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 - 8X10 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 inches (5 cm) above top of shoulder
(acromion process) and the coracoid process is over the midline of the
Abduct extended arm slightly, then internally rotate arm (pronate hand) until
epicondyles of distal humerus are perpendicular to the film.
g. CR: CR perpendicular to film, directed over
Minimum 40 in.
sides, with lateral and upper
(102 cm) SID
borders adjusted soft tissue
j. Immobilization: Sandbag against turned out
k. Respiration: Suspended respiration during
l. Shielding: Secure lead shield at waist to shield pelvic area.
m. Demonstrates: Lateral 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.