Shoulder Imaging

True AP View

• Beam in plane of scapula – 45° to normal AP view
• Good for GH arthritis early changes

Axillary Lateral

• Arm abducted to 90°, beam in cranial direction through axilla
• Best for AP subluxation/dislocation

Trauma Axillary Lateral

• Same view but with arm 20° abducted
• Almost as good quality

Velpeau Axillary

• Axillary lateral with arm in sling
• Patient leans back onto XR table
• Beam directed from superior to inferior – slightly less quality

Transscapular Lateral / Scapular Y View

• Beam in plane of scapula spine

Supraspinatus Outlet View

• Similar to transscapular
• Beam directed in line with scapula spine with a 5-10° caudal tilt
• Shows acromial morphology best

West Point View

• Patient prone with arm abducted 90°, hanging over edge of bed
• Beam 25° caudal and medial
• Best for glenoid rim fractures

Stryker Notch View

• Patient supine with hand on head
• AP X-ray with beam 10° cephalad
• Images posterior superior aspect of humeral head best – Hill Sachs

Zanca View

• Routine AP with caudal tilt of 10°
• For ACJ and distal clavicle pathology

Serendipity View

• Patient supine
• Beam 45° cephalad
• Best for SCJ displacement