Overview
The Grashey AP oblique shoulder view aligns the glenoid en face to evaluate joint space and glenoid rim. The patient is rotated approximately 35 to 45 degrees toward the affected side. This view is valuable for assessing glenoid fractures and degenerative change.
Technique
Rotate the patient toward the affected shoulder and center the detector to the glenohumeral joint. Use a true oblique to profile the glenoid without overlap from the humeral head. Ensure consistent exposure and include the scapular neck.
Clinical Indications
Grashey view is indicated for suspected glenoid fracture instability and arthritis. It provides accurate assessment of joint space narrowing and rim defects. It complements standard AP and axillary views for comprehensive shoulder evaluation.
Image Assessment
Inspect the glenoid rim for fracture and the joint space for narrowing or osteophytes. Evaluate humeral head position and subchondral changes. Report findings relevant to surgical planning and instability assessment.