AP view

Glenohumeral (GH) view

Lateral view

Neers Lateral

Superioinferior (SI) view

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Fractures, dislocations, calcium deposits in muscle, tendon and bursae

Positioning

The entire clavicleMedial end of clavicle is seen next to the lateral vertebral column

The humeral head should overlap the glenohumeral joint (this occurs more with internal rotation compared to external or neutral position of the humerus)No foreshortening of the scapular bodyHumerus parallel with body

Internal arm rotationLesser tubercle in profile mediallyGreater tubercle super-imposed on humeral head

External arm rotationGreater tubercle in profile laterallyLesser tubercle super-imposed on humeral head

Area Covered

• Glenohumeral joint, acromioclavicular joint, sternoclavicular joint, coracoid process, clavicle, superior scapula, proximal third of humerus

Collimation

• Centre: Glenohumeral joint • Shutter A: Open to include the top of the shoulder and approximately one third of

the proximal humerus • Shutter B: Open to include just beyond the humeral skin line and the

sternoclavicular joint

Exposure

• Bony trabecular patterns and cortical outlines are sharply defined • Soft tissues are visualised

Demonstrates the integrity of the

glenohumeral joint (dislocations),

fractures

Positioning

Correct obliquity of the patient is evidenced by:

The anterior and posterior rims of the glenoid cavity are super-imposed

The glenohumeral joint is exhibited open

Lateral aspect of the coracoid process slightly super-imposes humeral head

Correct amount of caudal angling is evidenced by:

Clear view of acromion space

Area Covered

Glenohumeral joint, humeral head, proximal humerus, acromion, acromion space, coracoid process, distal clavicle

Exposure

Bony trabeculation and cortical outlines are sharply defined

Soft tissues are visualised

Fractures and or dislocations of proximal

humerus and scapula. The humeral head

will be inferior to the coracoid process

with anterior dislocation, and with

posterior dislocation the humeral head

will be inferior to the acromion process

Spurs, calcifications, impingement on

supraspinatus outlet, shape of acromion

Area Covered

• Clear supraspinatus outlet, acromioclavicular joint, humeral head, superior scapula in a lateral position

Collimation

• Centre: Humeral head • Shutter A: Above acromion process and lateral clavicle • Shutter B: Skin-lineExposure

• Bony trabecular patterns and cortical outlines are sharply defined

• Soft tissues are visualised

Fractures and or dislocations of the

proximal humerus, oesteoporosis,

osteoarthritis, Hill-Sachs defect