Toes AP
Position the Patient
- Seated or supine
- Place foot flat on IR
- Keep toes relaxed and slightly separated
Words That Work
“Rest the bottom of your foot flat on the plate. Let your toes relax and uncurl, then gently spread them like a small fan. Hold still.”
AP toes positioning
Set Up the Shot
- Center here
- Central ray
- MTP joint of affected toe
- Include this in the field
- Collimation
- Affected toe and distal metatarsal
- Set the distance
- SID
- 40"
- Check the technique
- Technique
- 55-60 kVp
- Follow facility protocols
Common Pitfalls
- •Rotation
- •Joint spaces not open
- •Entire toe and distal metatarsal not included
Evaluate the Image
What should be visible?
- Phalanges
- MTP joint
- Distal metatarsal
Does the image pass?
- ✓Entire toe included
- ✓Joint spaces open
- ✓No rotation