One system for assessing x-rays is AABCS:
The image displays a normal x-ray (click on the x-ray to enlarge).
A – Adequacy
- Check it is the correct patient and the correct date
- Check that the correct side has been x-rayed, the correct views have been taken and that all the areas of interest are included
A – Alignment
- Is the alignment of the joints correct or is there any dislocation?
- The area where injuries are commonly missed is the tarso-metatarsal joint
Click on the x-rays to enlarge.
|Fig 2a: A normal x-ray with alignment of 2nd MT indicated. The medial border of the 2nd metatarsal (MT) should align with the medial border of the intermediate cuneiform
|Fig 2b: A normal x-ray with alignment of 4th MT indicated. The medial border of the 4th MT should align with the medial border of the cuboid
B – Bones
- Trace the outline of every bone to ensure no cortical break
- Look at the medulla for trabecular pattern
- Look at joint spaces
- Overlapping of bones may indicate a dislocation
S – Soft tissues
- Air in tissues, soft tissue calcification, etc.