For the left scapula I would ask the patient to place hisher left hand on the right shoulder as shown cross arm adduction. The patient should suspend respiration for the exposure.
Pin On Xray
This view is used to assess possible or known dislocations scapular fractures or degeneration.
Scapular y view positioning. Align your finger at the medial border of scapula to where you touched the upper humerus ensure that imaginary line is perpendicular to the Bucky. SCAPULAR Y VIEW The scapular Y view can be taken in the erect or supine position in the PA direction with the affected shoulder rotated anteriorly 45. In addition to the typical neutral external and internal rotation the lateral shoulder view commonly referred to as a Scapula Y or Scap Y is a standard shoulder view.
Laboratory and clinical testing of the use of the acromial tip and superior angle of the scapula suggest that these landmarks are easier to use and improve accuracy of positioning. The affected shoulder is at the center of the IR. The humeral head should appear superimposed over the base of the Y if the humerus is not dislocated.
As a result one or more of the AP. The thin body of the scapula should be seen on end without rib superimposition. Scapula Y or axillary view in place of true lateral.
Then touch the upper most tip of the patients humerus. The scapular Y view10 is obtained with the patient upright or. The axillary view is a substitution for the scapular Y view.
Purpose and Structures Shown. Orthogonal view to the AP projection profile end on view of the scapula ideal projection to assess displacement of scapula fractures. If a Y-Scapula view were to be attempted in a traditional standing PA position with a horizontal ray the appearance of the resultant radiograph will cause the scapula to appear foreshortened with a loss of the normal Y appearance seen.
If needing to evaluate for a Hill-Sachs lesion or Bankart lesion. The arm is abducted and the hand is placed on the hip. Axillary or Scapular Y view.
To reduce the distorted appearance of scapula a compensatory caudal angulation could be used. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy Safety How YouTube works Test new features Press Copyright Contact us Creators. Landmarks for lateral scapula and scapular Y positioning.
Scapular Ylateral view The humeral head lies on top of the glenoid fossa with the coracoid process anterior to it the side of the ribcage represents anterior in. The arm is positioned at the side superimposed on the scapula. AP view.
The left scapula tends to roll into the lateral position with very little rotation of. A specialized view that demonstrates the scapula in the anteroposterior plane similar position to an AP shoulder however limb placement and breathing technique differ lateral or scapular Y view. The patient stands with and facing towards a vertical Image receptor IR 2.
The acromion and coracoid processes should appear as nearly symmetric upper limbs of the Y. In the setting of trauma it is a more reliable assessment of glenohumeral alignment as it is less susceptible to errors related to patient positioning and technique. Should see the humeral head in the subcoracoid position.
Achieve an unobstructed view of the scapula OK for Neers view This is my preferred lateral scapula positioning. We do them AP here but feel for the medial border of the scapula. For simplicity we focus on the standard AP view.
The patient should be seated upright or in a standing position with the back of their shoulder resting on the bucky. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy Safety How YouTube works Test new features Press Copyright Contact us Creators. It also positions the acromion and coracoid process in profile.
The humeral head will be lying anterior to or in front of the glenoid. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy Safety How YouTube works Test new features Press Copyright Contact us Creators. July 15 2020.
CT Scan or MRI. Because the axillary view is often difficult to obtain due to pain 2 we will focus on Scapula Y but will discuss the axillary view in the one more view section. With other views of the shoulder this position allows for relatively uniform distribution of soft-tissue density across the anatomy thus providing excellent osseous detail of the entire shoulder girdle.
AP of the Shoulder. This view should demonstrate the bones and soft tissue of the upper arm specifically the full length of the humerus elbow and shoulder joints and epicondyles without rotation. Patient positioning lateral basic Scapular Y view The scapula lateral view demonstrates the fractures dislocation deformity and other pathologies.
Put your finger there.