Overview
AP and lateral scapula views evaluate the scapular body spine and glenoid for fractures and deformity. The AP view images the scapula en face while the lateral view profiles the scapular body. These projections are used in trauma and shoulder pathology assessment.
Technique
For AP scapula position the arm across the chest and center the detector to the scapula. For lateral scapula rotate the patient to project the scapula laterally with the arm raised. Use appropriate exposure and immobilize the patient.
Clinical Indications
Scapula views are indicated for trauma with shoulder girdle injury and persistent localized pain. They detect scapular body fractures and glenoid rim involvement. CT is used for complex fractures and surgical planning.
Image Assessment
Assess scapular body contour spine acromion and glenoid rim for cortical disruption. Evaluate for associated rib or clavicle injuries. Report findings relevant to orthopedic referral.