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upper limb · AP
Shoulder AP (Internal & External Rotation)
Erect, back to IR, rotated 15-20 deg toward affected side.
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AI Patient · KV Sir
How to perform this view
- 01
Stand patient with back against vertical Bucky.
- 02
Rotate body slightly toward affected side.
- 03
External rotation: supinate hand.
- 04
Internal rotation: back of hand against hip.
- 05
CR 2.5 cm inferior to coracoid process.
Anatomical & patient position
Patient: Erect, back to IR, rotated 15-20 deg toward affected side.
Part: External: hand supinated (epicondyles parallel). Internal: back of hand on hip.
Central ray & centring point
Perpendicular, 2.5 cm inferior to coracoid process.
Exposure factors
kVp
70-80 kVp
mAs
8-12 mAs
SID
100 cm
IR size
24 x 30 cm landscape
Grid
Yes
Respiration
Suspended
Clinical indications
- Shoulder pain, calcific tendinitis
- Hill-Sachs lesion
- Arthritis
Contraindications & precautions
- Suspected fracture or dislocation - do NOT rotate arm (use neutral AP + Y view)
Structures shown & evaluation criteria
- Greater tubercle in profile (external)
- Lesser tubercle in profile (internal)
- Glenohumeral joint