What is outlet view, and when would its use be indicated?
Answer
The outlet view is a version of the lateral view of the shoulder. This view gives a good look at the supraspinatus outlet. When I say supraspinatus outlet, I mean where the supraspinatus muscle and tendon live. The traditional theory of impingement states that the supraspinatus is compressed or impinged by either the inferior part of the acromion, the clavicle or the AC joint, leading to repetitive stress, wear and tear, and then changes in the rotator cuff. As far as indication, the supraspinatus outlet view allows a way to evaluate two things. It evaluates the subacromial space, and it also can evaluate the type of the acromion. When I say type of the acromion, I am referring to three possible types. A hooked acromion would hook down into the subacromial space. A type II would be slightly curved. If the acromion is completely flat, or a straight line, that would be a type I acromion.
Michael Crowell, PT, DSc, OCS, SCS, FAAOMPT
Mike Crowell is currently a Physical Therapist at Keller Army Community Hospital, West Point, NY and an Assistant Professor in the Army-Baylor University Sports Physical Therapy Doctoral Residency. He holds Doctor of Physical Therapy and Doctor of Science degrees from Baylor University and a Bachelor of Science in Chemistry and Life Sciences from the United States Military Academy at West Point. Mike is fellowship trained in orthopedic manual physical therapy and is a board certified specialist in both orthopedic and sports physical therapy. His current activities include direct patient care, clinical mentoring, clinical research, and teaching in numerous clinical and academic settings on topics related to differential diagnosis, anatomy and biomechanics, musculoskeletal imaging, and manual physical therapy.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/complex-and-chronic-impairment-in-4353Complex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.auditory, textual, visual
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.
2https://www.physicaltherapy.com/pt-ceus/course/clinical-use-reformer-for-upper-3330Clinical Use of the Reformer for the Upper BodyA reformer is an effective tool for rehabilitating the upper body. This course will provide exercises appropriate for progressing upper extremity rehab from scapular control to glenohumeral stability, to fully-integrated shoulder girdle training. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This is part four of our four-part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual
A reformer is an effective tool for rehabilitating the upper body. This course will provide exercises appropriate for progressing upper extremity rehab from scapular control to glenohumeral stability, to fully-integrated shoulder girdle training. Exercises focus on the concepts of motor control, stability/mobility system balance, movement competency and training functional movement patterning. This is part four of our four-part series on Pilates. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
3https://www.physicaltherapy.com/pt-ceus/course/cycling-related-injury-common-injuries-4868Cycling Related Injury: Common Injuries of the Recreational Indoor and Outdoor CyclistsWith the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.auditory, textual, visual
With the pandemic and post-pandemic popularity of spin cycling exercise classes, as well as outdoor road biking, an increase in spinning-related injury and pain is ever present in the active population. This course is designed to highlight the mechanics and muscular activation required during the cycle revolution and the implications of speed, stand cycling, and power output on the risk of development of overuse injury.
4https://www.physicaltherapy.com/pt-ceus/course/groin-pain-etiology-differential-diagnosis-4869Groin Pain: Etiology, Differential Diagnosis, and Treatment StrategiesDelve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.auditory, textual, visual
Delve into the intricacies of groin pain as we unravel its causes, discuss effective differential diagnoses, and explore cutting-edge treatment approaches. Don't miss this opportunity to enhance your understanding and refine your clinical strategies in addressing this common yet complex medical concern.
5https://www.physicaltherapy.com/pt-ceus/course/lower-extremity-myofascial-chains-identifying-4361Lower Extremity Myofascial Chains: Identifying the Source of Dysfunction and Treatment StrategiesThis course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual
This course is a concise resource for the practicing clinician to solve those ”mystery” diagnoses the next day due to vague lower extremity symptoms and makes it hard to point to the exact source as it may be an etiology anywhere along the chain mimicking the symptoms. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
