Scapula - Lateral

Adult

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Name of projection	Scapula - Lateral
Area Covered	Entire scapula visualised in lateral position
Pathology shown	Fractures and or dislocations of proximal humerus and scapula. The humeral head will be inferior to the coracoid process with anterior dislocation, and with posterior dislocation the humeral head will be inferior to the acromion process
Radiographic Anatomy	Shoulder Radiographic Anatomy
IR Size & Orientation	24 X 30 cm Portrait
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Moving or stationary grid
Filter	No
Exposure	70 kVp 20 mAs
FFD / SID	100cm
Central Ray	To midvertebral border of scapula Perpendicular to IR
Collimation	Collimate to area of scapula
Markers	Place marker in the upper right / left corner of the exposed field Marker orientation is PA
Shielding	Gonadal (check your department's policy guidelines)
Respiration	Suspend respiration
Positioning	Erect Position patient erect and facing towards the upright bucky Rotate into an anterior oblique position. Average patient will be in a 45° to 60° anterior oblique position. Palpate the scapula borders to determin the correct rotation for a true lateral Abduct arm slightly to not superimpose humerus over ribs CR directed to the scapulohumeral joint (5 - 6cm) below top of shoulder
Critique PACEMAN	Positioning Area Covered Collimation Exposure
Special Notes

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