Shoulder Radiography

Utility of lateral scapular radiographs in initial evaluation of nontraumatic shoulder conditions

“…One of the classic advantages of the lateral scapular radiograph is that this view allows for improved visualization of certain morphology and pathology, specifically with regard to the acromion. 3 , 5 , 13 This benefit was echoed in our survey of ASES members, with 75.4% of respondents stating that their primary reason for obtaining a lateral scapular radiograph was because it provides better characterization of acromion morphology. Contrary to this perceived benefit of the lateral scapular view among ASES member surgeons, the 4 surgeons at our institution did not recommend a lateral scapular radiograph for further workup when they were given only AP, Grashey, and axillary views during the initial clinical vignette survey.…”

“… 15 , 18 , 21 Proponents of the lateral scapular view argue that this method of evaluation allows for good visualization of acromion morphology and is better for the patient, as it is easily obtained and less painful than other views. 2 , 3 , 13 , 18 However, the clinical utility of this view has become questionable in modern orthopedic practice as more advanced diagnostic imaging studies are readily available. Studies have especially called the effectiveness and practicality of the lateral scapular view into question.…”

Radiographically undetected coracoid fractures diagnosed by sonography. Report of seven cases

“…Axial, sagittal and coronal reconstructed images focused of the CP were obtained from the volumetric data. Axillary view radiograph was obtained along with the standard technique in one subject (patient 2) [11]. After sonography, all patients were evaluated by an orthopaedic surgeon and treated conservatively.…”

Imaging of the Shoulder Bankart Lesion and its Variants

“…However, radiographs have poor sensitivity for the assessment of soft tissue structures. 4 MR imaging serves as an excellent complementary modality to bridge this imaging gap. With its superior soft tissue resolution, the glenoid labrum is best studied using proton density fat-suppressed or fluid-sensitive fat-suppressed sequences in the oblique coronal and axial planes on conventional MR imaging without arthrography.…”