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EQUINE MEDICINE
Large Animal Radiology: Digital X-Ray Front & Hind Limb
Equine Skeletal System
RADIOGRAPH PRINCIPALS
Portable machine most commonly used
FFD 20-30 cm
(aka source-image distance (SID))
Cassette Marker-Cranial or lateral to limb
Animal Positioning: Feet square
Weight evenly distributed
Radiographic Aids
Wooden Block:
Allows cassette to extend below
hoof
Cassette Tunnel:
Allows animal to stand on
cassette
Navicular Box:
Supports foot for easier
navicular films
Cassette Holder:
Tunnel with long handle
Allows holder to be away from animal &
primary beam
Radiographic Aids
Hoof Preparation
Requires additional preparation
Hoof should be cleaned of debris
Trim sole & frog
Remove shoe for some views
Pack sulci of frog & sole to eliminate artifacts
Hoof
Minimum of 5 standard views
Lateromedial View
Patient Placement: Weight bearing on block
Cassette Placement: Medial aspect of limb
On ground, perpendicular to ground
Beam Center: Parallel to ground
Centered at coronary band
Hoof
Dorsopalmar/Dorsoplantar View
Patient Position: Weight bearing on block
Cassette Placement: On ground, along
palmar/plantar aspect on limb
Perpendicular to ground
Beam Center: Parallel to ground
Centered at coronary band
Hoof
Dorsopalmar/Dorsoplantar Distal Phalanx View
Patient Position: Weight bearing on cassette tunnel
Cassette Placement: Parallel to ground, in cassette tunnel
Beam Center: Proximodistal at 60º angle
Centered just distal to coronary band
60º
Navicular Box
Patient Placement: Affected limb flexed, toe in stand
Cassette Placement: In stand, under foot
Beam Center: Parallel to ground
Centered at coronary band
Hoof
Dorsopalmar/Dorsoplantar Oblique View
Patient Position: Weight bearing on cassette tunnel
Cassette Placement: Parallel to ground, in cassette tunnel
Beam Center: Proximodistal at 65º angle
Centered at middle of P2
Dorsoproximal-Palmarodistal Oblique
Patient Placement: Affected limb flexed, toe in stand
Cassette Placement: In stand, under foot
Beam Center: Parallel to ground
Centered at coronary band
65º
Hoof
Palmaroproximal-Dorsodistal Oblique View
Patient Position: Weight bearing on cassette,
extended caudally
Cassette Placement: Parallel to ground
In cassette tunnel
Beam Center: 45º angle, proximodistal
Between heel bulbs
45º
Hoof: Additional Views
Dorsolateral-Palmaromedial Oblique View
Patient Position: Weight bearing on cassette tunnel
Cassette Placement: Parallel to ground in tunnel
Beam Center: 60º proximodistally
45º off true dorsopalmar
Just distal to coronary band
60º PD
45º Obl
Hoof: Additional Views
Dorsomedial-Palmarolateral Oblique View
Patient Position: Weight bearing on cassette tunnel
Cassette Placement: Parallel to ground in tunnel
Beam Center: 60º proximodistally
45º off true dorsopalmar
Just distal to coronary band
60º PD
45º Obl
Fetlock
Minimum of 5 standard views
Lateromedial View
Patient Position: Weight bearing
Cassette Placement: Medial aspect of
leg, perpendicular to ground
Beam Center: Parallel to floor
Centered on joint
Fetlock
Dorsopalmar/Dorsoplantar View
Patient Position: Weight bearing
Cassette Placement:
Palmar/Plantar aspect of leg, on ground
Parallel to pastern angle
Beam Center: 20º proximal to distal
Centered on joint
Fetlock
Dorsolateral-Palmaromedial Oblique View
Patient Position: Weight bearing
Cassette Placement: Palmaromedial aspect of limb
Parallel to pastern angle
Beam Center: Parallel to floor
Centered at joint 45º dorsolateral to
true dorsopalmar
45º DL
Fetlock
Dorsomedial-Palmarolateral Oblique View
Patient Position: Weight bearing
Cassette Placement: Palmarolateral aspect of limb
Parallel to pastern angle
Beam Center: Parallel to floor
Centered at joint 45º dorsomedial to
true dorsopalmar
45º DM
Fetlock
Flexed Lateral View
Patient Position: Affected limb flexed with handler
holding hoof
Cassette Placement: Medial side of limb, parallel to
limb
Beam Center: Parallel to ground
Centered at joint
Carpus
5 standard views
Lateromedial View
Patient Position: Weight bearing
Cassette Placement: Medial aspect of leg
Beam Center: Parallel to floor
Centered on joint
Carpus
Dorsopalmar View
Patient Position: Weight bearing
Cassette Placement: Palmar aspect of leg
Beam Center: Parallel to floor
Centered at carpus
Carpus
Dorsolateral-Palmaromedial Oblique View
Patient Placement: Weight bearing
Cassette Placement: Palmaromedial
aspect of limb
Beam Center: Parallel to floor
Centered at middle of carpus
30º off true lateromedial
30º off LM
Carpus
