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Jan 17 2011, 7:27 AM EST
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Change: This patient presented for follow-up of a left shoulder dislocation. The AP shoulder image demonstrates fracture(s) involving the greater tuberosity. The alignment of the glenohumeral joint is unclear. The subacromial projection (approximates lateral scapula projection) demonstrates the fracture fragments. The glenohumeral joint appears to be normally aligned.The SI
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Feb 8 2010, 2:49 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 2:49 AM EST
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Jul 20 2009, 3:29 AM EDT
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Change: patientspatient's torso, increase the ffd such that it is more inferior than the patient's feet (approximately 180cm ffd). Another positioning trick is to place the
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Jul 20 2009, 3:26 AM EDT
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Change: aesthetically pleasing. The lack of ímage aesthetics should not mitigate against utilising this view (function before form).Discussion It might appear by the choice of cases that I have taken a clear position in
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Jan 2 2009, 9:42 PM EST
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Change: to restrictlimits idealproximal positioning of the cassette. It can be useful to use a very long ffd ie instead of placing the X-ray tube beside the patients torso, increase the ffd such that it is more inferior than the patient's feet (approximately 180cm ffd). Another positingpositioning
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Jan 2 2009, 7:28 PM EST
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Change: It is common to experience difficulty with the IS view in bedbound patients with shoulder fractures. The patients are reluctant to move and the patient's
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Jan 2 2009, 7:15 PM EST
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Change: This patient presented to the Emergency Department following a fall. The initial AP shoulder image revealed a fracture involving the humeral head and neck. Not
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Jul 22 2008, 9:34 AM EDT
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Change: Hills-SachsHill-Sachs impaction fracture.The patient had an ORIF the following day. Case 2. Shoulder Fracture Dislocation This patient also presented to the Emergency Department following a fall. The initial AP shoulder image
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Jul 22 2008, 9:32 AM EDT
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Change: However, this story (not unlike a good Agatha ChristieThis novel)is hasnot athe twist.case. Both of these cases were drawn from a hospital that does not require the IS/SI view as a routine view in trauma radiography of the shoulder. The routine views adopted by this
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Jul 21 2008, 8:17 PM EDT
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Change: to exercise judgementjudgment in these types of cases and perform supplementary views as required.(please contribute your opinion/experiences using the start a new thread link at the bottom of this page)Relevant WikiRadiography Links Lateral Scapula Radiography Clavicle Radiography back to the applied radiography home page
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Jul 21 2008, 8:13 PM EDT
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Change: Locked by Jul 21 2008, 8:13 PM EDT for: no reason given
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Jul 21 2008, 8:13 PM EDT
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Change: suggests that the humeral head is enlocated. However, the appearance is unusual, particularly the position of the articular surface (arrowed). The Infero-superior projection (IS) image reveals that the humeral head is dislocated and impacted on the glenoid resulting in Hills-Sachs impaction fracture.The patient had an ORIF the following day.
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Jul 21 2008, 9:42 AM EDT
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Change: types of cases and perform supplementary views as required.(please contribute your opinion/experiences using the start a new thread link at the bottom of this page)Relevant WikiRadiography Links Lateral Scapula Radiography Clavicle Radiography back to the applied radiography home page
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Jul 21 2008, 9:19 AM EDT
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Change: could, of course,could argue that the institutions that have adopted the IS/SI view as routine in shoulder trauma radiography have taken a safer position. It could also be argued that the institutions that require routine AP shoulder and lateral scapula viewsviews, and that have a comprehensive continuing education
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Jul 21 2008, 9:10 AM EDT
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Change: postionposition of the articular surface (arrowed). The Infero-superior projection (IS) image reveals that the humeral head is dislocated and impacted on the glenoid resulting in Hills-Sachs impaction fracture.The patient had ORIF the following day. Case 2. Shoulder Fracture Dislocation This patient also presented
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Jul 21 2008, 9:08 AM EDT
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Change: institutions that require routine AP shoulder and lateral scapula views and that have a comprehensive continuing education program will allow the radiographers to exercise judgement in these types of cases and perform supplementary views as required.(please contribute your opinion/experiences using the start a new thread link at
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Jul 21 2008, 8:57 AM EDT
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Change: It might appear by the choice of cases that I have taken a clear position in favour of the IS view over the lateral scapula
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Jul 21 2008, 8:42 AM EDT
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Change: This patient presented to the Emergency Department following a fall. The initial AP shoulder image reveals a fracture involving the humeral head and neck. One unusual feature of this image is that the articular surface of the humeral head appears to be directed inferiorly (arrow) The Infero-superior
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Jul 21 2008, 8:40 AM EDT
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Change: that the articular surface of the humeral head appears to be directed inferiorly (arrow) The Infero-superior projection (IS) image reveals that the humeral head is dislocated and impacted on the glenoid resulting in Hills-Sachs impaction fracture
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Jul 21 2008, 8:36 AM EDT
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Change: Case 1 Shoulder Fracture Dislocation This patient presented to the Emergency Department following a fall. The initial AP shoulder image reveals a fracture involving the humeral head and neck. One unusual feature of this image is that the articular surface of the humeral head appears to be directed inferiorly (arrow)
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