PATIENT POSITIONING
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- Created by: Ewok18
- Created on: 31-03-21 01:41
DP Hand
Seated side on to end of table
Elbow flexed 90 degrees
Hand prone
Fingers extended and separated
Elbow flexed 90 degrees
Hand prone
Fingers extended and separated
1 of 49
DP Oblique Hand
From DP externally rotate 45 degrees
Medial aspect in contact with IR
Fingers extended and separate
Pad can be used
Medial aspect in contact with IR
Fingers extended and separate
Pad can be used
2 of 49
AP Thumb
Back to table
Arm extended back and medially rotated
Lateral wrist and dorsal part of thumb in contact with IR
Arm extended back and medially rotated
Lateral wrist and dorsal part of thumb in contact with IR
3 of 49
Lateral Thumb
Side on end of table
From DP position medial aspect raised until thumb in lateral position
Pad can be used or flex other fingers
From DP position medial aspect raised until thumb in lateral position
Pad can be used or flex other fingers
4 of 49
DP Fingers
DP hand position
Separate fingers
Separate fingers
5 of 49
Lateral Fingers (2nd & 3rd)
DP position
Medially rotate hand
Affected finger extended
Other fingers flexed/extended out of way
Medially rotate hand
Affected finger extended
Other fingers flexed/extended out of way
6 of 49
Lateral Fingers (4th & 5th)
DP position
Externally rotate
Affected finger extended
Other fingers flexed/extended out of way
Externally rotate
Affected finger extended
Other fingers flexed/extended out of way
7 of 49
PA Wrist
DP hand position
Styloid processes equidistant from IR
Styloid processes equidistant from IR
8 of 49
Lateral Wrist
From PA position externally rotate 90 degrees
Styloid processes superimposed
Styloid processes superimposed
9 of 49
AP Forearm
Seated side on at end of table
Arm extended
Elbow and shoulder at same level
Hand supinated
Long axis of bones parallel to that of IR
Arm extended
Elbow and shoulder at same level
Hand supinated
Long axis of bones parallel to that of IR
10 of 49
Lateral forearm
Side on at end of table
Arm flexed at elbow and abducted
Hand externally rotated so medial aspect in contact with IR
Shoulder, elbow and wrist all same level
Arm flexed at elbow and abducted
Hand externally rotated so medial aspect in contact with IR
Shoulder, elbow and wrist all same level
11 of 49
AP Elbow
Seated side on at end of table
Arm extended and abducted away from body
Elbow and shoulder at same level
Hand supinated
Epicondyles equidistant from IR
Arm extended and abducted away from body
Elbow and shoulder at same level
Hand supinated
Epicondyles equidistant from IR
12 of 49
Lateral Elbow
Side on
Elbow flexed 90 degrees
Elbow and shoulder same level
Hand in true lateral position
Epicondyles superimposed
Elbow flexed 90 degrees
Elbow and shoulder same level
Hand in true lateral position
Epicondyles superimposed
13 of 49
AP Humerus
Erect position with back to IR
Affected side rotated towards IR so contact is made
Hand supinated
Epicondyles equidistant from IR
Affected side rotated towards IR so contact is made
Hand supinated
Epicondyles equidistant from IR
14 of 49
Lateral Humerus
Facing erect IR
Arm abducted
Elbow flexed and hand placed on abdomen
Affected side rotated towards IR
Epicondyles superimposed
Arm abducted
Elbow flexed and hand placed on abdomen
Affected side rotated towards IR
Epicondyles superimposed
15 of 49
AP Shoulder
Back to IR
Arm extended and slightly abducted
Hand supinated
Trunk rotated 20 degrees towards affected side so scapula is parallel to IR
Arm extended and slightly abducted
Hand supinated
Trunk rotated 20 degrees towards affected side so scapula is parallel to IR
16 of 49
Axial Shoulder
Side on at end of table
Arm abducted and hand pronated
Patient leans into table
Axilla as close to IR as possible
Head turned away
Arm abducted and hand pronated
Patient leans into table
Axilla as close to IR as possible
Head turned away
17 of 49
'Y' Lateral Shoulder
From PA, trunk rotated 25 degrees
Affected side in contact with IR
Scapula at 90 degrees to IR
Elbow flexed and hand on waist
Medial and lateral borders of scapula superimposed
Affected side in contact with IR
Scapula at 90 degrees to IR
Elbow flexed and hand on waist
