HOW TO X-RAY a KNEE | x-table | sunrise | weight bearing | lateral | positioning | radiology program

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In this video, I demonstrate how to do several knee positions. Often, a physician may order multiple views on a patient's knee/s. I go over some tips on how to make your exam much more efficient to help you shave off some time and still get quality radiographs. I also demonstrate how to fix your common lateral repeat.
HAPPY POSITIONING!
** I accidentally developed my sunrise method after thinking it's the way it's supposed to be done LOL Usually, the patient is supposed to have the IR laying on the knee (Settegast), but this isn't easy for most patients (their arms aren't long enough, so they have to do somewhat of an abdominal crunch, putting them in an uncomfortable position and at times their holding the IR with their finger tips). So keeping the patients best interest in mind, I instead have their back flat on the table. Hands laying comfortable at their waste and holding the IR. To make up for the OID, I give some longer SID to reduce the mag.
#xraytech

[@XRAYREY]

Unedited 0:28 What am I thinking 11:24 WB PA 12:28 WB AP 14:55 Patient care tips 16:39 Internal oblique 18:16 Table lateral 19:38 Sunrise 21:33 X-table 24:04 How to fix lateral repeat 25:59 Efficient workflow tips 26:39

[@honeyhamster1282]

I’ve been qualified for 10 years and work in the U.k, but love watching these vids. It’s interesting to see projections we never do. Radiography is awesome and you are passionate about it! This is what our profession needs.

[@XRAYREY]

I appreciate your kinda words! Means a lot coming form someone seasoned 🙏🏽 Just wanting to inspire others out there.

[@joelwilliams8887]

X-ray Rey, is it harmful to the eyes, if the x-ray lamp shines in the eye? Some females did my knee x-ray today and once they told me to get up, they forgot to turn the dang light off/away. The part I am talking about is at this time stamp (9:10). As I was laying down and holding the board, I asked them if they were done and if they wanted me to get up. One of the females said she was done and that I could get up, but once I stood up the freaking light shinned in my eyes. I feel like they were really careless. Please, let me know if I should be worried. I have never accidentally got an eyeful of the x-ray lamp light/red t-laser before.

[@kmanyip683]

Rey, can you do an Scapular Y AP projection? Thanks 😊

[@decentdeeds481]

Just sharing why I never continued watching this video: This video is better watched if shorter/summarized in time. Lots of moving around it is also distracting.

[@celestahoover9746]

Why are you taking it 72 instead of 40?

[@lik356]

Can you demontrate a lateral knee standing? I work at a chiropractic clinic and don't have tables. We do most positions standing.

[@XRAYREY]

I can get to it when I can. However, the same rules and concepts apply as if you were on the table. If you'd like some tips book a Zoom call on my website xrayrey.com

[@r.n.morielmaranon1495]

man you inspire and motivate me to pursue this course.. thank you so much. hope more video to come.

[@vanillekeks6664]

I am in the first year of Rad tech school! Loved this video and also the music. What music is this?

[@XRAYREY]

Hope all is well! Tbh I wouldn't know anymore. But all my music can be found on epidemic sound

[@alexpedersen5418]

Are you using the Siemens Ysio, it reminds me so much of my first ever clinical internship. I'm a rad-tech student from Denmark ^_^ Great videos by the way, you are doing such a great job!

[@XRAYREY]

I don’t remember the exact model name lol but that’s not it. I haven’t been using that room since COVID

[@laraocampo8230]

26:03 26:25

[@juanb795]

Hey Ray, got a question: why would you angle caudal on a x-table lateral knee? "Anything is better than perpendicular?" What you mean by that? I've never seen anyone or any facility do that here in Texas...🤔

[@ganoraks1156]

We’re the exposures that you showed after each positron the actual exposures? I thought i saw some knee replacements and then i saw very normal knees as well.

[@kimmijo27]

I'm a UK radiographer! So interesting to see the differences and similarities from across the pond, we don't do PA knees at the site I work at, AP weightbaring and lateral as standard with skyline patella views sometimes requested too. Also don't use gonad protection here anymore! Thanks for the video!

[@phoebenadia6570]

I have never heard of using a caudal angle for x-table lateral but it makes so much sense. Excited to test it out

[@XRAYREY]

yup! x-rays are all about angles and flipping them on the opposite side lol

[@Sottoamir]

Thank you for inspiring the young radtech out there especially me I'm a third year student radtech in the philippines. I hope you make more videos about positioning and others.

