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Citation, DOI & article dataCitation: Murphy, A., Fahrenhorst-Jones, T. Shoulder (inferior-superior axial view). Reference article, Radiopaedia.org. (accessed on 08 Sep 2022) https://doi.org/10.53347/rID-52966 The inferosuperior axial view also known as a Lawrence view of the shoulder is a modified axial projection best utilized with supine patients. It is an orthogonal projection to the AP view and replaces the lateral shoulder projection. On this page:It is an appropriate projection to assess suspected dislocations, proximal humerus pathology and effective in demonstrating the articular surfaces of the humeral head and glenoid 1-3 . Hill-Sachs lesions are well demonstrated on this projection along with the lesser tubercle of the humerus. This view is performed when the patient can only lie supine; thus making the superior-inferior axial view difficult to achieve. This view provides additional information for assessing dislocations and glenohumeral instability; particularly if these are not seen well on a standard AP view 4.
Clear visualization of the humeral head (with no superimposition) and its relationship with the glenoid of the scapula. In addition to the acromion and the coracoid process. The lesser tubercle should be seen projected anteriorly in profile. The coracoid process is pointing anteriorly This is an ideal projection when patients are unable to move from the supine position. It can cause patient pain when abducting but nowhere near as much as the standard axial projection. Be wary of your surroundings when moving the x-ray tube in position, there is a high potential of hitting the patients feet. Other projections suitable for supine patients that require an orthogonal view of the AP view include:
ReferencesRelated articles: Imaging in practicePromoted articles (advertising)What is the proper position of the arm for an Inferosuperior axial shoulder joint projection?However, to obtain an axillary view of the proximal humerus, several different approaches have been described. The inferosuperior axial projections (Lawrence and West Point methods) require the patient to be in a recumbent position with the arm abducted.
Which of the following are clearly demonstrated on the Inferosuperior axial projection Lawrence of the shoulder joint?Which of the following arm positions demonstrates the lesser tubercle in profile medially? The inferosuperior axial projection (Lawrence method) of the shoulder demonstrates the acromion process of the shoulder to be located most superiorly (anteriorly).
What is Inferosuperior projection?The inferosuperior axial view also known as a Lawrence view of the shoulder is a modified axial projection best utilized with supine patients. It is an orthogonal projection to the AP view and replaces the lateral shoulder projection.
Where should the CR be located for an AP projection of the shoulder joint?Central ray: The central ray should be perpendicular to the image receptor directed to the glenoid fossa or 2 inches medial and 2 inches inferior to the superolateral border of the shoulder.
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How far should the arm be abducted for an Inferosuperior projection Lawrence of the shoulder joint?
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