Medial and lateral borders of scapula superimposed
18 of 49
AP Clavicle
Back to IR
MSP perpendicular to IR
Head turned to opposite side
MSP perpendicular to IR
Head turned to opposite side
19 of 49
PA Clavicle
Facing IR
Rotated so affected side in contact with IR
Head turned to opposite side
Rotated so affected side in contact with IR
Head turned to opposite side
20 of 49
PA Chest
Faces IR
Chest against IR
Chin extended and rests on top of IR in middle
Back of hands on hips
Elbows rolled forward
Arrested inspiration
Chest against IR
Chin extended and rests on top of IR in middle
Back of hands on hips
Elbows rolled forward
Arrested inspiration
21 of 49
AP Chest
Back to IR
T1 below upper border of IR
Pad behind shoulders to reproduce elevation of lung apices above clavicles
Chin raised
SC joints equidistant from tabletop
T1 below upper border of IR
Pad behind shoulders to reproduce elevation of lung apices above clavicles
Chin raised
SC joints equidistant from tabletop
22 of 49
DP Foot
Seated on table
Knee flexed
Plantar surface placed on IR
Knee flexed
Plantar surface placed on IR
23 of 49
DP Oblique Foot
From DP position foot is medially rotated 40 degrees
45 degree pad can be used
45 degree pad can be used
24 of 49
AP Ankle
Seated or lying down on table
Leg extended
Ankle dorsiflexed
Malleoli equidistant to IR
Leg extended
Ankle dorsiflexed
Malleoli equidistant to IR
25 of 49
Lateral Ankle
From AP position, turned on affected side
Foam pad used to superimpose malleoli
Foam pad used to superimpose malleoli
26 of 49
DP Toes
Seated on table
Flex knee
Plantar aspect of foot in contact with IR
Flex knee
Plantar aspect of foot in contact with IR
27 of 49
DP Oblique Toes
From DP, medially rotate foot 30-45 degrees
Foam pad can be used
Foam pad can be used
28 of 49
AP Tibia/Fibula
Supine
Leg extended
Dorsiflex ankle and medially rotate
Malleoli equidistant from IR
Leg extended
Dorsiflex ankle and medially rotate
Malleoli equidistant from IR
29 of 49
Lateral Tibia/Fibula
From supine, turn onto affected side
Ankle dorsiflexed
Foot adjusted so malleoli are superimposed
Ankle dorsiflexed
Foot adjusted so malleoli are superimposed
30 of 49
AP Knee
Seated on table
Leg extended
Leg rotated so patella is centralised between condyles
Leg extended
Leg rotated so patella is centralised between condyles
31 of 49
Lateral Knee
From AP, turn onto affected side
Knee flexed
Femoral condyles superimposed
Pad for ankle so tibia is parallel to IR
Knee flexed
Femoral condyles superimposed
Pad for ankle so tibia is parallel to IR
32 of 49
AP Femur
Supine
Leg extended
Medially rotate leg so patella is centred between condyles
Knee and hip joints included
Leg extended
Medially rotate leg so patella is centred between condyles
Knee and hip joints included
33 of 49
Lateral Femur
From supine, turn onto affected side
Knee and hip slightly flexed
Hips rolled back to separate thighs
Femoral condyles superimposed (pad at ankle)
Knee and hip slightly flexed
Hips rolled back to separate thighs
Femoral condyles superimposed (pad at ankle)
34 of 49
AP Pelvis
Patient is supine
Both ASIS are equidistant from the table-top
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if a fracture is suspected)
Both ASIS are equidistant from the table-top
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if a fracture is suspected)
35 of 49
AP Hips Down Pelvis
Patient is supine
Both ASIS are equidistant from the table-top
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if a fracture is suspected)
Both ASIS are equidistant from the table-top
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if a fracture is suspected)
36 of 49
AP Single Hip
Patient is supine
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if fracture is suspected)
Lower limbs are internally rotated 15-25° from the hip (do not attempt this if fracture is suspected)
37 of 49
Lateral Oblique Hip
From supine, turned 45 degrees on affected side
Knee and hip flexed and externally rotated
Lateral thigh in contact with IR
Foam pads to support position
Knee and hip flexed and externally rotated
Lateral thigh in contact with IR
Foam pads to support position
38 of 49
AP C3-7
Sitting/standing with back of neck resting on IR.
