Impingement Series

Our impingement series includes the following views:

  • True AP (Grasheys)
  • Axillary Lateral View
  • Supraspinatus Outlet view
  • 30° Caudal Tilt
  • AP of AC Joint
All of these views are listed below with examples and a description of how to shoot them.

You can click each photo for a close up view



True AP

True AP (Grasheys)
Position:  Patient erect with affected side against Bucky, turn patient 30-35 degrees

Tube: Perpendicular

Demonstrates:  Glenohumeral joint space

True AP



Axillary Lateral

Axillary Lateral View
Position:  Patient supine with small sponge under shoulder, humerus abducted to 90 degrees, elbow bent 90 degrees and perpendicular to table

Tube:  Central ray bisecting angle of humerus and body

Demonstrates:
  Glenohumeral joint
  Coracoid process pointing anteriorly
  Lessor tuberosity in profile
  AC joint, acromion, and end of clavicle project through
  humeral head

Axillary Lateral



Outlet View

Supraspinatus Outlet View
Position:  Patient erect PA, with affected side against Bucky, turn patient 40-45 degrees

Tube:  15-20 degrees caudal with central ray at the coracoid

Demonstrates:  Acromial morphology


Outlet View



30 Degree Caudal Tilt

30° Caudal Tilt
Position:  Patient erect or supine

Tube:  30 degrees caudal entering at coracoid

Demonstrates:  Acromial morphology

30 Degree Caudal Tilt


 

AP of AC Joint

AP of AC Joint
Position:  Patient erect or supine

Tube:  Perpendicular to AC Joint

Demonstrates:  AC Joint

AP of AC Joint