26.5.4: Radiography

Question 1

We can take lateromedial and dorsopalmar/dorsoplantar views of the joints. What are 2 oblique views we commonly take?

Answer 1

Dorsolateral palmaromedial oblique
Dorsomedial palmarolateral oblique

NB: for hindlimbs, same as above except plantaro rather than palmaro

Question 2

We are taking an oblique view of a joint. The generator is at the start of the yellow arrow, and the plate it at the end of it. What is the view called? What will it highlight?

Answer 2

Dorsolateral palmaromedial oblique view
This highlights the dorsomedial and palmarolateral areas

Question 3

We are taking an oblique view of a joint. The generator is at the start of the red arrow, and the plate it at the end of it. What is the view called? What will it highlight?

Answer 3

Dorsomedial palmarolateral oblique view
This will highlight the dorsolateral and palmaromedial areas

Question 4

What radiographic views would we take in a standard foot series?

Answer 4

1. Lateromedial
2. Dorsopalmar
3. Dorsoproximal palmarodistal 60 degree oblique centred on the pedal bone
4. Dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone
5. Palmaroproximal palmarodistal 45 degree oblique

These are taken of both feet so minimum 10 images.

Question 5

What is another name for the dorsoproximal palmarodistal 60 degree oblique centred on the pedal bone?

Answer 5

Upright pedal view

Question 6

What is another name for the upright pedal view?

Answer 6

Dorsoproximal palmarodistal 60 degree oblique centred on the pedal bone

Question 7

What is another name for the upright navicular view?

Answer 7

Dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone

Question 8

What is another name for the upright navicular view?

Answer 8

Dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone

Question 9

What is another name for the dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone?

Answer 9

Upright navicular view

Question 10

What is another name for the palmaroproximal palmarodistal 45 degree oblique?

Answer 10

Flexor navicular view

Question 11

What is another name for the flexor navicular view?

Answer 11

Palmaroproximal palmarodistal 45 degree oblique

Question 12

This image shows two ways of taking the same radiographic view. Which view is this?

Answer 12

Dorsoproximal palmarodistal 60 degree oblique centred on the pedal bone (a.k.a. upright pedal)

Question 13

This image shows the two ways of taking the same radiographic view. The red arrow shows where the image will be centred. Which view is being taken here?

Answer 13

Dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone
(a.k.a. the upright navicular)

Question 14

Which radiographic view is shown here? What should you do to the foot before you take this image?

Answer 14

Dorsoproximal palmarodistal 60 degree oblique centred on the pedal bone

(a.k.a. the upright pedal)

Pack the frog clefts with play doh to avoid air artefact.

Question 15

Which radiographic view is shown here?

Answer 15

This is the dorsoproxinal palmarodistal 60 degree oblique centred on the navicular bone (a.k.a. upright navicular)

Question 16

When we do a dorsoproximal palmarodistal 60 degree oblique centred on the navicular bone, which structure are we imaging the navicular bone through? What impact does this have on machine settings?

Answer 16

• For this view we are imaging the pedal bone through P2
• This means we need higher exposure (higher kV) than we do for say imaging the pedal bone

Question 17

Which radiographic view is being taken here?

Answer 17

Palmaroproximal palmarodistal 45 degree oblique (a.k.a. the flexor navicular)

Question 18

Which radiographic view has been used to obtain this image?

Answer 18

Palmaroproximal palmarodistal 45 degree oblique (a.k.a. the flexor navicular)