When performing an AP oblique shoulder image Grashey method the patient should be rotated how many degrees?

Case contributed by Dr Matt A. Morgan

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Citation, DOI & case data

Citation:

Morgan, M. Grashey view (AP oblique shoulder radiograph). Case study, Radiopaedia.org. (accessed on 08 Sep 2022) https://doi.org/10.53347/rID-35616

DOI:

https://doi.org/10.53347/rID-35616

Permalink:

https://radiopaedia.org/cases/35616

rID:

35616

Revisions:

6 times by 2 users - see full revision history

Published:

14th Apr 2015

System:

Musculoskeletal

Sections:

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Patient Data

Gender: Female

Normal AP oblique shoulder radiograph

From the case: Grashey view (AP oblique shoulder radiograph)

x_ray

Oblique

When performing an AP oblique shoulder image Grashey method the patient should be rotated how many degrees?

Normal AP oblique internal rotation view (Grashey view).  It is also known as a "true AP" view since the view is AP to the scapular instead of AP to the patient.

From the case: Grashey view (AP oblique shoulder radiograph)

Diagram

When performing an AP oblique shoulder image Grashey method the patient should be rotated how many degrees?

The AP oblique Grashey view is obtained with the patient rotated 35-45 degrees and his or her back (scapular body) up against the imaging detector.

Modified image from Wikimedia Commons (original at https://commons.wikimedia.org/wiki/File%3AGlenoid_cavity_of_scapula_-_animation01.gif)

2 articles feature images from this case

  • Shoulder (AP glenoid view)
  • Shoulder series

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How much is the body rotated for the Grashey method?

Shoulder Girdle/Clavicle.

What is the proper patient position for the AP oblique projection Grashey method of the shoulder?

The AP oblique Grashey view is obtained with the patient rotated 35-45 degrees and his or her back (scapular body) up against the imaging detector.

How much is the body rotation for a posterior oblique position Grashey method )?

A radiograph of the AP oblique (Grashey method) taken with a 30 degree rotation of the affected shoulder toward the IR reveals that the borders of the glenoid cavity are not superimposed. the patient has large rounded shoulders.

How do you take Grashey view?

This special view is known as a Grashey projection..
Have the patient in a supine or upright position. ... .
Center the cassette to the glenohumeral joint..
Rotate the body approximately 35°- 45° toward the affected side..
Abduct the arm slightly in internal rotation and place the palm of the hand on the abdomen, if possible..