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ACR Appropriateness Criteria acute shoulder pain radiographs AP axillary scapular Y views

Right shoulder AP X-ray, photographed film
  • The humeral head appears aligned with the glenoid. No obvious dislocation.
  • I do not see an obvious acute displaced fracture of the proximal humerus, clavicle, or visible scapula.
  • The AC joint appears broadly aligned, without clear high-grade separation.
  • Glenohumeral joint space looks reasonably preserved. At most, there may be very mild AC-joint degenerative change, but this cannot be reliably graded from this photo.
Important limitation: this is only a photographed single AP view. It cannot reliably exclude a small nondisplaced fracture, subtle AC injury, posterior dislocation, or tendon/rotator-cuff injury. A full trauma series normally includes AP plus axillary or scapular-Y views, as stated in the ACR shoulder imaging guidance.
Please have the official radiology report and an orthopedic/clinician examination, especially if there was trauma or you cannot lift the arm. Seek urgent care now for deformity, worsening severe pain, numbness, a cold/pale hand, or inability to move the shoulder.
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