Table 3.
Cases in which additional axillary/Velpeau views contributed to clinical decision making, accounting for 6 (40%) of 15 patients diagnosed with shoulder instability.
| Case | View Type | Initial Diagnosis | Post-Axillary and/or Velpeau Views Diagnosis |
Effect of Axillary and/or Velpeau View on Clinical Decision Making |
|---|---|---|---|---|
| 1 | Velpeau | Prosthetic hemi-arthroplasty in anatomical alignment (no pathology) | Anterior dislocation of prosthetic humeral head | The dislocation was recognized by the orthopaedic surgeon in the initial radiograph series, but the radiologist required an additional Velpeau view to visualize the pathology. This resulted in a glenohumeral reduction procedure. |
| 2 | Velpeau | Inferior subluxation | Posterior dislocation | The correct diagnosis of posterior dislocation was made with the Velpeau view, resulting in a glenohumeral reduction procedure. |
| 3 | Both (Axillary and Velpeau) | Anterior dislocation of prosthetic humeral head | No dislocation | The lack of pathology was recognized by the orthopaedic surgeon in the initial radiograph series, but the radiologist required additional axillary and Velpeau views to confirm this. |
| 4 | Axillary | Anterior subluxation (equivocal) | Anterior subluxation (confirmed) | The axillary view was useful in confirming the diagnosis, thereby resulting in a glenohumeral reduction procedure. |
| 5 | Axillary | Anterior dislocation or subluxation | No dislocation | The lack of pathology was recognized by the orthopaedic surgeon in the initial radiograph series, but the radiologist required an additional axillary view to confirm this. |
| 6 | Both (Axillary and Velpeau) | Posterior subluxation (equivocal) | Posterior subluxation (confirmed) | The axillary and Velpeau views were useful in confirming the diagnosis, thereby resulting in a glenohumeral reduction procedure. |