Dorsomedial-Palmarolateral Oblique View
Patient Placement: Weight bearing
Cassette Placement: Palmarolateral
aspect of limb
Beam Center: Parallel to floor
Centered at middle of carpus
30º off true mediolateral
30º off ML
Carpus
Flexed Lateromedial View
Patient Position:
Affected limb flexed 60º,
handler holding hoof
Cassette Placement:
Medial side of limb, centered at
joint
Beam Center: Parallel to ground
Centered between proximal &
distal rows of carpal bones
Tarsus
4 standard views
Lateromedial View
Patient Position: Weight bearing
Cassette Placement: Medial aspect of limb
Beam Center: Parallel to floor
Centered on proximal
intertarsal joint
Tarsus
Dorsoplantar View
Patient Position: Weight bearing
Cassette Placement: Plantar aspect of limb
Beam Center: Parallel to floor
Centered on proximal
intertarsal joint
Tarsus
Dorsolateral-Plantarmedial Oblique View
Patient Position: Weight bearing
Cassette Placement: Plantaromedial aspect of limb
Beam Center: Parallel to floor
Centered on proximal
intertarsal joint 45º off
true lateromedial
45º off LM
Tarsus
Dorsomedial-Plantarolateral Oblique View
Patient Position: Weight bearing
Cassette Placement: Plantarolateral aspect of limb
Beam Center: Parallel to floor
Centered on proximal intertarsal joint 45º off true mediolateral
45º off ML
Stifle
3 standard views
Lateromedial View
Patient Position: Weight bearing
Cassette Placement: Medial aspect as
dorsal as possible
Beam Center: Parallel to floor
Centered on joint
Femoral condyles superimposed
Stifle
Caudocranial View
Patient Position: Weight bearing
Cassette Placement: Cranial aspect of joint
Parallel to limb angle
Beam Center: Angled parallel to limb proximodistally
Direct toward midsagittal plane
Centered on joint
Stifle
Caudolateral-Craniomedial Oblique View
Patient Position: Weight bearing
Cassette Placement: Dorsomedial aspect of limb,
as dorsal as possible
Beam Center: Caudolateral at 30º angle
Lateral to the caudal midsagittal plane
Centered at joint
30º Caudolateral

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Common Surgical Procedures
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External CoaptationExternal Coaptation
External Coaptation
 
Technical Procedures
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Nursing Skills
Nursing SkillsNursing Skills
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Front & Hind Limb Radiology

  • 1. EQUINE MEDICINE Large Animal Radiology: Digital X-Ray Front & Hind Limb
  • 3. RADIOGRAPH PRINCIPALS Portable machine most commonly used FFD 20-30 cm (aka source-image distance (SID)) Cassette Marker-Cranial or lateral to limb Animal Positioning: Feet square Weight evenly distributed
  • 4. Radiographic Aids Wooden Block: Allows cassette to extend below hoof Cassette Tunnel: Allows animal to stand on cassette Navicular Box: Supports foot for easier navicular films Cassette Holder: Tunnel with long handle Allows holder to be away from animal & primary beam
  • 6. Hoof Preparation Requires additional preparation Hoof should be cleaned of debris Trim sole & frog Remove shoe for some views Pack sulci of frog & sole to eliminate artifacts
  • 7. Hoof Minimum of 5 standard views Lateromedial View Patient Placement: Weight bearing on block Cassette Placement: Medial aspect of limb On ground, perpendicular to ground Beam Center: Parallel to ground Centered at coronary band
  • 8. Hoof Dorsopalmar/Dorsoplantar View Patient Position: Weight bearing on block Cassette Placement: On ground, along palmar/plantar aspect on limb Perpendicular to ground Beam Center: Parallel to ground Centered at coronary band
  • 9. Hoof Dorsopalmar/Dorsoplantar Distal Phalanx View Patient Position: Weight bearing on cassette tunnel Cassette Placement: Parallel to ground, in cassette tunnel Beam Center: Proximodistal at 60º angle Centered just distal to coronary band 60º Navicular Box Patient Placement: Affected limb flexed, toe in stand Cassette Placement: In stand, under foot Beam Center: Parallel to ground Centered at coronary band
  • 10. Hoof Dorsopalmar/Dorsoplantar Oblique View Patient Position: Weight bearing on cassette tunnel Cassette Placement: Parallel to ground, in cassette tunnel Beam Center: Proximodistal at 65º angle Centered at middle of P2 Dorsoproximal-Palmarodistal Oblique Patient Placement: Affected limb flexed, toe in stand Cassette Placement: In stand, under foot Beam Center: Parallel to ground Centered at coronary band 65º
