Radiology Forums

BMRT · Guest

We also ask the patient to hold it.

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vampbabe · Joined: 07 Nov 2005 Posts: 1

I'm an Australian radiography intern and we do skylines (on patients who are able to) like this all the time.

We get the patient sitting up, holding an 18x24 cassette behind whichever knee we're investigating. The knee is bent at about 45 degrees. The direction of the tube is facing the patient & perpendicular to the cassette, ( therefore parallel to your floating table top). You then adjust your tube so that it points 15-20 degrees towards the patient's head which will give you a beautiful skyline.

Goodluck with the legal issues O.o

MaBones · Guest

PRONE!!!!!! Who does skylines prone??????

Tell your boss to open up a Merrill's and see other ways it can be done.
We've done them AP since Willy met Bertha!!! LOLOL The pt is 99% willing to hold the cassette and if need be, one of us suits up and holds. You don't need to bend the knee much...if they can't, then just increase your tube angle. Use geometry! Biggest problem you may have wil be to get their foot/toes out of the way....they have to flex and point the toes down.

Now, if you want to talk about the notch view.......

MaBones

NJ_RT · Joined: 20 Dec 2005 Posts: 19 Location: NJ, USA

I think prone is easier, providing the patient is a walkie-talkie.

Of course, if you really need a skyline shot of the knee, you're almost definitely going to have to do it supine.
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rekex · Joined: 05 Mar 2006 Posts: 19

i'm a 3rd yr rad student n I've also always done my skylines Supine with pt holding the cassette. havent had much probs. jus remember not to flex the knee to much.

you can do them prone with pt's knee flexed 90deg or something. cant quite remember. But, most ppl just tend to use the supine method.

all the best