Overview

The axillary shoulder view visualizes the glenohumeral joint from an inferior superior perspective. It is valuable for detecting dislocation and assessing joint congruity. The view requires patient cooperation and appropriate arm positioning.

Technique

Obtain the axillary view with the arm abducted and the detector placed superior to the shoulder. Alternative techniques such as the Velpeau or modified axillary may be used for patients unable to abduct. Ensure proper centering to include the glenoid and humeral head.

Clinical Indications

Axillary view is indicated for suspected dislocation and evaluation of glenoid fractures. It complements AP and Grashey views for comprehensive shoulder assessment. Use alternative projections when abduction is limited.

Image Assessment

Evaluate the glenohumeral joint space and humeral head position. Inspect for fractures of the glenoid rim and humeral head. Report findings that affect reduction and surgical planning.