Shoulder Posoitiona

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Last updated 4:44 PM on 9/23/26
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6 Terms

1
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AP projection (External)

  • Upright or Supine

  • Center shoulder to midline of grid

  • Center IR at 1inch below Coracoid process

External Rotation Humerus

  • Supinate Hand

Epicondyles need to be parallel with IR


Suspend Respiration

  • CR needs to be perpendicular 1inch below coracoid process



<ul><li><p>Upright or Supine</p></li><li><p>Center shoulder to midline of grid</p></li><li><p>Center IR at 1inch below Coracoid process</p></li></ul><p><strong>External Rotation Humerus</strong></p><ul><li><p>Supinate Hand</p></li></ul><p>Epicondyles need to be parallel with IR</p><p></p><p><strong>Suspend Respiration</strong></p><ul><li><p>CR needs to be perpendicular 1inch below coracoid process</p></li></ul><p></p><p></p>
2
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AP Shoulder (Internal Rotation)

  • Center Shoulder Joint to the midline of Grid

  • Center the IR to 1inch below the the coracoid process

Internal Rotation

  • Flex elbow, rotate arm internally so back of hand is against hip

  • Places epicondyles perpendicular to the plane of the IR

Suspend Respiration

  • CR perpendicular to 1inch below coracoid process

  • Can be palpitated inferior to the clavicle and medial to the head




<ul><li><p>Center Shoulder Joint to the midline of Grid</p></li><li><p>Center the IR to 1inch below the the coracoid process</p></li></ul><p><strong>Internal Rotation</strong></p><ul><li><p>Flex elbow, rotate arm internally so back of hand is against hip</p></li><li><p>Places epicondyles perpendicular to the plane of the IR</p></li></ul><p><strong>Suspend Respiration </strong></p><ul><li><p>CR perpendicular to 1inch below coracoid process</p></li><li><p>Can be palpitated inferior to the clavicle and medial to the head</p></li></ul><p></p><p></p><p></p>
3
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AP Rotation (Neutral Rotation)

  • Center the shoulder joint to the midline of Grid

  • Center the IR 1inch below the coracoid process

Neutral Rotation

  • Place palm of hand against hip

  • Roll the arm internally so that epicondyles are at a 45 degree angle with the plane of the IR

Respiration Suspended

  • CR perpendicular to the IR at 1inch below the clavicle

  • Can be palpitated inferior to the clavicle and medial to the humeral head



<ul><li><p>Center the shoulder joint to the midline of Grid</p></li><li><p>Center the IR 1inch below the coracoid process</p></li></ul><p><strong>Neutral Rotation </strong></p><ul><li><p>Place palm of hand against hip</p></li><li><p>Roll the arm internally so that epicondyles are at a 45 degree angle with the plane of the IR</p></li></ul><p><strong>Respiration Suspended </strong></p><ul><li><p>CR perpendicular to the IR at 1inch below the clavicle </p></li><li><p>Can be palpitated inferior to the clavicle and medial to the humeral head</p></li></ul><p></p><p></p>
4
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Evaluation Criteria for AP shoulder

Structures shown: Bony and soft structures of the shoulder and proximal humerus. Scapulohumeral joint relationship is shown

External Rotation

  • Greater Tubercle in profile on lateral aspect of Humerus

  • Scapulohumeral joint visualized with slight overlap of humeral head on glenoid cavity

  • Glimpse of lesser tubercle between humeral head and greater tubercle

Internal Rotation

  • lesser turbercle in profile and pointing medially

  • Glimpse of greater tubercle superimposing the humeral head

  • Greater overlap of humeral head and glenoid cavity

Neutral Rotation

  • Greater tubercle partially superimposed the humeral head

  • Humeral head in partial profile

  • Slight overlap of humeral head on glenoid cavity


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