Additional projections

Question 1

Benefit of lateral chest

Answer 1

Better locate structure

Question 2

Benefit of erect ap

Answer 2

If too unsteady to stand

Question 3

Benefit of supine ap

Answer 3

If it is unsafe to sit or stand

Question 4

Hand additional projections

Answer 4

Fingers views
Thumb
Ball catchers

Question 5

Benefit of ball catcher

Answer 5

For ra and joint visualisation
Centre between hands at metacarpophalangeal joint level

Question 6

Wrist additional projections

Answer 6

Scaphoid - oblique/zitters/banana
Oblique wrist
Ulnar deviation

Question 7

Benefit of banana projection

Answer 7

Check scaphoid fracture
Check blood supply

Question 8

Elbow additional projections

Answer 8

Radial head views

Question 9

Shoulder additional projections

Answer 9

Modified axial
Y view scapula
Clavicle
Acromioclavicula joint views

Question 10

Benefit of y view

Answer 10

Assess for fractures and dislocations
No trauma from positioning

Question 11

Foot additional views

Answer 11

Weight bearing dp + lateral
Tangential

Question 12

Weight bearing foot lateral and dp benefit

Answer 12

Assess arches of feet - lateral
Assess alignment of feet - dp

Question 13

Additional ankle projections

Answer 13

Internal and external obliques
Weight bearing ap lateral
Horizontal beam

Question 14

Benefit of weight bearing ankle

Answer 14

Assess structural integrity of ankle joint

Question 15

Benefit of hb ankle

Answer 15

If patient can’t mobilise

Question 16

Additional tib fib projections

Answer 16

Internal and external oblique
Orthopaedic requests

Question 17

Knee additional projections and why

Answer 17

Tunnel view - loose bodies
Stress views - oa see degeneration
Weight bearing - alignment and see degeneration
Hbl - avoid exacerbating injury
Skyline - inferno patella-femoral joint space
Oblique - assess injury at other angle

Question 18

Pelvis additional projections

Answer 18

Frog leg
Hbl hip
Turned lateral
Ap hip
Judet view
Inlet and outlet

Question 19

Abdomen additional projections

Answer 19

Ap erect
Lateral and dorsal decubitus
Oblique

Question 20

L spine additional projections

Answer 20

Ap l5/s1
Posterior/anterior obliques
Hbl
Lateral flexion and extension
Erect spine
Side bending ap

Question 21

Benefit of posterior oblique

Answer 21

Demonstrate pars interarticularis

Question 22

Benefit of Hbl spine

Answer 22

Avoid moving and so prevent further injury or paralysis

Question 23

Benefit of flexion extension spine

Answer 23

Assess degree of movement and stability

Question 24

Benefit of erect spine

Answer 24

Assess gravity of scoliosis

Question 25

Benefit of side bending ap

Answer 25

Assess degree of scoliosis flexibility

Question 26

T spine additional projection

Answer 26

Hbl

Question 27

C spine additional projections

Answer 27

Anterior posterior obliques Hbl Flexion extension Swimmers view

Question 28

Benefit of c spine ap oblique

Answer 28

Demonstrate iv foramina for size, shape and impingement

Question 29

Benefit of swimmers projection.

Answer 29

See c7-t1 junction when can’t on a normal lateral