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Shoulder

DSHLDR2V
DSHLDR1V

ROUTINES: PAIN-NO INJURY-AP, Axillary & Outlet.

TRAUMA/INJURY-AP, Axillary & Grashey.
CALCIFIC TENDONITIS OR GREATER TUBEROSITY
FRACTURE-Internal and External views.

DISTANCE: 40”

BUCKY: Yes/ Grid for Axillary

FOCAL SPOT: Small or Large

IMAGING PLATE: 10x12 CR cassette crosswise for AP, 10x12 CR Cassette with grid for Axillary, and 8x10 CR cassette for Outlet.

CENTRAL RAY:

  • AP: Perpendicular to coracoid process.
  • Axillary: Perpendicular to the vertically placed cassette through the axilla region.
  • Outlet: 10° caudal angle to the shoulder joint.
  • Grashey: perpendicular to coracoid process.

HELPFUL POSITIONING: When doing the axillary, have the patient hold an IV pole so the arm is extended straight out or put a sponge under their arm to bring the arm straight out. For the outlet, position the patient as you would for a lateral scapula. Direct the CR to the top of the shoulder, angling 10° caudal.

ADDITIONAL COMMENTS:

  1. The Axillary View must be done with a grid.

SEE ALSO/OTHER VIEWS:

  1. AP Neer (Grashey): 30° oblique of patient toward affected side.
  2. PA Neer (Scapular Y): 45° oblique angle of patient-affected side down.
  3. Outlet: Position patient as you would for a lateral scapula. Direct CR to the top of the shoulder joint. 10° caudal angle. Draw an imaginary line between the vertebral body of the scapula & the coracoid. This should be perpendicular with the film. Pt. Is standing straight up & shoulders are back.
  4. Velpeau Axillary View: The patient leans backward 30 degrees over the cassette on the table. The tube is placed above the shoulder and the beam projected vertically down through the shoulder onto the cassette. 

Updated 9/24/2010

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