Foot

DP Oblique

Indications for imaging
Trauma, Degenerative conditions, gout,

 

Anatomy  Demonstrated
Tarsal bones, metatarsals and phalanges.


Foot Oblique Rt. Anatomy

Meschan, I. 1955 An Atlas of Normal Radiographic Anatomy Saunders, London

 

The patients lies or sits on the table legs extended, the affected limb is flexed at the knee to bring the plantar aspect of the foot in flat contact with the cassette, the foot is then rotated medially until the dorsal skin surface is parallel to the cassette.



 Foot Oblique Lt. Patient Position

Meschan, I. 1955 An Atlas of Normal Radiographic Anatomy Saunders, London

 

Radiation protection
Direct lead rubber gonad protection using a "half apron".

 

Central Ray
The vertical central ray is centered to the head of the third metatarsal.

 

Exposure Factors
Kv mAS FFD (cm) Grid Focus AEC Cassette
55 5 100 No Fine No 24 x 30 cm

 

Evaluation of the Image
ID and markers must be present and correct in the appropriate area of the film
Evidence of collimation on four sides equally around the centering point.
Limits of the examination, distally the phalanges, proximally the navicular, medially and laterally the skin surfaces.
There should be visualisation of the joint space between the heads of the second to fifth metatarsals, the joint spaces between the cuboid and the heads of the forth and fifth metatarsals should be open.
Optimal exposure should penetrate all the bone structures and contrast should be low enough to visualise fully the bone and soft tissue structures.



Foot Oblique Lt. Radiograph
 http://www.vh.org/Providers/TeachingFiles/NormalRadAnatomy/Images/

 

Related Projections
Foot DP  and Lateral
Tarsal bone and toes projections

 

Additional modalities
RNI