Shoulder Flashcards
demo greater tubercle of the humerus and the site of insertion of the supraspinatus tendon
Shoulder girdle AP Proj External rotation
demo posterior part of the supraspinatus insertion, which sometimes profiles small calcific deposit
Shoulder girdle AP Proj Neutral rotation
demo profile image of the site of the insertion of the subscapular tendon is seen
Shoulder girdle AP Proj Internal rotation
demo lateral image of the shoulder and proximal humerus is projected through the thorax
Shoulder girdle Transthoracic Lat Proj (Lawrence Method)
demo
1. inferosuperior image of proximal humerus
2. SHJ
3. lat part of coracoid process
4. ACA
5. subscapular tendon insertion site of lesser tubercle of humerus
6. teres minor tendon insertion site of greater tubercle
Shoulder Joint
Inferosuperior Axial Proj (Lawrence Method) /
Shoulder Joint
Inferosuperior Axial Proj (Clements Modification)
demo hill sachs defect
Shoulder Joint
Inferosuperior Axial Proj Rafert Modification of Lawrence Method
demo bony abnormalities of the anterior inferior rim of the glenoid in patients with instability of the
shoulder
Shoulder Joint
Inferosuperior Axial Proj (Westpoint Method)
15-30 degrees medial angulation, if patient can’t fully abduct arm to a full 90 degrees
Shoulder Joint
Inferosuperior Axial Proj (Lawrence Method)
5-15 degrees medial angulation if patient is unable to abduct arm at full 90 degrees
Shoulder Joint
Inferosuperior Axial Proj (Clements Modification)
Perpendicular- 40” SID- level- 1” distal CP- exit- MP- IR
Shoulder girdle AP Proj
Perpendicular- 40”SID- MCP- level-surgical neck- exit- MP- IR
Shoulder girdle Transthoracic Lat Proj (Lawrence Method)
Horizontal- 40” SID- axilla- level- ACA- exit- MP- IR
Shoulder Joint
Inferosuperior Axial Proj (Lawrence Method)
25 degrees anterior and 25 degrees medial- 40”SID- enter- 5 “inferior and 1 ½ “ medial to acromial edge- exit- glenoid cavity
Shoulder Joint
Inferosuperior Axial Proj (Westpoint Method)
Horizontal-40” SID- mid axillary region of affected shoulder- exit- MP- IR
Shoulder Joint
Inferosuperior Axial Proj (Clements Modification)
5-15 laterally- 40”SID- affected shoulder joint- exit- MP- IR
Shoulder Joint
Superoinferior Axial Proj
demo
1. relationship of proximal end of humerus and glenoid cavity
2. ACA
3. outer part of coracoid process
4. points of insertion of the subcapularis muscle ( at body of scapula) and teres minor muscle ( at inferior axillary border)
Shoulder Joint
Superoinferior Axial Proj
35 degrees cranial- 40” SID- SHJ- exit- MP- IR
Shoulder Joint
AP Axial Proj
Introduced by Rubin, Gray and Green
SCAPULAR Y
PAO Proj
Useful in diagnosing suspected shoulder dislocation
SCAPULAR Y
PAO Proj