Chin raised slightly to superimpose symphysis menti and base of occiput
Cassette displaced towards head (upper border level with ear). In bucky.
Chin raised slightly to superimpose symphysis menti and base of occiput
Cassette displaced towards head (upper border level with ear). In bucky.
39 of 49
Lateral Cervical
Sitting or standing
Lateral aspect of shoulder against IR
MSP parallel to IR
Chin extended slightly
Shoulders relaxed and depressed
Lateral aspect of shoulder against IR
MSP parallel to IR
Chin extended slightly
Shoulders relaxed and depressed
40 of 49
AP Thoracic
Supine
MSP perpendicular to table top
A small pillow supports the head but keep the chin raised.
Patient’s arms are placed down by their side
Pillow under knees
MSP perpendicular to table top
A small pillow supports the head but keep the chin raised.
Patient’s arms are placed down by their side
Pillow under knees
41 of 49
Lateral Thoracic
Patient lies on side with head on a pillow facing away from you
MSP and spine are parallel to the table top.
Hips and knees are flexed.
Patient’s arms are raised (dive position) with one arm under the pillow and one on top, hands together
Shoulders and
MSP and spine are parallel to the table top.
Hips and knees are flexed.
Patient’s arms are raised (dive position) with one arm under the pillow and one on top, hands together
Shoulders and
42 of 49
AP Lumbar
Patient lies supine on x-ray table, arms by sides or up on pillow
Knees may be raised slightly and supported with a foam pad, for comfort (to reduce L-spine lordosis)
MSP 90° to and coronal plane parallel to tabletop
Check ASIS equidistant to tabletop, fo
Knees may be raised slightly and supported with a foam pad, for comfort (to reduce L-spine lordosis)
MSP 90° to and coronal plane parallel to tabletop
Check ASIS equidistant to tabletop, fo
43 of 49
Lateral Lumbar
Side lying away from me
MSP parallel to table
Knees and hips flexed
PSIS superimposed
Shoulders vertical
MSP parallel to table
Knees and hips flexed
PSIS superimposed
Shoulders vertical
44 of 49
Inferosuperior Clavicle
Patient stands/sits with back to image plate
MSP perpendicular to cassette
Turn patient’s head away
MSP perpendicular to cassette
Turn patient’s head away
45 of 49
AC Joint
Back to IR
Rotated so affected side is closer to IR
AC plane perpendicular to IR
Head turned away
Rotated so affected side is closer to IR
AC plane perpendicular to IR
Head turned away
46 of 49
OF/PA Skull
Patient sits facing bucky, forehead and tip of nose in contact with it
OMBL and MSP 90° to image receptor – check MSP position by making sure EAM’s are equidistant to IR
Glabella coincident with middle of cassette
OMBL and MSP 90° to image receptor – check MSP position by making sure EAM’s are equidistant to IR
Glabella coincident with middle of cassette
47 of 49
FO/Townes
Patient sits erect facing the x-ray tube, back of head resting against erect bucky
OMBL and MSP 90° to image receptor
Check EAM’s are equidistant from IR
OMBL and MSP 90° to image receptor
Check EAM’s are equidistant from IR
48 of 49
Lateral Skull
Patient sits facing erect bucky
Head turned through 90°, away from side of interest, and side of head placed in contact with bucky
MSP parallel to and interpupillary line 90° to image receptor
Head turned through 90°, away from side of interest, and side of head placed in contact with bucky
MSP parallel to and interpupillary line 90° to image receptor
49 of 49
Other cards in this set
Card 2
Front
DP Oblique Hand
Back
From DP externally rotate 45 degrees
Medial aspect in contact with IR
Fingers extended and separate
Pad can be used
Medial aspect in contact with IR
Fingers extended and separate
Pad can be used
Card 3
Front
AP Thumb
Back
Card 4
Front
Lateral Thumb
Back
Card 5
Front
DP Fingers
Back
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