ChiroBoards2: Xray Positioning
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| Lateral Skull = | Sella Turcica
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| Lateral Skull Film Size | 10x12
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| Lateral Skull FFD and tube tilt | 40 ; None
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| P-A Caldwell Projection = | Frontal Sinus
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| P-A Caldwell Projection Film size | 10x12
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| P-A Caldwell Projection FFD and Tube Tilt | 40; 15 degrees caudad
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| A-P Towne's = | Foramen Magnum
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| A-P Towne's Film size | 10x12
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| A-P Towne's FFD and tube tilt | 40; 35 degrees caudad
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| Water's film = | Maxillary Sinus
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| Water's film size | 8x10
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| Water's FFD and tube tilt | 40; none
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| Neutral Lateral Cervical film size = | 8x10 or 10x12
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| Neutral Lateral Cervical FFD and tube tilt | 72; None
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| APLC film size | 8x10
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| APLC FFD and tube tilt? | 40; 15 degrees cephalic
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| APOM fim size = | 8x10
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| Which film is best for viewing a Burst FX? | APOM
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| Which film views the dens at atlas in an AP view? | APOM
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| APOM FFD and tube tilt | 40; None
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| Cervical Oblique film size | 8x10
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| Cervical Oblique FFD and tube tilt | 72; 15 degrees (anterior caudad/ posterior cephalad)
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| Patient is facing the tub and their body is rotated 45 degrees away = (anterior or posterior obliques?) | posterior oblique
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| What film is taken to evaluate ADI space-transverse ligament STABILITY? | Cervical Flexion
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| What MUST you do before taking a cervical flexion/extension film? (in trauma series cases) | Evaluate the standard series for fractures or signs of instability
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| Cervical Flexion FFD and tube tilt = | 72; none
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| Cervical Extension FFD and tube tilt = | 72; none
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| Best view for seeing cervical articular processes and apophyseal joints= | Cervical articular pillar film
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| Cervical Articular Pillar: film size | 8x10
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| Cervical Articular Pillar FFD and tube tilt = | 40; 35 degrees cephalad
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| Cervical Articular Pillar: patient position (P-A or A-P?) | P-A
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| A-P Thoracic film size | 7x17
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| A-P Thoracic FFD | 40
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| Lateral Thoracic Film size | 14x17
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| Lateral Thoracic FFD and tube tilt | 40; none
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| Lateral Thoracic filter position | lower half of thoracic spine
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| Best view for seeing cervico-thoracic junction | Swimmer's View
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| Swimmer's View film size? | 8x10
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| Swimmer's View FFD and tube tilt | 40; 5 degrees caudal
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| Describe patient's position in swimmer's view | Standing; lateral position with the arm closest to the bucky raised overhead; other arm hangs at the patient's side
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| P-A Chest film size | 14x17
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| P-A Chest FFD | 72
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| P-A Chest breathing instructions | deep breath in and hold
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| breathing instructions: Lateral Chest | Deep breath in and hold
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| breathing instructions: Apical Lordotic | Deep breath in and hold
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| breathing instructions: A-P Lumbar | Breath in and let it all out
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| breathing instructions: Lateral Lumbar | Breath in and let it all out
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| breathing instructions: L5/S1 Spot shot | Don't breath; Don't move
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| Lateral Chest film size | 14x17
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| Lateral Chest FFD | 72
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| Best view for seeing lung apices and a Pancoast tumor | Apical Lordotic
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| Apical Lordotic film size | 14x17
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| Apical Lordotic FFD | 72
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| A-P Lumbar Film size | 14x17
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| A-P Lumbar FFD and tube tilt | 40; none
