Imaging Protocol for Right Shoulder Trauma

Standard Imaging Protocol

The American College of Radiology recommends radiography as the preferred initial imaging study for right shoulder pain or trauma, effectively identifying fractures and shoulder malalignment, which are the primary concerns requiring immediate management 1, 2, 3
Radiography provides excellent delineation of bony anatomy to assess for fractures and proper shoulder alignment, and it adequately diagnoses displaced fractures and shoulder malalignment, which are the primary concerns driving acute management decisions 1, 2

The minimum three-view series must include an AP view in internal rotation, an AP view in external rotation, and an axillary or scapula-Y view, as recommended by the American College of Radiology 1, 2, 3

The American College of Radiology recommends performing radiographs upright rather than supine, whenever the patient's condition permits, as shoulder malalignment can be underrepresented on supine imaging 1, 2, 3

Radiography is preferred over CT for initial assessment because it provides excellent delineation of bony anatomy, adequately diagnoses displaced fractures and shoulder malalignment, and exposes patients to less radiation and cost 1, 2, 5

The American College of Radiology recommends considering CT if fracture pattern characterization is needed for surgical planning, and CT angiography if vascular compromise is suspected, particularly with proximal humeral fractures 1, 5