Weight-Bearing Lateral Foot

Proyección Lateral Pie con Carga - Vista dinámica

Posicionamiento Lateral Pie con Carga - Vista técnica

Proyección Lateral Pie con Carga Anatómica

Proyección Lateral Pie con Carga - Vista anatómica

HORIZONTAL CENTRAL RAY

This is a unique projection where the central ray is directed horizontally towards a cassette placed vertically. It is essential to correctly align the tube to maintain perpendicularity with the plate.

Exposure Factors

55-65

Kilovoltage (kV)

10-15

Milliampere-seconds (mAs)

Broad Focus

Focal Spot Type

100-110 cm

Source-Image Distance

Equipment: Without bucky (vertical plate). Position: Standing (Orthostatic).

Cassette Size

24 × 30 cm

Longitudinally (Vertical)

Visible Anatomical Structures

Plantar Arches

Medial and lateral longitudinal arches

Hindfoot

Calcaneus and Talus profile

Midfoot

Navicular, Cuboid, and Cuneiforms

Forefoot

Metatarsals and phalanges (superimposed)

Lateral view of the entire foot from the calcaneus to the distal phalanges.
Distal leg (approx. 5-8 cm of tibia and fibula).
Ankle joint (tibiotalar) in lateral profile.
Superposition of the metatarsals.
Subtalar joint.
Clear visualization of the soft tissues of the sole.
Relationship between the talus and the 1st metatarsal (Meary's angle).
Calcaneal pitch angle (calcaneal inclination).

Patient Positioning

Patient standing (upright) on a radiolucent block or specialized platform

Weight distributed equally on both feet

Cassette placed vertically between the feet (for medial-lateral) or on the side

The foot of interest must be perfectly lateral to the cassette

Foot centered on the vertical plate

Ensure the patient remains stable during the exposure

The platform must allow the foot to be elevated so the ray can pass horizontally through the sole level

CENTERING POINT

Base of the 3rd Metatarsal

Level of the midfoot to include both the hindfoot and forefoot

Central Ray Direction

Horizontal and perpendicular to the cassette

➔

HORIZONTAL PERPENDICULAR

Direction: Completely horizontal, parallel to the floor

Entry: Lateral side of the foot (Medio-lateral projection)

Exit: Medial side, towards the vertical cassette

Angulation: 0° (Strictly horizontal)

Patient Instructions

"Don't move, keep your weight on both feet"

Look straight ahead - Maintain balance without moving the feet

Clinical Indications

Flat foot (Pes Planus)

High arch (Pes Cavus)

Plantar Fasciitis

Biomechanical assessment

Bone measurements

Safety Considerations

Stability - Ensure there is no risk of falling
Secure Block/Box - Verify it can support weight properly
Comfortable Position - Avoid forced postures that may cause injury
Radiological Protection - Increased distance due to vertical position
Limited Patients - Assess the ability to stand without support

This projection requires closer technical supervision due to the unusual position