Plain Films - Shoulder
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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.
Weight bearing, both AC joints on a single film.
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.
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- Date last published: 31 August 2017
- Document type: Imaging Protocol
- Services responsible: Paediatric Radiology
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