  • 11. Hoof Palmaroproximal-Dorsodistal Oblique View Patient Position: Weight bearing on cassette, extended caudally Cassette Placement: Parallel to ground In cassette tunnel Beam Center: 45º angle, proximodistal Between heel bulbs 45º
  • 12. Hoof: Additional Views Dorsolateral-Palmaromedial Oblique View Patient Position: Weight bearing on cassette tunnel Cassette Placement: Parallel to ground in tunnel Beam Center: 60º proximodistally 45º off true dorsopalmar Just distal to coronary band 60º PD 45º Obl
  • 13. Hoof: Additional Views Dorsomedial-Palmarolateral Oblique View Patient Position: Weight bearing on cassette tunnel Cassette Placement: Parallel to ground in tunnel Beam Center: 60º proximodistally 45º off true dorsopalmar Just distal to coronary band 60º PD 45º Obl
  • 14. Fetlock Minimum of 5 standard views Lateromedial View Patient Position: Weight bearing Cassette Placement: Medial aspect of leg, perpendicular to ground Beam Center: Parallel to floor Centered on joint
  • 15. Fetlock Dorsopalmar/Dorsoplantar View Patient Position: Weight bearing Cassette Placement: Palmar/Plantar aspect of leg, on ground Parallel to pastern angle Beam Center: 20º proximal to distal Centered on joint
  • 16. Fetlock Dorsolateral-Palmaromedial Oblique View Patient Position: Weight bearing Cassette Placement: Palmaromedial aspect of limb Parallel to pastern angle Beam Center: Parallel to floor Centered at joint 45º dorsolateral to true dorsopalmar 45º DL
  • 17. Fetlock Dorsomedial-Palmarolateral Oblique View Patient Position: Weight bearing Cassette Placement: Palmarolateral aspect of limb Parallel to pastern angle Beam Center: Parallel to floor Centered at joint 45º dorsomedial to true dorsopalmar 45º DM
  • 18. Fetlock Flexed Lateral View Patient Position: Affected limb flexed with handler holding hoof Cassette Placement: Medial side of limb, parallel to limb Beam Center: Parallel to ground Centered at joint
  • 19. Carpus 5 standard views Lateromedial View Patient Position: Weight bearing Cassette Placement: Medial aspect of leg Beam Center: Parallel to floor Centered on joint
  • 20. Carpus Dorsopalmar View Patient Position: Weight bearing Cassette Placement: Palmar aspect of leg Beam Center: Parallel to floor Centered at carpus
  • 21. Carpus Dorsolateral-Palmaromedial Oblique View Patient Placement: Weight bearing Cassette Placement: Palmaromedial aspect of limb Beam Center: Parallel to floor Centered at middle of carpus 30º off true lateromedial 30º off LM
  • 22. Carpus Dorsomedial-Palmarolateral Oblique View Patient Placement: Weight bearing Cassette Placement: Palmarolateral aspect of limb Beam Center: Parallel to floor Centered at middle of carpus 30º off true mediolateral 30º off ML
  • 23. Carpus Flexed Lateromedial View Patient Position: Affected limb flexed 60º, handler holding hoof Cassette Placement: Medial side of limb, centered at joint Beam Center: Parallel to ground Centered between proximal & distal rows of carpal bones
  • 24. Tarsus 4 standard views Lateromedial View Patient Position: Weight bearing Cassette Placement: Medial aspect of limb Beam Center: Parallel to floor Centered on proximal intertarsal joint
  • 25. Tarsus Dorsoplantar View Patient Position: Weight bearing Cassette Placement: Plantar aspect of limb Beam Center: Parallel to floor Centered on proximal intertarsal joint
  • 26. Tarsus Dorsolateral-Plantarmedial Oblique View Patient Position: Weight bearing Cassette Placement: Plantaromedial aspect of limb Beam Center: Parallel to floor Centered on proximal intertarsal joint 45º off true lateromedial 45º off LM
  • 27. Tarsus Dorsomedial-Plantarolateral Oblique View Patient Position: Weight bearing Cassette Placement: Plantarolateral aspect of limb Beam Center: Parallel to floor Centered on proximal intertarsal joint 45º off true mediolateral 45º off ML
  • 28. Stifle 3 standard views Lateromedial View Patient Position: Weight bearing Cassette Placement: Medial aspect as dorsal as possible Beam Center: Parallel to floor Centered on joint Femoral condyles superimposed
  • 29. Stifle Caudocranial View Patient Position: Weight bearing Cassette Placement: Cranial aspect of joint Parallel to limb angle Beam Center: Angled parallel to limb proximodistally Direct toward midsagittal plane Centered on joint
  • 30. Stifle Caudolateral-Craniomedial Oblique View Patient Position: Weight bearing Cassette Placement: Dorsomedial aspect of limb, as dorsal as possible Beam Center: Caudolateral at 30º angle Lateral to the caudal midsagittal plane Centered at joint 30º Caudolateral