Toes (second to fifth) Study

AP Projection

1. The patient is seated or placed supine on the table;
2. Flex the knee;
3. sole of the foot in IP;
4. The contralateral limb in extension.

Central ray perpendicular through the third metatarsophalangeal joint.

Evaluation criteria:

• No rotation of phalanges;
• Toes separated from each other;
• Distal ends of the metatarsals;
• Appropriate exposure values (visualization of the all bony trabeculation and soft tissue).

 

AP Oblique Projection

1. The patient is seated or placed supine on the table;
2. Flex the knee and rest the sole of the foot on the IP;
3. Medial rotation of the leg and the foot 45º.

Central ray perpendicular through the third metatarsophalangeal joint.

Evaluation Criteria:

• Visualization of all phalanges;
• Oblique toes and separate from each other;
• Open interphalangeal and second through fifth metatarsophalangeal joint  space;
• The first metatarsophalangeal joint isn’t always open;
• Appropriate exposure values (visualization of the all bony trabeculation and soft tissue).