1. F/E C spine, ST neck, ACJs

why do we do F/E C spine projections

to see the function of the C spine, diagnose whiplash, assess mobility pre/post spinal fusion surgery

breathing for F/E C spine

exhale then suspend

SID for F/E C spine

180

positioning for flexion C spine

lateral, no rotation or tilt, tuck chin

marker for flexion C spine

arrow towards direction of the head: pointing anterior

structures included for flexion C spine

C1-7, pre vertebral fat stripe, C7 SP

what does no head rotation look like on the flexion c spine

mandibular rami SI ant/post

what does no shoulder rotation look like on the flexion c spine

z joints SI ant-post

what does adequate flexion look like on flexion c spine

SPs well separated, mandibular body almost vertical

what does no head tilt look like on the flexion c spine

mandibular rami SI sup-inf

what does no shoulder tilt look like on the flexion c spine

z joints SI sup-inf

pt position for extension c spine

lateral, no tilt or rotation, raise chin and head as much as possible

marker for extension c spine

arrow towards direction of head movement: pointing posterior

structures included for extension C spine

C1-7, pre vertebral fat stripe, C7 SP

adequate extension for extension C spine

SPs close in proximity, body of mandible almost horizontal

purpose of ST neck projection

investigates pathology or FB location

respiration for ST neck

quiet inspiration through nose

SID for AP ST neck

122

AP ST neck positioning

sitting or standing, no rotation or tilt, AML // to floor

CR for ST neck

perp

CP for AP ST neck

laryngeal prominence

structures included for AP ST neck

C3-T4, lat ST margins (include chin and 3 fingers below sternal notch)

no rotation for AP ST neck

SPs midline, SC joints symmetrical

no head F/E for AP ST neck

mandible SI over base of skull

SID for LAT ST neck

180

positioning for LAT ST neck

lateral, sitting or standing, AML // to floor, guide shoulders down and posterior

CR for LAT ST neck

perp

CP for LAT ST neck

level of adams apple at MCP

structures included for LAT ST neck

nasopharynx-T4. include posterior to the nose, ST margins of the neck

how to assess proper shoulder depression for LAT ST neck

C7 visualized

respiration for ACJs

suspended expiration

SID for unilateral ACJs

122

SID for bilateral ACJs

180

CP for unilateral ACJ

on the ACJ

CP for bilateral ACJs

midway between ACJs

markers for ACJs

indicate with or without weights

what positioning thing do we need to consider when doing bilateral ACJs instead of unilateral

thyroid collar for pt

structures included for ACJs

lateral 1/2 of clavicle, coracoid process, surrounding ST

for positioning, what do we need to keep in mind once we add weights to ACJs

adjust CP bc shoulders may depress, tell pt not to lean to either side