occurs more with internal rotation compared to external or neutral position of the humerus)No foreshortening of the scapular bodyHumerus parallel with body
Internal arm rotationLesser tubercle in profile mediallyGreater tubercle super-imposed on humeral head
External arm rotationGreater tubercle in profile laterallyLesser tubercle super-imposed on humeral head
Area Covered
• Glenohumeral joint, acromioclavicular joint, sternoclavicular joint, coracoid process, clavicle, superior scapula, proximal third of humerus
Collimation
• Centre: Glenohumeral joint • Shutter A: Open to include the top of the shoulder and approximately one third of
the proximal humerus • Shutter B: Open to include just beyond the humeral skin line and the
sternoclavicular joint
Exposure
• Bony trabecular patterns and cortical outlines are sharply defined • Soft tissues are visualised
Demonstrates the integrity of the
glenohumeral joint (dislocations),
fractures
Positioning
Correct obliquity of the patient is evidenced by:
The anterior and posterior rims of the glenoid cavity are super-imposed
The glenohumeral joint is exhibited open
Lateral aspect of the coracoid process slightly super-imposes humeral head
Correct amount of caudal angling is evidenced by:
Clear view of acromion space
Area Covered
Glenohumeral joint, humeral head, proximal humerus, acromion, acromion space, coracoid process, distal clavicle
Exposure
Bony trabeculation and cortical outlines are sharply defined
Soft tissues are visualised
Fractures and or dislocations of proximal
humerus and scapula. The humeral head
will be inferior to the coracoid process
with anterior dislocation, and with
posterior dislocation the humeral head
will be inferior to the acromion process
Spurs, calcifications, impingement on
supraspinatus outlet, shape of acromion
Area Covered
• Clear supraspinatus outlet, acromioclavicular joint, humeral head, superior scapula in a lateral position
Collimation
• Centre: Humeral head • Shutter A: Above acromion process and lateral clavicle • Shutter B: Skin-lineExposure
• Bony trabecular patterns and cortical outlines are sharply defined
• Soft tissues are visualised
Fractures and or dislocations of the
proximal humerus, oesteoporosis,
osteoarthritis, Hill-Sachs defect