plain film- view question

[wayttk]

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Has anybody here ever heard of a -APOM-lateral flexion stress- view?

Thanks

 

[f_w]

Sounds like some chiro concept.

 

[wayttk]

Sounds like some chiro concept.

Actually, it is a DPT concept. Or at least one particular DPT. Shall I take that as you know of no such view? Perhaps someone else here would be willing to be more helpful.

 

[wayttk]

75 views and only one sarcastic reply------------?

 

[f_w]

What is this 'view' supposed to accomplish ?

 

[wayttk]

What is this 'view' supposed to accomplish ?

I am requesting a purely academic answer. I do not wish replies to be "colored" by any "issues".

The question, repeated, is: Has anyone heard of, or have knowledge of a:
APOM lateral flexion stress view ? yes....no.....and if inclined, any additional info the poster may wish to provide.

With all the radiology knowledge here, I would think an answer would be: very simple, academic, easily referenced, and forthcoming.

I will be more than willing to discuss the reasons for the question, once I have some answers. I do want that information to influence/color any answers.

 

[flux=rad]

Haven't heard of it, but it sounds like a series rather than a view.

Anyway, your tone and a quick review of your posting history makes it clear that there may indeed be some issues here, creative use of quotation marks notwithstanding.

 

[f_w]

Wow, you get defensive in a hurry don't you.

Again, my question: What are you trying to see with this radiographic projection (except for the odontoid I figure) ?

 

[wayttk]

Wow, you get defensive in a hurry don't you.

Again, my question: What are you trying to see with this radiographic projection (except for the odontoid I figure) ?

maybe it has something to do with your first reply.

"I" am not trying to visualize anything. Someone else is claiming this view as part of visualizing a dens fracture.

 

[f_w]

Stress views of the C-spine have fallen out of favor due to the risk involved and the availability of multidetector CT and MRI.

(And yes, it does sound like a chiro concept. All kinds of luxations, failures to bend etc. to be diagnosed by some elaborate 'laser precision' radiographic setup.)

 

[wayttk]

Bottom line-

-I have never heard of such a view.

-The imaging center I send patients to, has never heard of such a view.

-I was merely looking for an academic answer to what I thought was a very simple, non-political, question here.

-All responses have had political, and predjudical overtones.

-Very disappointing.

-Academic questions should not require a political qualifier.

- BTW- In my area, rads and DCs have very good repoire(which may be part of why I am so disappointed with the replies here). I get a minimum of 3 CE hrs, of my per annum CE hours, provided by rads. (A minimum of 3 hrs radiology is part of the annual required CE hrs)


-I will not consider this board a source of academic knowledge for any future questions. What a waste. Very, Very, disapointing.

 

[flux=rad]

-That's really interesting.

-The word you're looking for is "rapport."

 

[wayttk]

-That's really interesting.

-The word you're looking for is "rapport."

So VERY, VERY sorry. Please accept my sincere, deepest, apologies.

I am SO appreciative of that valuable contribution.

My Mistake. I thought I was posting to a radiology board, but somehow, it looks like I ended up on the board of the spelling police.

 

[f_w]

Oh, are you a chiro by any chance ?

 

[wayttk]

I deal with rads regularly. My association with them has been very positive, and have found them to be a great group of professionals. I mistakenly, thought I would find the same here. Very Disappointing. 185 views- and only two, very politically oriented, repliers. Oh yeah---let's make that only one----the other was more concerned with my spelling.

 

[Cowboy DO]

wow

 

[wayttk]

wow

Ditto

Luckily, I have the benefit of years of positive, professional, rad association. So I am secure in knowing that what I have witnessed here is not the norm. Others, looking to this forum, may not have that benefit. Sad.

 

[KB_Xiii]

well you can take what you want from the forums, and simply ignore the rest!

I personally benefited ALOT from these threads. You can't generalize it's unprofessional..

Besides the limited number of replies is probably because no one knew much about that view ur asking about 🙂 would you rather a 185 posts saying: "I don't know what that view is"?

I agree some posters are so lame, but you can't offend everybody else on their behalf. 😉

 

[wayttk]

>snip<

Besides the limited number of replies is probably because no one knew much about that view ur asking about 🙂 would you rather a 185 posts saying: "I don't know what that view is"?

I agree some posters are so lame, but you can't offend everybody else on their behalf. 😉

I absolutely agree with you!! I would have hoped a few of the 200+ viewers would have posted as such.

If you look at my original question, that is exactly my query. However, of 200+ views, the only(2-3) responses were very political/inflammatory. I did not ask a political or inflammatory question.

I will just consider it the "personality" of THIS board. I cannot consider any of the 199+ non-responders, only those that DID respond. If you disagree, make your voice known, otherwise, the "responders" speak for you.


As for "offending everybody else on their behalf"- I thought I made that clear. My years-long rad association has been so positive that I do not consider what I have witnessed here, to be representative of the norm........not by a long shot. The rads I deal with are professional, stand-up guys, and I will not let the "lame" here take that away from them.

I just made a very bad, uniformed, decision to bring a very simple, academic question here, expecting an honest, academic answer. I absolutely will not make the same mistake again. There are other radiology boards................

