Show Citation, DOI & article dataCitation: Murphy, A., Fahrenhorst-Jones, T. Shoulder (inferior-superior axial view). Reference article, Radiopaedia.org. (accessed on 08 Sep 2022) https://doi.org/10.53347/rID-52966 The inferosuperior axial view also known as a Lawrence view of the shoulder is a modified axial projection best utilized with supine patients. It is an orthogonal projection to the AP view and replaces the lateral shoulder projection. On this page:It is an appropriate projection to assess suspected dislocations, proximal humerus pathology and effective in demonstrating the articular surfaces of the humeral head and glenoid 1-3 . Hill-Sachs lesions are well demonstrated on this projection along with the lesser tubercle of the humerus. This view is performed when the patient can only lie supine; thus making the superior-inferior axial view difficult to achieve. This view provides additional information for assessing dislocations and glenohumeral instability; particularly if these are not seen well on a standard AP view 4.
Clear visualization of the humeral head (with no superimposition) and its relationship with the glenoid of the scapula. In addition to the acromion and the coracoid process. The lesser tubercle should be seen projected anteriorly in profile. The coracoid process is pointing anteriorly This is an ideal projection when patients are unable to move from the supine position. It can cause patient pain when abducting but nowhere near as much as the standard axial projection. Be wary of your surroundings when moving the x-ray tube in position, there is a high potential of hitting the patients feet. Other projections suitable for supine patients that require an orthogonal view of the AP view include:
ReferencesRelated articles: Imaging in practicePromoted articles (advertising)What is Inferosuperior projection?The inferosuperior axial view also known as a Lawrence view of the shoulder is a modified axial projection best utilized with supine patients. It is an orthogonal projection to the AP view and replaces the lateral shoulder projection.
How do you do shoulder axial view?Patient position. patient seated next to the image receptor.. image receptor at mid thoracic height.. affected arm is abducted with the elbow resting on the detector.. the arm must be abducted enough that the glenohumeral joint is central to the image detector (the patient may need to lean slightly). What medial central ray angle is required for the Inferosuperior axial shoulder?Chapter 6. What is axial projection?An axial projection corresponds to a central ray that passes through the long axis of the body. Positioning: Several dozen standard radiographic exams with the chest radiographs and evaluation of the shoulder and knee joints are considered the most commonly requested studies.
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What is the proper position of the arm for an Inferosuperior axial shoulder joint projection?
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