Menu Search Donate
Guideline identity image

Plain Films - Shoulder

This document is only valid for the day on which it is accessed. Please read our disclaimer.

Shoulder Trauma

The standard views are:

AP   Patient AP with humerus in external rotation
Glenoid  Patient at 30-40 deg to image plate
Tube angle 10 deg caudal
Humerus in internal rotation to show gleno-humeral joint space
Lateral with blade of scapula at 90deg to film

If possible, and if no # already seen, Axial can be done as below:

Axial  can be done with patient arm abducted, leaning over end of table, or supine/horizontal xray if patient immobile.
Particularly good for anterior/posterior dislocation.

If ? around clavicle damage, include whole of clavicle. See alternatie supine views below. It may be necessary to do more views for example:

AP, AP Oblique and Lateral as above - may need an axial view if anterior/posterior dislocation.

Acromio-Calvicular Joints

Weight bearing, both AC joints on a single film.

Clavicle fracture

AP with straight ray of affected clavicle should be sufficient in cases of obvious #. AP with 20 deg cephalic angulation if straight AP not definitive -not usually needed for Paeds.

Did you find this information helpful?

Document Control

  • Date last published: 31 August 2017
  • Document type: Imaging Protocol
  • Services responsible: Paediatric Radiology

More From Starship

  • Paediatric Imaging

    Visit the Alliance for Radiation Safety in Paediatric Imaging to learn about the 'image gently' campaign