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. Author manuscript; available in PMC: 2021 Aug 1.
Published in final edited form as: J Orthop Trauma. 2020 Aug;34(8):e261–e265. doi: 10.1097/BOT.0000000000001760

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.