Torianno Case Summary

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The patient was a 92-year-old man coming in for a left shoulder x-ray after falling on an outstretched hand. Ordinarily, the protocol for a shoulder exam at the VA is an AP external rotation, an AP internal rotation, and a lateral scapula view. However, the man’s family members said his injury rated a ten on the pain scale from one to ten, which means his range of motion was quite limited. Thus, necessitating a modified protocol. In order to get the best images possible and for the patient’s comfort, Torianno, the technologist, had the patient keep his arm down by his side during the procedure and merely moved the patient’s body as a unit.
The first projection, an AP projection, was done with the patient’s back against the wall bucky and the

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