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upper limb · Inferosuperior Axial

Shoulder Axial (Inferosuperior Axillary)

Supine, arm abducted 90 deg.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Supine; raise shoulder 5 cm on pad.

  2. 02

    Abduct arm 90 deg if possible.

  3. 03

    Place IR vertical against superior shoulder.

  4. 04

    Horizontal CR 15-30 deg medially through axilla.

Anatomical & patient position

Patient: Supine, arm abducted 90 deg.

Part: Arm abducted 90 deg, externally rotated; IR vertical above shoulder against neck.

Central ray & centring point

Horizontal, 15-30 deg medially through axilla to glenohumeral joint.

Exposure factors

kVp

70-80 kVp

mAs

10-15 mAs

SID

100 cm

IR size

18 x 24 cm

Grid

Yes

Respiration

Suspended

Clinical indications

  • Dislocation direction
  • Glenoid rim fracture

Contraindications & precautions

  • Patient unable to abduct (acute dislocation) - use Y view / modified axial

Structures shown & evaluation criteria

  • Glenohumeral joint
  • Coracoid & acromion

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.