Bontragers Pocket Handbook Radiographic Positioning And Techniques – Kenneth Bontrager

4-65 Tangential sitting method. Competency Check Technologist Date Evaluation Criteria Anatomy Demonstrated: ¢ Tangential view of patella ¢ Femoropatellar knee joint Position: ¢ Separation of patella and intercondylar sulcus « Femoropatellar joint open Exposure: ¢ Optimal density (brightness) and contrast; no motion ¢ Soft tissue and sharp bony trabeculation clearly demonstrated Lowe Limb (Ext de (Aqiued}x9) Guiry] JaMo7 Pediatric AP Lower Limb ¢ Size determined by patient size « Nongrid (detail screen) Note: If foot is specific area of interest, AP and lateral pro- jections of foot only may be required, Fig.

4-66 AP lower limb. Position—Shield Gonads ¢ Supine, include entire limb, shield over pelvic area « A second IR of pelvis and/or proximal femur may be required (see Chapter 16 in the text) ¢ Immobilize arms and unaffected leg with sandbags. ¢ Use parental assistance only if necessary; provide lead gloves and apron. Central Ray: CR 1, centered to midlimb (mid-IR) SID: 40-44” (102-113 cm) Collimation: Four sides to area of interest kV Range: Analog and Digital Systems: 55-60 kV cm kV mA Time mAs Exposure Indicator Bontrager Textbook, 8th ed, p. 637.

Pediatric Lateral Lower Limb « Size determined by patient size ¢ Nongrid (detail screen) Note: If foot is specific area of interest, AP and lateral projections of foot only Fi Cer e : 7 ig. 4- ateral lower may also be required. ; limb (see Note). Position—Shield Gonads « Semisupine, include entire limb, shield over pelvic area ¢ Immobilize arms and unaffected leg with sandbags as needed « Abduct (frog leg) affected limb into lateral position, immobilize with tape or compression band. (Do not attempt with hip trauma or hip disease.)

– If parental assistance is necessary, provide lead gloves and apron Central Ray: CR 1, centered to midlimb (mid-IR) SID: 40” (102 cm) =, Collimation: Four sides to area of interest ~ = onl © = fc) — kV Range: Analog: 55-70 kV Digital Systems: 55-60 kV cm kV mA Time mAs Exposure Indicator gee Gok: Bontrager Textbook, 8th ed, p. 637.

ees (Aqiuuas3xq) qu] 4aMo7 Pediatric—AP and Lateral Foot (Congenital Clubfoot—Kite Method) Fig. 4-68 AP foot. Fig. 4-69 Mediolateral foot. e 18x 24 cm L.W. (8 x 10”) ¢ Nongrid (detail screens) Note: With Kite method, no attempt is made to straighten foot when placing on IR. The foot is held or immobilized for a frontal and side view (AP and lateral projections) 90° from each other. Both feet generally are taken for comparison.

This pocket handbook becomes a personal notebook and record of positioning and technique factors. Therefore it is a very valuable and personal document to the owner. Please return to: fteweord commun by Poe i er oe Bontrager’s HAN DBOOK OF RADIOGRAPHIC POSITIONING AND TECHNIQUES Kenneth L. Bontrager, MA John P. Lampignano, MEd, RT(R)(CT) $55: Voli ELSEVIER MOSBY 3251 Riverport Lane St. Louis, Missouri 63043 BONTRAGER’S HANDBOOK OF RADIOGRAPHIC ISBN: 978-0-323-08389-8 POSITIONING AND TECHNIQUES, EIGHTH EDITION Copyright © 2014 by Mosby, an imprint of Elsevier Inc.

Copyright © 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Copyright © 2002, 1999, 1995, 1994 by Kenneth L. Bontrager No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher.

Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier. com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

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