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Which projection of the shoulder will demonstrate an open glenohumeral joint space and the glenoid process in profile?

a. AP axial
b. Scapular Y
c. Lateral
d. Inferosuperior axial

User Josh Scott
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1 Answer

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Final answer:

The Inferosuperior axial projection is used to visualize an open glenohumeral joint space and profile the glenoid process. The coracoid process is a bony protuberance for muscle attachment, while the acromion forms part of the acromioclavicular joint. Understanding the scapula's structure and rotation is crucial in shoulder imaging.

Step-by-step explanation:

To demonstrate an open glenohumeral joint space and the glenoid process in profile, the Inferosuperior axial projection of the shoulder (sometimes referred to as the Lawrence method) is typically used. This projection allows for a clear view of the glenoidal cavity in profile, with the humeral head displaced inferiorly. It's particularly useful for visualizing the glenohumeral joint without overlap from the proximal humerus.

The coracoid process can be best described as a short, hook-like bony process of the scapula that projects anteriorly, located inferior to the lateral end of the clavicle and serving as an attachment site for muscles of the anterior chest and arm. The acromion, on the other hand, is the bony tip of the superior shoulder region, articulating with the clavicle to form the acromioclavicular joint.

It is important to understand the positioning and structure of the scapula, including the movements of superior rotation and inferior rotation, as these are involved in many shoulder projections and are essential in diagnosing various conditions.

User Ibrahim Hasnat
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