 

[Koil Gugliemi]

Dude, you may have good "associations" with your rads, but your posts here make you seem like quite a tool.

 

[KB_Xiii]

I just made a very bad, uniformed, decision to bring a very simple, academic question here, expecting an honest, academic answer. I absolutely will not make the same mistake again. There are other radiology boards................

Oh no you shouldn't..
As you can see many other 'academic questions' adressed on this board are answered lengthly, but perhaps it was your question that had no luck..

 

[f_w]

I still don't know what you want. Your posts are getting wordier and wordier and they have less and less to do with the question you originally asked. If your 'association' with rads is so great, why don't you ask one of your 'associates' for the answer ?

 

[wayttk]

I still don't know what you want

See post #1

If your 'association' with rads is so great, why don't you ask one of your 'associates' for the answer ?

Did that-----See post #11

 

[f_w]

So you are a chiro ?

 

[Cowboy DO]

Correction: A very sensitive chiro.

By the way f_w, that last post was very politically oriented.

 

[f_w]

Oh, I am sorry, wasn't meant that way. Just an honest question whether the OP is in that trade.

(Mhh, DPTs can't order imaging studies, so the friendly local DC writes the scripts if a DPT patient needs an imaging study done. study is performed at the local commercial imaging center that doesn't give a s#*^ where the requests come from. now, DPT has requested something really whacky and nobody knows what to do with him....)

 

[duckbutter]

Sorry Wayttk that no one else was able to answer you question and only gave you BS. Unfortunately it is common on this board. APOM is an Anterior Posterior view taken at an Obtuse Marginal anlge. Many people on this thread may not have actually recognized the name because in rads we call it the Lucky Pierre view. Basically the patient needs to be on his knees to valsalva to decrease venous congestion, while at the same time reaching around the table to stabilize and induce lateral flexion. The patient will also be taking support from someone behind him as to hold the position as it can be uncomfortable. I don't have any experience myself as it is not done often and you can get yourself in a sticky situation quickly. If it's not what you expected write back and maybe someone else can help. Good luck

db

 

[Koil Gugliemi]

I find it intersting that you know it as the "lucky pierre" I've also heard it referred to as the rusty trombone view.

 

[Idiopathic]

I absolutely agree with you!! I would have hoped a few of the 200+ viewers would have posted as such.

If you look at my original question, that is exactly my query. However, of 200+ views, the only(2-3) responses were very political/inflammatory. I did not ask a political or inflammatory question.

I will just consider it the "personality" of THIS board. I cannot consider any of the 199+ non-responders, only those that DID respond. If you disagree, make your voice known, otherwise, the "responders" speak for you.


As for "offending everybody else on their behalf"- I thought I made that clear. My years-long rad association has been so positive that I do not consider what I have witnessed here, to be representative of the norm........not by a long shot. The rads I deal with are professional, stand-up guys, and I will not let the "lame" here take that away from them.

I just made a very bad, uniformed, decision to bring a very simple, academic question here, expecting an honest, academic answer. I absolutely will not make the same mistake again. There are other radiology boards................

I have nothing to do with rads, but I sincerely believe that if any of the viewers honestly knew what the answer was, they would have posted it. People usually would rather share knowledge than beat someone up over asking for said knowledge. However, you got defensive WAY too quickly and assumed that everyone who looked knew the answer but didnt want to share with you.


At this point, however, that is probably the case. Congrats.

 

[Idiopathic]

Sorry Wayttk that no one else was able to answer you question and only gave you BS. Unfortunately it is common on this board. APOM is an Anterior Posterior view taken at an Obtuse Marginal anlge. Many people on this thread may not have actually recognized the name because in rads we call it the Lucky Pierre view. Basically the patient needs to be on his knees to valsalva to decrease venous congestion, while at the same time reaching around the table to stabilize and induce lateral flexion. The patient will also be taking support from someone behind him as to hold the position as it can be uncomfortable. I don't have any experience myself as it is not done often and you can get yourself in a sticky situation quickly. If it's not what you expected write back and maybe someone else can help. Good luck

db

Now that is an answer. Kinda makes you yearn for a "Lucky Pierre" smiley, no? Mods?

 

[duckbutter]

I find it intersting that you know it as the "lucky pierre" I've also heard it referred to as the rusty trombone view.

The rusty tombone view you get enough support by reaching around the front whereas the lucky pierre you assistance from behind as well. The only difference is getting an extra hand in the matter...

db

 

[radboy710]

APOM lateral stress view actually does exist, and it is not the same as the "rusty tombone" or the "lucky pierre", those are lateral APOM's, and not lateral stress view of APOM's. The "lucky pierre" or the "rusty tombone" also require a lateral pelvis I believe....

APOM lateral stress view, is basically a APOM view, with attempted lateral flexion at the C0-C1 and C1-C2 levels to evaluate for ligament laxity. But as stated previously these stress views are no longer used due to the use of CT imaging. You may find them in a rad tech positioning book.

The rusty tombone view you get enough support by reaching around the front whereas the lucky pierre you assistance from behind as well. The only difference is getting an extra hand in the matter...

db