Overview
AP shoulder views with weights in the hands accentuate inferior subluxation and rotator cuff arthropathy. The patient stands holding light weights to apply gentle traction. Comparison with non weighted views highlights dynamic changes.
Technique
Obtain standard AP shoulder radiographs with the patient holding equal weights in both hands. Ensure consistent exposure and positioning between weighted and non weighted views. Use caution in painful or unstable shoulders.
Clinical Indications
Weighted views are indicated for suspected chronic rotator cuff tear and inferior subluxation. They help demonstrate humeral head migration under load. MRI provides soft tissue detail when indicated.
Image Assessment
Compare humeral head position relative to the glenoid with and without weights. Assess for superior migration and joint space narrowing. Report findings relevant to surgical planning and rehabilitation.