Shoulder series

Mr Andrew Murphy et al.

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: 

Projections

Standard projections
  • AP view
    • demonstrates the glenohumeral joint in the natural anatomical position
    • demonstrates the humeral head superimposing the glenoid of the scapula 
    • demonstrates 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 view performed supine 
    • 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 utlised in trauma imaging where the patient is able to roll onto a sponge
    • cannot be used in trauma patients on spinal precautions
  • modified transthoracic supine lateral
    • modified lateral shoulder projection often utlised in trauma imaging when the patient cannot move from the supine position
    • involves no patient movement
Additional projections

Radiographic views
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Article Information

rID: 45087
Section: Radiography
Synonyms or Alternate Spellings:

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Cases and Figures

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    External rotation...
    Figure 1: AP external rotation
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    Figure 2: AP internal rotation
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    Figure 3: normal lateral / scapular Y view
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    Grashey view (AP ...
    Figure 4: AP glenoid / Grashey view
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    Figure 5: AP neutral view
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    Axillary view
    Figure 6: axillary view
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    Baby arm view
    Figure 7: AP abduction external rotation view
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    Figure 8: stykers view
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    Figure 9: internal rotation
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    Figure 10: external rotation
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    Figure 11: lateral view
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    Figure 12: glenoid view
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    Figure 13: transthoracic lateral
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    Figure 14: modified transthoracic lateral
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    Figure 15: supine lateral
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