Diagnostic Imaging
and Referral

Imaging Guidelines for Referral to the Shoulder Assessment
Clinic at the Edmonton Bone and Joint Centre

ULTRASOUND/MR/CT IS NOT REQUIRED PRIOR TO REFERRAL

As general guidance, tertiary imaging such as ultrasound, MRI, or CT should not be ordered in advance of referral. In addition, unless a red flag is identified, an initial course of non-operative treatment is always appropriate.

  • Red Flags:
    • Fracture/Dislocation
    • Infection
    • Tumour
    • Acute traumatic mechanism
      • New injury in a previously unaffected shoulder.
      • Unable to lift 90 degrees in forward elevation.

However, if you are sending your patient for diagnostic imaging, please order the x-ray series below that corresponds with their shoulder issue.

X-ray series should include:

Shoulder Pain (Rotator Cuff Related and Arthritis)

  • True Glenohumeral AP
  • Scapular Lateral
  • Axillary Lateral
  • Zanca View

Shoulder Stiffness (Arthritis and Frozen Shoulder)

  • True Glenohumeral AP
  • Scapular Lateral
  • Axillary Lateral
  • Zanca View

Shoulder Instability

  • True Glenohumeral AP
  • Scapular Lateral
  • Stryker Notch
  • West Point Axillary

Additional Information

If you have determined that surgical treatment is necessary, steps to refer your patient to our clinic can be found here. If you need guidance on how to treat your patient with shoulder pain, please visit one of our pages listed below:

Managing the Patient with Shoulder Pain Conservative Management of Shoulder Pain EBJC Affiliated PT Providers for Shoulder Rehab SURGE and Reading Rehab Protocols