Shoulder Imaging

True AP View

  • Beam in plane of scapula – 45° to normal AP view
  • Good for GH arthritis early changes

Axillary Lateral

  • Arm abducted to 90°, beam in cranial direction through axilla
  • Best for AP subluxation/dislocation

Trauma Axillary Lateral

  • Same view but with arm 20° abducted
  • Almost as good quality

Velpeau Axillary

  • Axillary lateral with arm in sling
  • Patient leans back onto XR table
  • Beam directed from superior to inferior – slightly less quality

Transscapular Lateral / Scapular Y View

  • Beam in plane of scapula spine

Supraspinatus Outlet View

  • Similar to transscapular
  • Beam directed in line with scapula spine with a 5-10° caudal tilt
  • Shows acromial morphology best

West Point View

  • Patient prone with arm abducted 90°, hanging over edge of bed
  • Beam 25° caudal and medial
  • Best for glenoid rim fractures

Stryker Notch View

  • Patient supine with hand on head
  • AP X-ray with beam 10° cephalad
  • Images posterior superior aspect of humeral head best – Hill Sachs

Zanca View

  • Routine AP with caudal tilt of 10°
  • For ACJ and distal clavicle pathology

Serendipity View

  • Patient supine
  • Beam 45° cephalad
  • Best for SCJ displacement
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