Shoulder x-ray

AP view
Glenohumeral (GH) view
Lateral view
Neers Lateral
Superioinferior (SI) view

1. Shoulder Radiographic

2. Shoulder X-ray AP view Glenohumeral (GH) view Lateral view Neers Lateral Superioinferior (SI) view

3. AP View http://www.wikiradiography.net/

4. Positioning

5. Pathology shown Fractures, dislocations, calcium deposits in muscle, tendon and bursae

6. Critique Positioning The entire clavicle Medial 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 body Humerus parallel with body Internal arm rotation Lesser tubercle in profile medially Greater tubercle super-imposed on humeral head External arm rotation  Greater tubercle in profile laterally Lesser tubercle super-imposed on humeral head

7. Critique 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

8. Glenohumeral (GH) view

9. Pathology shown Demonstrates the integrity of the glenohumeral joint (dislocations), fractures

10. Positioning

11. Critique 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

12. Lateral view

13. Pathology shown 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

14. Positioning

15. Scapular Pathology

16. Neer view

17. Pathology shown Spurs, calcifications, impingement on supraspinatus outlet, shape of acromion

18. Positioning

19. Critique 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-line Exposure • Bony trabecular patterns and cortical outlines are sharply defined • Soft tissues are visualised

20. Superoinferior Axial (SI)

21. Pathology shown Fractures and or dislocations of the proximal humerus , oesteoporosis , osteoarthritis, Hill-Sachs defect

22. Positioning

23. The End