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Feb 14 2011, 4:54 AM EST
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Change: phalange.phalanx. He was referred for left hand radiography.The PA hand projection image shows the nail superimposed over the proximal phalanx of the left hand index finger.The oblique hand projection image shows the nail superimposed over the proximal phalanx of the left hand index finger.The lateral
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Feb 14 2011, 4:53 AM EST
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Change: This 31 year old male presented to the Emergency Department following a nailgun injury. On examination, he was found to have a nail in the index finger of his left hand. It was unclear if the nail had passed through the proximal phalange. He was referred for left hand radiography.
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Dec 13 2010, 1:14 AM EST
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Change: The radiographer should label the digits on the images for ease of identification. Discussion Nail gun injuries should be approached by the radiographer with specific objectives in mind. These objectives are to
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Dec 13 2010, 1:07 AM EST
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Change: The radiographer has attempted to position the patient's hand such that an axial demonstration of the nail was achieved. In doing so, the radiographer realsed
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Oct 16 2010, 6:50 AM EDT
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Change: The patient's hand position was PA with wrist flexed.Discussion Nail gun injuries should be approached by the radiographer with specific objectives in mind. These objectives are to localise where the nail is and what damage it did getting there. It is basically a foreign body localisation procedure.If
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Oct 15 2010, 8:45 AM EDT
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Change: The routine projections of the patient's left hand provided compelling evidence that the nail was located within soft tissue only. The radiographer considered that a semi-axial projection of the nail may show the entire length of the nail clear of bone- this was achieved.Discussion Nail gun
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Sep 23 2010, 9:00 AM EDT
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Change: down towards the IR. An off-vertical central ray was utilised to produce a semi-axial projection.The image demonstrates the nail to be located in the soft tissues of the thumb.On review, it would have been useful to remove the
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Sep 22 2010, 9:52 PM EDT
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Change: this projection , the tangential projection is meaningless (see below for explanation). This is the position that you are aiming to achieve. The surgeon was not initially satisfied with these views. The positioning was not conventional.
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Sep 22 2010, 9:50 PM EDT
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Change: Standard PA and lateral projections were performed. In addition, an attempted axial nail postion was attempted. It was clear that a true axial nail psoition
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Feb 8 2010, 6:49 AM EST
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Change: Moved by AndyC Feb 8 2010, 6:49 AM EST
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Feb 1 2010, 6:59 AM EST
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Change: associated pathology. Good quality images will be required to demonstrate a subtle cortical "breakout" injury.There are some nail orientations that will benefit greatly from imaging with an image intensifier. .... ... back to the appliedApplied radiographyRadiography home page ... back to the Wikiradiography home page
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Dec 2 2009, 2:13 AM EST
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Change: are strongly suggest that the nail is embedded in the patient's distal femur. The radiographer attempted to provide further evidence by producing an image with the central beam along the axis of the nail as shown below.The attempted 'axial nail' view was only
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Nov 28 2009, 7:48 AM EST
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Change: The malpositioned patta may rflect the tension applied to the quadriceps muscle from the imbedded nail.These two views at 90 degrees are stonglystrongly suggest thatthethat the nail is embedded in the patient's distal femur. The radiographer attempted to provide further evidence by producing an imgeimage
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Nov 28 2009, 7:42 AM EST
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Change: The AP knee view is taken with the patient's knee in slight flexion. The position of the patella suggets the knee is slightly interally rotated,
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Nov 28 2009, 7:23 AM EST
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Change: Equally, if you fall or lose your balance and you have your finger on the trigger, instant stigmata. http://static.howstuffworks.com/gif/nail-gun-safety.gif Google's Offering A quick search of google reveals a smorgasbord of nail gun injuries http://img2.timeinc.net/toh/i/g/0807_nailgun/nail-gun-hand.jpg http://img2.timeinc.net/toh/i/g/0807_nailgun/nail-gun-foot.jpg http://www.taproot.com/blog/Nail%20Gun%20Knee.jpgWhat the Surgeon Wants to Know. The nail is usually
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Jul 18 2009, 5:48 AM EDT
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Change: CenteringCentring on the nail reduces parallax error The AP (DP) foot image does not conclusively confirm that the nail is embedded in the head of the second metatarsalThe appearance of a fine black line "halo" around the nail is artefactual- an edge enhancement artifact caused
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Jun 27 2009, 4:58 AM EDT
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Change: Source: Haakon Hjemly, Wikiradiography images APReproduced Image with permission The APhistory viewassociated ofwith thethese kneeimages demonstratesis unknown. It would be a fair guess that the nailoperator hasinadvertently deflectedfired offa thenail cortexin ofhis/her thefoot femur.through
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Jun 27 2009, 4:35 AM EDT
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Change: The AP view of the knee demonstrates that the nail has deflected off the cortex of the femur. Importantly, the tip of the nail (the
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Jun 27 2009, 4:26 AM EDT
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Change: that seen in Case 1. The radiographer has performed two initial conventional knee views- AP and lateral. It is unclear whether the nail is embedded in the femur in this view alone. AP Image The AP view of the knee demonstrates that
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Jul 16 2008, 8:50 PM EDT
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Change: . This artifact can be mistaken for evidence of loosening of an orthopedic device (note this nail isn't loose- was just shot in an hour earlier). Further Reading- http://bjr.birjournals.org/cgi/reprint/70/832/431 This is not a Mach Band - when you enlarge the image in photoshop you can see the black line. When
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