Instability Series

Our instability series includes the following views:

  • True AP
  • Axillary Lateral View
  • Stryker Notch View
  • Westpoint View
Each of these is listed below with examples and a description of how to shoot it.

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


Stryker Notch View

Stryker Notch View
Position:  Erect or supine, with hand on back of head

Tube:  10 degrees cephalic to the coracoid

Demonstrates:
  Hill-Sachs defects

Stryker Notch


Westpoint View

Westpoint View
Position:  Prone with sponge supporting affected shoulder, abduct arm 90 degrees, bend elbow and hang forearm off the table

Tube:  Central ray is double angled - 25 degrees from horizontal and 25 degrees medially

Demonstrates:
  Bony abnormalities of the glenoid rim
  Instability

Westpoint View