Tag Archives: glenoid

Shoulder Grashey AP Oblique
4
Feb

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.

Scapula AP and Lateral
4
Feb

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.