Shoulder Joint
Inferosuperior Axial (Lawrence) (Axillary)
IR Size: 8x10 CW
SID: 40''
Page #'s: 1:194,56

Positioning:
  • Pt. Supine
  • Head, shoulders & Elbow ~3'' above TT
  • Abduct arm 90° from body
  • Head turned away
  • Superoinferior Axial p1:198 can also be done

CR Entrance & Angle:
  • Horizontally axilla to AC joint; 15°-30° (for arm 45°-90°) medially (>abduction >CR angle)
  •

Collimation:
  •

Eval Criteria:
  • Slight SI of scapulohumeral joint
  • Lesser Tubercle in profile; Lesser tubercle & coracoid pointing anteriorly
  • AC joint, acromion, & acromial end of clavicle projected thru humeral head

PA Oblique RAO/LAO (''Scapular Y'')
IR Size: 10x12 LW
SID: 40''
Page #'s: 1:199,58

Positioning:
  • Pt. Upright, if possible
  • Arm slightly over midline grid
  • _|_ line Superior Angle to AC joint

CR Entrance & Angle:
  • _|_ Scapulohumeral Joint
  •

Collimation:
  • 12'' x 1'' past Lat shadow

Respiration:
  • Suspend

Best to Determine:
  • Anterior (subcoracoid) dislocation of.-Humeral head inf. to Coracoid
  • Posterior(subacromial) dislocation of.-Humeral Head inf. to Acromion

Eval Criteria:
  • SI of humeral head on glenoid cavity
  • SI of humeral shaft on scapular body
  • NO SI of scapular body over bony thorax
  • NO SI of Acromion & projected laterally
  • Coracoid possibly SI of projected below clavicle
  • Scapula in lateral profile