Shoulder blade (scapula) X-ray
Quick answer: A scapula X-ray shows the shoulder blade, the flat triangular bone at the upper back. Doctors usually order it after a fall or direct blow to the upper back or shoulder.
- SampleImaging (no sample)
- TakesAbout 10 minutes
- Before the testNo special preparation is usually needed, but remove metal items from the area and tell staff if you might be pregnant.
How the test is done
- 1You remove clothing and jewellery from the upper body and wear a gown
- 2You stand or lie with your back against the plate
- 3Your arm on the injured side may be moved out to the side to clear the bone
- 4A side view is taken with you turned at an angle to the plate
What your results can mean
Reading your report
A radiologist reports on the images, and your doctor will explain what the findings mean for you.
If the result is outside the usual range
A scapula X-ray can show a fracture of the shoulder blade, which usually follows a strong direct blow, and can also show related rib or collarbone injuries.
Who usually has this test
People who have had a hard fall onto the back or shoulder, or a direct blow such as in a road accident.
Risks and aftercare
Moving the arm can hurt after an injury, so tell staff if it does; the dose is low, and mention any chance of pregnancy.
Names and options
Also called: scapula X-ray
Listed by the hospital as
- SCAPULA DIGITAL X-RAY
Questions about this test
Is a shoulder blade fracture common?
It is uncommon, because the shoulder blade is well protected by muscle. It usually needs a strong force, so doctors often check for chest and rib injuries too.
Why might a chest X-ray be done with a scapula X-ray?
The force needed to break the shoulder blade can also injure the ribs or lungs. A chest X-ray helps check for these.
Can the shoulder blade be hard to see on X-ray?
Yes, it overlaps the ribs, so special angles are used to show it clearly. Sometimes a CT scan is used if more detail is needed.
Related tests
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This page explains each test in general terms so you know what to expect. It is not medical advice: your doctor decides which tests you need and what your results mean. Reference ranges differ between laboratories. Updated 4 November 2026.