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X-ray of shoulder impingement

1,367 bytes added, 16:01, 3 December 2018
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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
[[X-ray of the shoulder]] that should include:
* Frontal with and without external rotation of the shoulder
* Scapular outlet view

==Evaluation==
[[File:Subacromial space on outlet view X-ray.jpg|thumb|Supraspinatus outlet view X-ray, showing subacromial space measurement, and an acromial spur.]]
* Measurement of the '''subacromial space'''. This is normally in shoulder radiographs is 9–10&nbsp;mm; this space is significantly greater in men, with a slight reduction with age.<ref name=petersson1984/> In middle age, a subacromial space less than 6&nbsp;mm is pathological.<ref name=petersson1984>{{cite journal|author=Claes J. Petersson & lnga Redlund- Johnell|pmid=6702430|title=The subacromial space in normal shoulder radiographs|journal=Acta Orthop Scanda |year=1984| volume=55 |issue=1 |pages=57–8}}</ref>
* Presence of any '''acromial spur'''
*Presence of any calcifications in the supraspinatus tendon, which indicates a differential diagnosis of calcific tendonitis.
<gallery>
File:X-ray of supraspinatus calcified tendinopathy, labeled.jpg|Calcifications in the supraspinatus tendon.
</gallery>

==Report==
*Either normal subacromial space, or a decrease thereof, with measurement of the space.
*Presence or absence of an acromial spur.
{{Reporting}}
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