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| A-P Lumbar Central Ray placement | 1 inch below the top of the iliac crests
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| Lateral Lumbar film size | 14x17
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| Lateral Lumbar FFD and tube tilt | 40; none
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| Lateral Lumbar Central Ray placement | Top of the iliac crest at the mid-axillary line
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| L5/S1 Spot Shot: aka's (2) | Sacral Base Tilt; Ferguson's Projection
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| L5/S1 Spot Shot film size | 8x10
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| L5/S1 Spot Shot FFD and tube tilt | 40; 25 degrees cephalic
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| L5/S1 Spot Shot= patient position | supine
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| L5/S1 Spot Shot central ray placement | At the level of the ASIS
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| Which film views the Pars | Lumbar Spine Oblique
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| Lumbar Spine Oblique view : Film size ; FFD; Tube Tilt = | 10x12; 40; none
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| Lateral L5/S1 spot shot: Film size; FFD; Tube Tilt = | 8x10; 40; none
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| Lateral L5/S1 spot shot: central ray position = | 2 inches inferior to the iliac crest and 1 inch posterior to the mid-axillary line
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| A-P Sacrum* : Film size; FFD; Tube tilt = | 8x10; 40; 15 degrees cephalic
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| A-P Sacrum* : central ray position = | 2 inches superior to the pubic symphysis
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| Lateral Sacrum: Film size; FFD; Tube tilt = | 8x10; 40; none
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| Lateral Sacrum : central ray position = | level of the ASIS, 3 inches posterior to mid-axillary line
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| Lateral Sacrum : patient position | lateral recumbent position
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| A-P coccyx: film size; FFD; tube tilt = | 8x10; 40; 10 degrees caudal
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| A-P coccyx: Central ray position | 2 inches superior to the pubic symphysis
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| Lateral coccyx: film size; FFD; tube tilt | 8x10; 40; none
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| A-P Angulated SI Joint film : film size; FFD; tube tilt = | 10x12; 40; 30 degrees cephalic
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| A-P Angulated SI Joint film : central ray position = | midline, 1 inch below ASIS
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| What views should be done to assess the AC joint? | AC Joint View with and without weights
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| When taking an AC Joint View, what should always be compared? | Take bilateral views for comparison
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| AC Joint View: film size; FFD; tube tilt? | 8x10; 40; 5 degrees cephalad (pt. standing A-P)
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| A-P Shoulder with external rotation views what skeletal structure? | Greater tuberosity
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| A-P Shoulder with internal rotation views what skeletal structure? | Lesser tuberosity
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| A=P Shoulder view (internal or external rotation): Film size and FFD | 10x12; 40
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| Axial Clavicle: Film size; FFD; tube tilt | 10x12; 40; 15 degrees caudal for P-A position (15 degrees cephalic for A-P position)
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| A-P Elbow: Patient position | Seated at the end of the table with shoulder, elbow, and wrist against the table and the hand SUPINATED
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| A-P Elbow: FFD and tube tilt | 40; none
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| Lateral Elbow: FFD and tube tilt | 40; none
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| Lateral Elbow: Patient position | Seated at the end of the table with elbow flexed to 90 degrees and shoulder, elbow, and wrist against the table and thumb pointed towards tube.
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| Medial (Internal) Oblique Elbow: FFD; tube tilt | 40; none
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| Medial (Internal) Oblique Elbow: Patient position | Seated at the end of the table with shoulder, elbow, and wrist against the table and the hand PRONATED.
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| Which view is best for the carpals? | P-A wrist
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| P-A Wrist: FFD and tube tilt | 40; none
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| P-A Wrist: Patient position | Seated at the end of the table with elbow and wrist against the table and hand pronated with fingers curled loosely in a fist
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| Medial Oblique Wrist: FFD and tube tilt | 40; none
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| Medial Oblique Wrist: Patient position | Seated at the end of the table; elbow and wrist against the table and the hand is oblique at 45 degrees
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| Lateral Wrist: FFD and tube tilt | 40; none
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| Lateral Wrist: Patient position | Seated at the end of the table with the elbow and wrist against the table, wrist in 0 degrees flexion and metacarpals stacked on top of each other.
