Adapted Radiographic Techniques

Question 1

What can be used to help when taking an adapted technique x-ray?

Answer 1

Foam pads; Sandbags; Ceiling Suspended Tube; Rise and Fall Table; Vertical Bucky/Image Receptor; Relative/Carer/Staff Member

Question 2

What is common problems with an AP CXR?

Answer 2

• The patient may slump to the side
• May be rotated
• Patient could be Kyphotic
• Chin / Head overlying apices

Question 3

What are common problems when doing an adapted elbow x-ray?

Answer 3

• Patient not keen/ unable to straighten the elbow
• The patient may be unwilling to move the elbow

Question 4

What are common problems with Adapted Hip Imaging?

Answer 4

• Femoral Head may not be visible
• Incorrect Angle of the Patient
• Unaffected Leg not raised high enough.
• Posterior aspect of the proximal femur could be cut off

Question 5

What are common problems with Adapted Shoulder Imaging?

Answer 5

• Patients can ‘hunch’ shoulders when in pain
• The humeral head may appear like a ‘light bulb’ due to internal rotation
• Patient head may also projected over the humeral head

Question 6

What should be considered when using adapted techniques?

Answer 6

• Realise the patients limitations
• Good Communication is vital
• Think about the relationship between the patient, the image receptor and the primary beam
• Use aids when necessary
• Be aware of radiation protection