[@XRAYREY]

thanks for sharing! I appreciate that

[@m.francis2774]

Thank you for doing this video. I have a question. How can you manipulate the X-ray tube to mimic external or internal rotation for a cross table lateral (shooting mediolateral or lateromedial)when the patient CAN NOT move?

[@m.francis2774]

Hey Rey! Will you post a video describing how to do 30 60 90 patella tangential views?

[@saraallen6678]

Your videos get me so excited to start the X-ray program in January! Also, it’s so cool how technology has advanced to be able to use the imaging board (I don’t know what it’s called yet) to get images that would have been very difficult with film. Sooooo excited to get started! In the meantime I’m gonna watch all your vids. 🤗

[@pjjusinonieves6148]

Love your videos , I’m X-ray student and this videos helps me a lot. ❤️

[@XRAYREY]

I’m glad i can help!

[@Emanon6062]

In Algeria we study a lot of things and modules but we only need different positions, how to use different machines and the different constants. Do you also do that or do I need to restudy everything if I wanted to work in USA (I assumed you live there)

[@stephaniebeasley847]

have you ever had a patient flat-out tell you no when you are trying to get them positioned?

[@frilovedie5807]

Hi,i need your help for take a radiography of knee , which both condiles superimpose ?

[@juanarodriguez7646]

Thank you for posting this videos, they’re sooo helpful!

[@alanolea1388]

Just discovered your channel a few months ago I'm in my finishing my first semester of x ray school I start clinicals In May I watched your video on first time clinical tips and now I know what to expect and I feel less nervous about it, your videos have really helped! Keep up the good work!!

[@ismaeldeleon1672]

Hi there, my name is Ismael and I have a couple of questions regarding this field!! I stumble across your videos and have seen your positive comments in other radiological videos as well! I look forward to speaking with you! :) Thanks

[@XRAYREY]

Thanks for visiting! Ask way....

[@mondayymonqdaq7663]

I dont want to bee mean or anything. But if i would do xrays like that here in germany i would get fired in about 2 weeks

[@AP-fe9hm]

Can you please explain why?

[@Wilfido19]

Thanks a lot for this video. Super helpful!

[@mirandajones2973]

I'm curious what yout reasonings are for shooting the weight bearing bilateral standing knees both PA and AP?

[@DrunkenViet]

To assess OA

[@raiders-tl9nv]

The PA is Rosenberg method to show the intercondylar fossa and eminence. AP shows the femorotibial joint space.

[@radboy490]

This looks hella confusing, and im not even in xray school yet🤣😂.

[@XRAYREY]

haha don't worry to much, but you're ahead of the curve!

[@bianchini44]

On the laterals, we’ve learned to look at the condyles to assess rotation. Specifically if one is posterior or anterior to the other. Can you explain more regarding the tib fib joint visual? Your explanation of which way to fix it makes sense but I didn’t see much difference in the two images.

[@XRAYREY]

This method works for me for about 9/10 patients. Some times a patient’s anatomy is just different. But, when i see rotation i look at the proximal joint. If there’s too much seen, then i know its rotated externally. Vice a versa. If there’s too little seen or it’s hidden, it’s rotated medically.

[@sokmarllyta7947]

Does this equipment have a PBL? I'm in my second semester and everything has been moved online because of this pandemic. The equipment we have in our labs are simplistic too so I've never seen the light following the Bucky like that before

[@XRAYREY]

Yes... I’m sorry to hear that =/ Are there any questions you may have that i can address in a video? .. This is newer equipment so the tube and bucky automatically align. I plan on using older equipment for future videos so you can see both

[@sokmarllyta7947]

@@XRAYREY I mean we're learning about AEC right now so that'd be cool lol

[@daddee113]

I really appreciate these how x-ray series. Can you do routine elbow positions?

[@XRAYREY]

just have to edit !

[@karlsweeting9519]

Dude.....so appreciate this!!!!!!!!!

[@alekop8414]

Your good tech, like all your videos.

[@XRAYREY]

I appreciate that!

[@MajinSlurp]

is there writing assignment involved in the program

[@XRAYREY]

Speaking from my experience in my program, yes there are several. Nothing crazy tho

[@casandrabarrios3086]

This is awesome !

[@b.o.4469]

I don't trust patients to hold my receptor lol

[@XRAYREY]

😂 i use my judgment before i hand it off to them