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| Which view is best to see the scaphoid and lunate bones? | P-A Ulnar Deviation view
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| P-A Ulnar Deviation View: FFD and tube tilt | 40; none
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| P-A Ulnar Deviation View: Patient position | Seated at end of table with elbow and wrist against the table, hand is pronated with fingers curled loosely in a fist, wrist is ulnar deviated maximally
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| Best view to see articulations of the hand | P-A Hand
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| P-A Hand: FFD and tube tilt | 40; none
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| P-A Hand: Patient position | Seated at the end of the table with palm flat against the table and fingers slightly spread
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| Medial Oblique Hand: FFD and tube tilt | 40; none
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| Medial Oblique Hand: Patient position | Seated at the end of the table while hand is obliquely 45 degrees
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| Lateral hand: FFD and tube tilt | 40 ; none
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| Lateral hand: Patient position | Seated at end of the table with metacarpals stacked on top of each other and ulnar aspect of hand is against cassette while fingers are spread maximally
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| A-P Pelvis: film size | 14x17
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| A-P Pelvis: FFD and tube tilt | 40; none
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| A-P Pelvis: Patient position | Supine or standing; with feet turned in 15 degrees
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| A-P Pelvis: Central ray position | Place at the top of the film 2 inches above the iliac crests
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| Frog Leg Lateral Hip: Film size; FFD; Tube tilt | 10x12; 40; none
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| Frog Leg Lateral Hip: patient position | supine, leg on the side of interest in "Figure 4" position
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| A-P Knee: Film size; FFD; tube tilt | 8x10; 40; 5 degrees cephalic
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| A-P Knee: Central ray position | 1/2 inch inferior to the patellar apex
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| A-P Knee: Patient position | Supine or sitting with the knee of interest extended with the foot turned inward 5 degrees.
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| Lateral Knee: Film size; FFD; Tube tilt | 8x10; 40; 5 degrees cephalic
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| Lateral Knee: Patient position | Lateral recumbent position with knee of interest closest to the table and flexed 30-45 degrees while the opposite leg is out of the way
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| Which film is best for viewing the intercondylar fossa? | Tunnel Projection
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| Tunnel Projection: Film size; FFD; Tube tilt | 8x10; 40; 45 degrees caudal
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| Tunnel Projection: patient position | prone with the knee flexed to 45 degrees
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| Which film is best for viewing the patella and patellofemoral joint space? | Tangential (sunrise) view
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| Tangential (sunrise) view: Tube tilt | none
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| Tangential (sunrise) view: patient position | prone with the knee of interest flexed maximally
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| Which view is best for viewing the following all together: distal tibia and fibula, ankle joint, and talus = | A-P ankle
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| A-P ankle: tube tilt | none
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| A-P ankle: Patient position | supine or standing on the table with leg extended, ankle in 90 degrees of dorsiflexion and foot turned in 5 degrees
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| Medial Oblique Ankle: tube tilt | none
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| Medial Oblique Ankle: patient position | supine or sitting on the table with leg extended, ankle in 90 degrees of dorsiflexion and foot turned in 20-30 degrees
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| Lateral Ankle: tube tilt | none
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| Lateral Ankle: Patient position | lateral recumbent position with lateral aspect of the ankle of interest closest to the table and ankle in 90 degrees dorsiflexion while the opposite leg is out of the way
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| Which view is best to see the tarsals distal to the talus, metatarsals, and phalanges? | A-P Dorsoplantar foot view
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| A-P Dorsoplantar foot view: tube tilt | 10 degrees cephalic
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| A-P Dorsoplantar foot view: patient position | sitting on the table with plantar surface of foot flat on cassette
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| Medial Oblique Foot view: tube tilt | none
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| Medial Oblique Foot view: patient position | sitting on table with the plantar surface of foot flat against the cassette and foot obliqued medially 30 degrees.
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| Lateral Foot: tube tilt | none
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| Lateral Foot: patient position | lateral recumbent position or sitting on the table; lateral aspect of the foot of interest against the cassette with ankle dorsiflexed at 90 degrees. (opposite leg is out of the way)
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