Positioning Review 1

• FUCHS METHOD (C-SPINE):

  IR: 8x10 CW

  CR: 15 degrees cephalad and to the inferior mandible

  • CR parallel to MML

  POSITIONING: PT elevates chin
• SWIMMERS C-SPINE:

  IR: 10x12 LW

  CR: Can be angled 3-5° caudad; 1" below jugular notch (T1), where neck and shoulder meet

  POSITION: One arm up, one depressed down. chin extended
• LATERAL T-SPINE:

  IR: 14x17 LW

  CR: Top light 2" above shoulders (T7);

  POSITION: PT in tru lateral with arms in front of them
• AP AXIAL C-SPINE

  IR: 10x12 LW

  CR: Top light to ear

  POSITION: AML parallel to floor
• LATERAL L-SPINE:

  IR: 14 x 17 LW

  CR: 1.5" above iliac crest

  POSITION: True lateral; arms out the way
• AP AXIAL SACRUM

  IR: 10x12 LW

  CR: 15 degrees cephalad; 2" below ASIS

  POSITION: PT recumbent with sponge under knees
• AP OPEN MOUTH

  IR: 8x10 LW

  CR: center of the mouth

  POSITION: Low margin of upper incisors perpendicular to mastoid tips 
• LAO/RAO C-SPINE

  IR: 10x12 LW

  CR: 15 degrees caudad; top light to ear

  POSITION: 45 degree oblique, head is turned lateral and chin up
• LPO/RPO OBLIQUE L-SPINE:

  IR: 14x17 LW

  CR: 1.5" above iliac crest and 2" medial to ASIS

  POSITION: 45 degree oblique
• AP PELVIS

  IR: 14x17 CW

  CR: midway between ASIS and pubic symphysis

  • Top light 1.5"-2" above iliac crest

  POSITION: Pt supine with legs internally rotated 15-20 degrees.
• TRAUMA LATERAL C-SPINE

  IR: 10x12 LW

  CR: Top light to ear

  POSITION: PT supine with shoulders depressed; DONT move head or neck
• AP AXIAL OUTLET

  IR: 14x17 CW

  CR: 20-35 degrees (males)/ 30-45 degrees (female) cephalad; 1-2" below pubic symphysis

  POSITION: PT supine
• AP AXIAL INLET

  IR: 14x17 CW

  CR: 40 degrees caudad; to ASIS

  POSITION: PT supine
• LATERAL C-SPINE

  IR: 10x12 LW; SID: 72"

  CR: Top light to ear (CR to C4)

  POSITION: true lateral; AML parallel to floor; shoulders depressed
• AP AXIAL SI JOINTS:

  IR: 10x12 LW

  CR: 30-35 degrees cephalad; 2" below ASIS (2" above pubic symphysis)

  POSITION: PT supine; sponge under knees
• AP L-SPINE

  IR: 14x17 LW

  CR: to iliac crest

  POSITION: PT supine; sponge under knees
• OBLIQUE SI JOINTS:

  IR: 10x 12 LW

  CR: 1" medial to elevated ASIS

  POSITION: 25-30 degrees oblique (side of interest up) (mark the side up)
• CROSSTABLE LATERAL HIP (DANELIUS MILLER):

  IR: 10x12 LW

  CR: Perpendicular to midfemoral neck (1-2" medial to ASIS and 3-4" distal)

  POSITION: PT supine with unaffected leg up; affected leg may be rotated internally if no fracture
• AP T-SPINE:

  IR: 14x17 LW

  CR: 3-4" below jugular notch (T7)

  POSITION: PT supine or erect
• AP UNILATERAL HIP

  IR: 10x12 LW

  CR: 1-2" medial and 3-4" distal to ASIS (midfemoral neck)

  POSITION: PT supine; leg internally rotated 15-20 degrees
• AP AXIAL L5-S1 SPOT

  IR: 8X10 CW

  CR: angle 30 (male) or 35 (female) degrees cephalad; CR to ASIS

  POSITION: PT supine; sponge under knees
• AP BILATERAL FROG LEG PELVIS (CLEAVES METHOD):

  IR: 14x17 CW

  CR: 3" inferior to ASIS; aligned to MSP

  POSITION: PT supine with both femurs abducted 40-45 degrees from vertical.
• LPO/RPO C-SPINE:

  IR: 10x12 LW

  CR: 15 degrees cephalad; top light to ear (CR to C4)

  POSITION: 45 degree oblique; head turned lateral with chin extended
• LATERAL SACRUM/COCCYX

  IR: 10x12 LW

  CR: 3-4" posterior to ASIS

  POSITION: PT in true lateral
• LATERAL L5-S1 SPOT

  IR: 8x10 LW

  CR: angle 5-8 degrees caudad; CR 1.5" inferior to iliac crest and 2" posterior to ASIS

  POSITION: PT in true lateral with knees flexed
• AP AXIAL COCCYX

  IR: 8x10 LW

  CR: 10 degrees caudad; 2" inferior to ASIS

  POSITION: PT supine with sponge under knees
• UNILATERAL FROG LEG HIP:

  IR: 10x12 CW

  CR: 1-2" medial and 3-4" distal to ASIS (midfemoral neck)

  POSITION: PT supine; femur abducted 45 degrees