Shoulder and clavicle positioning of patient

shoulder - AP external rotation

upright or supine, back flat against IR

abduct arm slightly , externally rotate and supinate hand until the humeral epicondyles are parallel to IR

shoulder - AP internal rotation

upright or supine, back flat against IR

abduct arm slightly, internally rotate and pronate hand until the humeral epicondyles are perpendicular to IR (posterior part of hand is against the thigh)

shoulder - scapular Y

upright or supine

rotate patient 45-60 degrees anterior oblique with affected side touching IR, to determine angle palpate scapular borders and align for a lat position

arm naturally relaxed to side

shoulder - posterior oblique grashey

upright or supine

rotate patient 35-45 degrees with affected side touching IR (body of scapula parallel to IR)

externally rotate arm

inferosuperior axial shoulder

patient laying supine with affect shoulder elevated on a sponge or folded towel, head turned away from affected shoulder

abduct arm 90 degrees if possible , with arm externally rotated palm up (support arm)

wedge casette edge into neck

superoinferior axial shoulder

patient seated or standing

extend arm across IR so that axillary region is at center of IR

AP scapula

upright or supine, back flat against IR

arm abducted 90 degrees with elbow flexed and hand supinated (looks like a salute with palm up)

AP axial clavicle

upright or supine with back flat against IR , chin raised and arms relaxed

AP clavicle

upright or supine with back flat against IR , chin raised and arms relaxed