Plain Films - Shoulder
Date last published:
MRT instructions for paediatric shoulder
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Radiology
Shoulder Trauma
The standard views are:
| AP | Patient AP with humerus in external rotation | ||
| Glenoid |
| ||
| Lateral | with blade of scapula at 90 deg 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 alternative 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-Clavicular 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.