Addition of the apical oblique projection increases the detection of acute traumatic shoulder abnormalities in adults

Ross, Kimberley J.; Tomkinson, Grant R.; McGregor, Bonnie F.; Ayres, Oliver; Piscitelli, Diana

doi:10.1007/s10140-017-1483-9

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…This result is supported by the findings of Neep and Aziz, who reported a statistically significant improvement in the number of shoulder injuries identified on radiographs when the lateral scapula projection was replaced by the MTA 5 . Another study compared the impact of including one additional axial projection to the shoulder series 11 . The projection was similar to the MTA view, but the patient is rotated relative to the image receptor.…”

Section: Discussionsupporting

confidence: 54%

“…The study found a statistically significant increase in the number of abnormalities identified with the additional axial projection. Specifically, there was an increase in the number of fractures identified, most of which were Hill‐Sachs or fractures to the glenoid 11 …”

Section: Discussionmentioning

confidence: 99%

“…An accurate diagnosis made from post‐reduction radiographs is crucial for patient management. The addition of the axial projection can impact patient management and reduce the dependence on further imaging to detect shoulder injuries 11 . The size and classification of the Hill‐Sachs and Bankart lesions impact the treatment plan 1,7 .…”

Section: Discussionmentioning

confidence: 99%

“…The addition of the axial projection can impact patient management and reduce the dependence on further imaging to detect shoulder injuries. 11 The size and classification of the Hill-Sachs and Bankart lesions impact the treatment plan. 1,7 Hill-Sachs lesions involving more than 40% of the humeral head require surgery.…”

Section: Shoulder Radiographic Views Post-reductionmentioning

confidence: 99%

“…Specifically, there was an increase in the number of fractures identified, most of which were Hill-Sachs or fractures to the glenoid. 11 An accurate diagnosis made from post-reduction radiographs is crucial for patient management. The addition of the axial projection can impact patient management and reduce the dependence on further imaging to detect shoulder injuries.…”

Section: Shoulder Radiographic Views Post-reductionmentioning

confidence: 99%

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A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Tam

Awwad

2023

J of Medical Radiation Sci

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Anteroposterior (AP) and lateral shoulder projections are routinely performed as part of a post‐reduction shoulder x‐ray series in the emergency department (ED). Research has shown that these projections alone are insufficient to demonstrate post‐dislocation injuries, particularly Hill‐Sachs and Bankart lesions. These concomitant pathologies are best demonstrated on axial shoulder projections but are difficult to obtain in trauma patients with limited range of motion. The diagnostic quality and the pathology demonstrated by different projections is crucial so that doctors and other ED staff can triage patients appropriately, radiologists can report on the presence or absence of post‐dislocation shoulder injuries, and the orthopaedic team can plan for follow‐up or treatment. Different modified axial views were reported to improve the post‐dislocation pathology sensitivity in the shoulder series. However, all of these shoulder axial views require patient movement. The modified trauma axial (MTA) is an alternative projection that is suitable for trauma patients that does not depend on patient movement. This paper presents several cases where the MTA shoulder projection had clinical importance when used as part of the post‐reduction shoulder series in the ED or radiology department.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Shoulder Radiographic Views Post-reductionmentioning

confidence: 99%

Section: Shoulder Radiographic Views Post-reductionmentioning

confidence: 99%

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A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Tam

Awwad

2023

J of Medical Radiation Sci

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Isolated greater tuberosity fractures of the proximal humerus: anatomy, injury patterns, multimodality imaging, and approach to management

et al. 2018

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The greater tuberosity is an important anatomic structure and its integrity is important for shoulder abduction and external rotation. Isolated fractures of the greater tuberosity are often subtle and may not be detected on initial radiographs. Clinically, these patients display symptoms which mimic a full thickness rotator cuff tear. It is important to differentiate these two entities, as their treatment is different (typically nonsurgical management for minimally displaced fractures versus rotator cuff repair for acute full thickness rotator cuff tears). When greater tuberosity fractures are significantly displaced and allowed to heal without anatomic reduction, they can lead to impingement. This article will review greater tuberosity anatomy and function, as well as the clinical presentation and multimodality imaging findings of greater tuberosity fractures. Imaging optimization, pitfalls, and clinical management of these fractures will also be discussed.

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The broken circle method: a novel technique that enhances detection of Hill–Sachs lesions on internal rotation shoulder radiographs

Rink

et al. 2021

Clinical Radiology

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Addition of the apical oblique projection increases the detection of acute traumatic shoulder abnormalities in adults

Cited by 4 publications

References 10 publications

A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view

Isolated greater tuberosity fractures of the proximal humerus: anatomy, injury patterns, multimodality imaging, and approach to management

The broken circle method: a novel technique that enhances detection of Hill–Sachs lesions on internal rotation shoulder radiographs

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