II. Indications: First-line Shoulder evaluation
III. Views: Standard
- Anterior-posterior (AP)
- Arm rotated externally and internally
- Lateral
- Axillary View (esp. Osteoarthritis, Dislocation)
- Scapular Y View
IV. Views: Impingement Series
- Anterior-posterior
- External rotation
- Outlet Y
- West Point
V. Views: Instability Series
- Anterior-posterior with and without Rotation
- Stryker Notch
- West Point
VI. Findings: Chronic Shoulder Pain
- Acromioclavicular Osteoarthritis
- Glenohumeral Osteoarthritis
- Signs of rotator cuff conditions
- Superior migration of humeral head (large Rotator Cuff Tear)
- Humeral head cystic changes
- Inferior acromion sclerosis
- Signs of prior Anterior Shoulder Dislocation
- Hill-Sachs Lesion (posterior humeral head indentation)
- Impact occurs when Shoulder dislocates anterior to glenoid
- Hill-Sachs Lesion (posterior humeral head indentation)
- Signs of Osteoarthritis
- Axillary view best demonstrates joint space narrowing
- Subchondral sclerosis and osteophytes may also be seen