scapula

Question 1

AP scapula

Answer 1

• Abduct arm at right angle with body to draw the scapula laterally
• Slow breathing to obliterate lung
• IR: 2” on top of shoulder
• Perpendicular to midscapular
  2” inferior to coracoid process
• AP projection of scapula

Question 2

RAO/LAO Position scapula

Answer 2

• Pt in RAO or LAO (PA Oblique)
• Affected scapula center to grid
• Flex elbow
• Place back of hand on posterior thorax
• 45-60 rotate body to IR
• lateral scapula
• POSI 2: patient reach across front of chest and grasp opposite shoulder

Question 3

Lorenze and Lilienfeld Method

Answer 3

• patient in recumbent
• center scapula to the midline of grid
• oblique image of scapula
• degree of obliquity depends on the position of arm
• Lorenz: arm of affected side at thr right angle, flex elbow, rest hand to pt head, body slightly forward
• Lilienfeld method: extend arm of affected side obliquely pward, hand rest on head, body slightly forward

Question 4

AP Axial Coracoid Process

Answer 4

• pt supine, arms along sides
• supine hand
• CR 15-45 cephalad enter coracoid process
• slightly elongated inferosuperior of coracoid process

Question 5

Laquerriere-Pierquin

Answer 5

• center shoulder to midline of grid
• head away from shoulder
• CR 45 cauded posterosuperior region of shoulder
• spine of the scapula, free of bony superimposition, except for lateral end of clavicle