X – Ray Right Heel AP and LAT view gives a full, two-way view of the heel. Generally, in case of any discomfort, pain or injury, and also for post-surgery examination of the right foot region, the doctor asks for the X-ray of the right heel.
What is X – Ray Right Heel AP and LAT view?
X – Ray Right Heel AP and LAT view involves the heel (calcaneus) X-ray, which is a part of the two-view calcaneus series – lateral and axial – that is used to asses talocalcaneal joint and plantar aspects of heel. LAT view refers to the side-to-side or lateral view, and AP stands for the anteroposterior view or the front-to-back view. Therefore, an X – Ray Right Heel AP and LAT View gives a full, two-way view of right heel that is performed for a variety of indications that include the following:
● Calcaneal fractures.
● Osseous injuries.
● Burst fractures of the lumbar spine.
● Fall from a significant height.
● Inability to bear weight.
● Pathological processes such as osteoporosis, cysts, and tumour.
During this process, a beam of radiation is sent through the right heel, and all possible images are recorded on an X-ray film.
How is X – Ray Right Heel AP and LAT View performed?
X – Ray Right Heel AP and LAT View is a painless and quick process. The procedures performed during the examination are as follows:
- Patient is asked to change into a hospital gown.
- Depending on severity, the technologist asks the patient to lie down or be seated with legs fully extended, with the right foot dorsiflexed.
- For the LAT view, the patient is asked to lie down on examination table, turning the affected side of right ankle in a lateral position. In many cases, the patient is asked to flex the right knee to place the ankle joint to make a 90° angle flexion.
- For the AP view, the patient is asked to remain in the supine position or sit with legs fully extended, with the affected foot area making 90°, 45° angles, etc., against a wedge. The foot is adjusted in different degree projections for better articulation.
- If patient’s ankle cannot be dorsiflexed to place it perpendicular to the radiation, then a support is placed to obtain the required position.
- All images from different angles are taken. The whole examination procedure takes 10-20 minutes.
Side effects/risks of X – Ray Right Heel AP and LAT view
Even though low levels of radiation are involved in Right Heel AP and LAT View X – Rays,
studies have shown that excessive exposure to radiation may lead to an increased risk of cancer.
- Pregnant ladies are advised to consult their physician before an X-ray scan as it may affect the fetus.
- Patients with open wounds are advised to be careful as exposure to X-rays may lead to increased risk of infection.
- X-rays on rare occasions may lead to nausea, vomiting, bleeding, hair loss, etc.
Preparation before performing X – Ray Right Heel AP and LAT View
An X – Ray Right Heel AP and LAT View procedure does not require any special preparation before the test. There are no food restrictions. However, it is essential to do the following:
- Inform the doctor about any history of kidney infection or lung disease.
- Inform the doctor if pregnant.
- Consult a doctor prior to an X-ray if the patient has metal implants in the body like ear implants, pacemakers, brain clips, etc.
- Removal of metal accessories like jewelry, pins, buttons, braces, etc., before the test as they are likely to interfere with the X-rays.
The patient is asked to change into a hospital gown before the test, if necessary.
Post care after X – Ray Right Heel AP and LAT view
There are no particular post care measures to be followed after an X – Ray Right Heel AP and LAT View procedure. However, it is important to visit a doctor if the patient experiences any discomfort, including vomiting or bleeding. Patients can resume their daily activities about the day after the test. A radiologist examines the image and makes a report highlighting the problem. The physician uses this report as a base for further course of action.
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