Category Archives: Positioning Guide

Radiographic Procedures in Trauma

Hariette A.W.

Cervical Spine 1. Lateral (Dorsal Decubitus position / Translateral projection) – always perform this procedure first before any other projections – 72 inches SID whenever attainable – Patient is generally immobilized on a backboard and in a cervical collar and have the patient relax the shoulders as possible – Ensure the patient is looking straight ahead without any rotation of the head and neck – IR placed on top of the lateral aspect of the shoulder – Uppermost border of the gridded cassette at the level of the nasion – CR Horizontally directed centered to midpoint of the IR Structures Click Here To Read More

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Quick Positioning Guide: R

Hariette A.W.

REVERSE TOWNES Demonstrates the condyles, condylar heads and condylar hypo/hyperplasia. PA Townes ( half-axial skull) with 30 degree angulation. REVERSE WATERS Method (AP) facial bones. RHESE METHOD The routine PA oblique of the optic foramen Ref: K. Clarke. Positioning in Radiography, 10th ed. RIPPSTEIN METHOD Foreshortened view of the femurs and femoral neck.Requires a Rippstein leg support.Patient supine with the hips flexed 90 degrees and abducted 20 degrees. The legs are parallel in a Rippstein leg support. Vertical central ray centred to the symphysis pubis.Ref: Rippstein, J. (1955). On Assesment of the Neck of the Femur by Means of Two Click Here To Read More

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Quick Positioning Guide: P – Q

Hariette A.W.

PAWLOW METHOD Swimmer’s view with the patient on their side. PEARSON METHOD A bilateral AP projection of the acromoclavicular joints. Both joints taken in one expose on a wide film. PENNAL’S VIEWS (TILE’S VIEW) Trauma views to show the pelvic inlet and outlet.VIEW 1Patient positioned as for an AP pelvis. Angle the central ray 40 degrees caudally and centre midway between the ASIS.VIEW 2Patient positioned as for an AP pelvis. Angle the central ray 40 degrees cranially and centre in the midline 4cm below the upper border of the symphysis pubis. Ref: Tile M. and Pennal G. Fractures of the Click Here To Read More

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