Which option shows the correct method for dorsiflexing the toes during tangential sesamoid imaging?

Which option shows the correct method for dorsiflexing the toes during tangential sesamoid imaging?

• A. Velcro strap
• B. Tape
• C. Foam wedge
• D. Manual dorsiflexion

Answer: (B)

When imaging the sesamoids with a tangential view, the toes need to be held in a dorsiflexed position so the sesamoids sit in profile and we minimize overlap with the metatarsal heads. Securing the toes with tape provides a simple, reliable way to maintain that dorsiflexed position throughout the exposure. Tape is easy to apply, adjust, and remove, and it keeps the toes steady without causing movement or artifacts that could come from other methods. A Velcro strap can slip or compress tissue, altering the angle or leaving marks. A foam wedge might not consistently maintain the exact dorsiflexion needed. Manual dorsiflexion relies on the radiographer’s hold and can change during exposure. Tape thus offers stable, reproducible positioning for this view.

When imaging the sesamoids with a tangential view, the toes need to be held in a dorsiflexed position so the sesamoids sit in profile and we minimize overlap with the metatarsal heads. Securing the toes with tape provides a simple, reliable way to maintain that dorsiflexed position throughout the exposure. Tape is easy to apply, adjust, and remove, and it keeps the toes steady without causing movement or artifacts that could come from other methods. A Velcro strap can slip or compress tissue, altering the angle or leaving marks. A foam wedge might not consistently maintain the exact dorsiflexion needed. Manual dorsiflexion relies on the radiographer’s hold and can change during exposure. Tape thus offers stable, reproducible positioning for this view.