Last revised by Amanda Er ◉ on 02 May 2022 Show
Citation, DOI & article dataCitation: Morgan, M., Er, A. Shoulder (AP glenoid view). Reference article, Radiopaedia.org. (accessed on 08 Sep 2022) https://doi.org/10.53347/rID-35615 The shoulder AP glenoid view also known as a true AP or a 'Grashey view' is an additional projection to the two view shoulder series. The projection is used to assess the integrity of the glenohumeral joint. On this page:The glenoid view is an ideal projection to inspect the glenoid rim, the glenohumeral joint and the articular surface of the humerus. This view is great to inspect the joint space for subtle fractures such as a bankart lesion post-dislocation-relocation, to look for proximal migration of humerus, as a general joint space assessment, or during post-operative evaluation.
Rotation of the patient will vary due to body habitus, and this is an obvious point but highly relevant. Patients who require these films are often suffering from either chronic or acute shoulder pain and palpating the affected shoulder is far from ideal. It's advisable to observe the clavicle when rotating the patient until the midshaft of the clavicle is almost end on. Quiz questionsRelated articles: Imaging in practicePromoted articles (advertising)Where should the CR be located for an AP projection of the shoulder joint?Central ray: The central ray should be perpendicular to the image receptor directed to the glenoid fossa or 2 inches medial and 2 inches inferior to the superolateral border of the shoulder.
When performing an AP oblique shoulder image Grashey method the patient should be rotated how many degrees?Additional projections include axillary and Grashey views (AP oblique). The Grashey view is obtained with the patient rotated 35-45 degrees, so the x-ray beam is parallel to the articular surface of the glenoid.
Where is the CR centered for a transthoracic lateral projection?Chapter 6. |