Radiographic Scapula: Things to know

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Radiographic  scapula Assessment bone of the shoulder girdle, seldom used in departments with 24 hour computed tomography departments.

Many radiographic departments, do not have a stand alone scapular series, rather include the assessment of the scapula in the shoulder series.

Indications

Scapula radiographs are performed for a variety of indications including

  • trauma
  • suspected primary or metastatic lesions

Projections

Standard projections
  • AP view
    • 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
    • orthogonal view to the AP projection
    • profile ‘end on’ view of the scapula
    • ideal projection to assess displacement of scapula fractures
Modified trauma projections
  • supine lateral
    • modified lateral projection often utilized in trauma imaging where the patient can roll onto a sponge
    • cannot be used in trauma patients on spinal precautions
  • modified transthoracic supine lateral
    • modified lateral projection often utilized in trauma imaging when the patient cannot move from the supine position
    • involves no patient movement
  • supine axial view (inferosuperior)
    • modified axial projection for supine patients
    • demonstrated the articular surfaces of the glenoid and humerus
    • orthogonal view to the AP view
Additional projections

coracoid view

  • specialized view of the coracoid, rarely performed in modern radiographic departments

 

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