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XR Foot

XRNo contrastMSK
Indications
  • Foot pain/trauma
  • Suspected fracture/dislocation
  • Foreign body
  • Arthritis/gout
  • Pes planus or alignment (weight-bearing)
Patient prep
  • Remove shoe, sock, radiopaque objects
Contrast
None / non-contrast
Technique
  • AP (dorsoplantar): supine, knee flexed, plantar surface on IR, CR 10-15 deg posteriorly (toward heel) to base of 3rd metatarsal
  • AP oblique: medial rotation 30-40 deg, CR perpendicular to base of 3rd metatarsal
  • Lateral (mediolateral): foot on its side, CR to base of 3rd metatarsal/midfoot
  • SID 40 inches; kVp ~55-65; tabletop
Series / Sequences
#Series / SequencePlaneNotes
1AP (dorsoplantar)FrontalCR 10-15 deg toward heel to base of 3rd metatarsal
2AP oblique (medial)ObliqueFoot medially rotated 30-40 deg; opens intermetatarsal/tarsometatarsal spaces
3Lateral (mediolateral)SagittalCR to midfoot; demonstrates superimposed metatarsals, longitudinal arch
Key points
  • Weight-bearing AP and lateral for arch evaluation, deformity, or alignment
  • Sesamoid (tangential) view for sesamoid pathology
  • Include calcaneus on lateral; dedicated calcaneus (axial/lateral) series if hindfoot is the concern
References
• Bontrager's Handbook - Foot
• Merrill's Atlas Vol 1 - Lower Limb
• Radiopaedia: Foot series link
Source: Researched — verify against your institution
‹ PreviousXR Femur
Reference template — verify and adapt to your scanner, vendor and institution before clinical use. Not a substitute for clinical judgment.