Shoulder and Clavicle - CR

Shoulder - AP external rotation

1 inch below coracoid process

close to 2 inches below lateral aspect of clavicle

shoulder - AP internal rotation

1 inch below coracoid process

close to 2 inches below lateral aspect of clavicle

shoulder - posterior oblique, grashey

2 inches medial and inferior to the superolateral border of shoulder

scapular Y

(this is shoulder image)

top of cassette 1 inch above the top of the shoulder

CR enters 2-2.5 inches below top of shoulder

between medial border of scapula and spine

inferosuperior axial shoulder

direct CR 15-30 degrees medial toward body (more abduction requires greater angulation)

enters axilla

put marker above shoulder so you always know superior side of body

superoinferior axial shoulder

direct CR 5-15 degrees toward elbow joint (more angulation if patient cannot extend arm over IR very far)

enters axilla

scapula AP

top of cassette about 2 inches above top of shoulder

CR enters at level of axilla and about 2 inches medial to edge of body

AP clavicle

CR perpendicular to midclavicle

AP axial clavicle

CR angled 15-30 degrees cephalad to midclavicle