THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors: Film size 10 x 12" (24 x 30 cm) crosswise-may be used lengthwise if injury
includes proximal of humerus -8 x 10" for pediatrics
Moving or stationary grid
f. Patient/Part position: May be taken erect or supine (erect is usually less painful for patient if
Rotate body slightly toward affected side if necessary to place shoulder in contact with cassette or
tabletop (approximately 15-20 degrees)
Position patient so that top of film is 2 in (5 cm) above top of shoulder (acromion process) and coracoid
process is over midline of cassette.
Abduct extended arm slightly, then externally rotate arm (supinate hand) until epicondyles of distal
humerus are parallel to the film.
g. CR: Perpendicular to film, directed to center
h. SID :
Minimum 40 in.
sides, with lateral and upper
(102 cm) SID
borders adjusted to soft tissue
j. Immobilization: Sandbag in palm of hand
k. Respiration: Suspend respiration during
k. Shielding: Secure lead shield at waist to shield pelvic area.
l. Demonstrates: Frontal view of proximal humerus and lateral 2/3 of the clavicle and upper scapula,
to include the relationship of humeral head to glenoid cavity.
Possible calcium deposits in muscles, tendons or bursal structures.