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A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view
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 Ban...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258643/ https://www.ncbi.nlm.nih.gov/pubmed/36941026 http://dx.doi.org/10.1002/jmrs.670 |
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author | Tam, Yat Hang Abu Awwad, Dania |
author_facet | Tam, Yat Hang Abu Awwad, Dania |
author_sort | Tam, Yat Hang |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10258643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102586432023-06-13 A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view Tam, Yat Hang Abu Awwad, Dania J Med Radiat Sci Pictorial Essay 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. John Wiley and Sons Inc. 2023-03-20 2023-06 /pmc/articles/PMC10258643/ /pubmed/36941026 http://dx.doi.org/10.1002/jmrs.670 Text en © 2023 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Pictorial Essay Tam, Yat Hang Abu Awwad, Dania A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title | A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title_full | A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title_fullStr | A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title_full_unstemmed | A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title_short | A pictorial presentation and the clinical use of the modified trauma axial (MTA) shoulder x‐ray view |
title_sort | pictorial presentation and the clinical use of the modified trauma axial (mta) shoulder x‐ray view |
topic | Pictorial Essay |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258643/ https://www.ncbi.nlm.nih.gov/pubmed/36941026 http://dx.doi.org/10.1002/jmrs.670 |
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