Prosedur pemeriksaan radiografi shoulder dengan proyeksi axillary view klinis dislokasi di instalasi radiologi rsud dr. Soedono madiun

Abstract

Shoulder dislocation is an emergency condition requiring radiographic evaluation to assess the relationship between the humeral head and the glenoid cavity. The Axillary View projection plays a crucial role in assessing joint alignment; however, it is often challenging to perform on patients experiencing pain that prevents arm abduction. In such cases, AP external rotation and internal rotation projections are utilized. This study aims to describe the procedure and role of shoulder radiography using the Axillary View projection in cases of dislocation. A qualitative method with a case study approach was employed. Data were collected through observation, interviews with three radiographers and one radiologist, and documentation. Data analysis was conducted using a descriptive qualitative approach while adhering to research ethics principles. Radiographic examination for shoulder dislocation involves the use of Axillary View, AP external rotation, and AP internal rotation projections to assess the relationship between the humeral head and the glenoid cavity and to determine the direction of the dislocation. While the Axillary View serves as the primary projection, its execution often requires modification—specifically regarding patient positioning, image receptor placement, and beam direction—due to pain-induced limitations in arm abduction. Although one projection might not yield an optimal image, the overall examination results provide sufficient diagnostic information, with the AP external rotation and internal rotation projections serving to complement the anatomical evaluation. Modifications to the Axillary View projection are necessitated by pain-related limitations in arm abduction, involving adjustments to patient positioning, the image receptor, and the beam direction. Despite deviations from standard theoretical protocols, the resulting radiographs provide adequate diagnostic information to assess the relationship between the humeral head and the glenoid cavity and to determine the direction of dislocation, supported by the AP external rotation and internal rotation projections.