1. Humerus and Shoulder Girdle
Chapter 5
Humerus and Shoulder Girdle

2. Proximal Humerus
Head
Anatomic Neck
Greater Tubercle
Surgical Neck

3. Proximal Humerus Intertubercular Groove Lesser Tubercle
Deltoid Tuberosity
Body

4. Humerus Imaging AP
Lateral
40” SID
70 kV

5. AP Humerus Supinate hand ______________to IR CR to mid body
Collimate to skin
Rotate ____________
Include _______________

6. Lateral Humerus Pronate hand ________________to IR CR to mid body
Collimate to skin
Rotate collimator
Include ______________

7. Possible Fracture ______________ Erect Mediolateral X-table lateral
Transthoracic

8. Erect Mediolateral Upright anterior oblique ______________to IR
CR to mid body
Shoulder may not be in the image
(_______________)

9. X-table Lateral Patient Supine _______________arm with sponge
Place IR between ____________
CR to mid body
Shoulder may not be on the image
________________

10. Transthoracic Patient in true lateral Raise unaffected arm
Affected side _________________
Raise unaffected arm
CR to ________________
Breathing Technique
Shows _____________humerus

11. Shoulder Girdle Attaches upper extremity to axial skeleton Clavicle
Scapula

12. Scapula
3 Borders
Superior
Lateral (Axillary)
Medial (Vertebral)

13. Scapula Angles
Lateral
Head
Superior
Inferior

14. Scapula Surfaces
Costal
Anterior
Dorsal
Posterior

15. Dorsal Scapular Anatomy
Scapular Spine
Acromion
Supraspinous Fossa
Infraspinous Fossa

16. Costal Scapular Anatomy
Coracoid Process
Scapular Notch

17. Clavicle Acromial End Sternal End Body Lateral Acromioclavicular Joint
____________
Sternal End
Medial
Sternoclavicular Joint
___________
Body

18. Shoulder Joint
Scapulohumeral
Glenoid Fossa

19. Shoulder Imaging AP Internal Rotation AP External Rotation
Scapular ‘Y’
Axial
Glenoid Fossa
Transthoracic Lateral
40” SID
75 kV

20. AP External Rotation Supinate the hand CR _____________to coracoid
_____________with IR
CR _____________to coracoid
Suspend respiration
Include entire shoulder girdle
Will show _____________in profile
____________rotate if suspected fracture or dislocation

21. AP Internal Rotation Pronate hand CR ____________to coracoid
_____________to IR
CR ____________to coracoid
Suspend respiration
Include entire shoulder girdle
Will show ______________in profile
___________rotate is suspected fracture or dislocation

22. Scapular ‘Y’ Many ways (__________________)
Anterior Oblique or Posterior Oblique
Rotate patient to superimpose _____________border
CR through scapulohumeral joint

23. Axial (Inferiosuperior)
____________
Supine
Place the cassette superior to shoulder
Abduct arm ______________rotation
CR though axilla
Shows coracoid, lesser tubercle, scapular spine, humeral head

24. Transthoracic Trauma view Patient in true lateral Raise unaffected arm
CR to ________________
Breathing technique
Shows proximal humerus

25. Scapula Imaging AP
Lateral ‘Y’
40”SID
75kV

26. AP Scapula Abduct the _____________ Supinate the hand
______________to coracoid process
Suspend respiration

27. Scapular ‘Y’ Many ways (____________________)
Anterior Oblique or Posterior Oblique
Rotate patient to superimpose _________________border
CR through scapulohumeral joint

28. Clavicle Imaging AP
AP Axial
40” SID
75 kV

29. AP Clavicle Arms ____________ CR to mid clavicle Suspend respiration
_____________
Collimate to clavicle

30. AP Axial Arms neutral _______________tube angle CR to mid clavicle
Collimate to clavicle