Shoulder Xrays

A/P Grashe view of Glenohumeral Joint

1. A30°

Scapular Lateral View

• Scapular-Y view

• Best to identify glenohumeral joint narrowing and the presence of an unfused acromial epiphysis.
• Helpful to determine the amount of acromion which remains in patients who have undergone previous surgery.

• patient prone with arm in 90° abduction and neutral rotation. Xray beam is directed 25° posterior to the horizontal plane and 25° medial to the vertical plane. Useful for evaluating the anterior glenoid rim / bony bankart lesions.

• Patient supine with hand laced on top of the head
• Demonstrates posterosuperior humeral head and Hill-Sachs lesions.

• A/P view of scapula taken with xray beam tited 10° to 15° cephalad.
• Xray penetration should be 1/2 normal to avoid overpenetration of AC joint.
• AC joint spurring and cystic changes indicates AC arthritis
• Distal clavicle elevation indicates AC separations.
• Helpful in Distal clavicle fractures.

• lateral radiographic view of the scapula and acromion, with a 20-degree caudal tilt.
• Intended to identify any bone projecting downward into the supraspinatus outlet.
• This view often identifies inferior protrusion of the acromion and the undersurface of the clavicle
• May demonstrate an unfused acromial epiphysis.