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STUDI KASUS TEKNIK PEMERIKSAAN THORAX PADA ANAK DENGAN TEKNIK KV TINGGI DI INSTALASI RADIOLOGI RSUD DR. R. SOETIJONO BLORA Fahri An Najih; Ike Ade Nur Liscyaningsih; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11411

Background: on examination of the thorax in children in Radiology installation Dr. R. Soetijono Blora used high kV technique that is exposure factor used 60 kV and mAs 1 with patient age 5 months. Projection used Antero-Posterior (AP). Meanwhile, according to the theory of thorax examination of pediatric patients using KV 40, mAs 10 and 42 kV, mAs 1.6 with Antero-Posterior (AP) , Postero-Anterior (PA) and Lateral projections. This study aims to determine the techniques and objectives in the examination of the Thorax in children with high kV techniques. Research Methods: this study uses descriptive qualitative methods with a case study approach. The research was carried out at the radiology installation of Dr Soetijono hospital blora in September 2024 – May 2025. The object in this study is a pediatric patient who underwent thorax examination, with subjects consisting of 3 radiographers and 1 radiology specialist. The method of data collection is observation, documentation interviews and literature studies. Furthermore, the processed data were analyzed in the form of interview transcripts, then a categorization table was made to be reduced. After the data is reduced, the presentation of the data is done in the form of a narrative and then analyzed with a theoretical basis for further conclusions to be drawn. Results: research shows that examination of the Thorax in children in hospital dr. R. Soetijono Blora adjusted to the age and clinical condition of the patient, the projection used Antero-Posterior (AP) with supine patient position, on examination applied high kV technique of 60 kV and 1 mAs. In this examination kVp used in addition to 10 of routine thorax examination in adult patients is 50 KV and mAs 10 while the mAs value is reduced to 1. The purpose of this technique is to minimize the movement of the patient. The use of high kV is expected to produce sharp and informative images, while a small mAs value helps speed up image acquisition thereby reducing the likelihood of artifacts due to movement

PROSEDUR PEMERIKSAAN RADIOGRAFI SHOULDER JOINT DENGAN KLINIS OSTEOARTHRITIS PROYEKSI AP METODE ROCKWOOD DI INSTALASI RADIOLOGI RS INDRIATI Alifia Permata Sari; Ike Ade Nur Liscyaningsih; Taufiq Fachruddin Zen
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11419

Radiography of the shoulder joint is a supportive examination to assess the condition of the shoulder joint structures, particularly in patients with osteoarthritis. Osteoarthritis is a degenerative joint disease characterized by pain, stiffness, and changes in joint shape, which can interfere with daily activities. This condition is one of the pathologies that can be detected through shoulder joint examination using the Rockwood method. This study aims to determine the procedure for shoulder joint examination using the Anteroposterior (AP) projection with the Rockwood method at Indriati Hospital of Solo Baru. The use of the AP projection with the Rockwood method is considered sufficient to assess the structure and stability of the acromioclavicular joint without the need for additional projections. This method is chosen because it avoids rotation that may cause pain, provides clear visualization, and is safer, more comfortable, and efficient for patients with pain or limited mobility. The research employed was qualitative, employing data collection techniques such as observation, documentation, and interviews with three radiographers and one radiologist. Data analysis was conducted using source triangulation and technique triangulation, then presented in narrative form and conclusions were drawn. The radiographic examination of the shoulder joint in osteoarthritis patients at Indriati Hospital of Solo Baru utilized the AP projection with the Rockwood method, positioning the patient standing and angling the beam 35° caudal. The examination was performed without special preparation, only requiring the removal of metallic objects. The resulting image showed a distance of 5.3 mm from the acromion to the humeral head, indicating joint space narrowing, consistent with the characteristics of osteoarthritis. This method was deemed effective as it provided clear visualization without extreme rotation and was sufficient for establishing a diagnosis

PENGARUH PENGGUNAAN PACS TERHADAP BEBAN KERJA RADIOGRAFER DI INSTALASI RADIOLOGI RS PKU MUHAMMADIYAH YOGYAKARTA Dwi Cahya Wibowo; Ari Anggraeni; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11425

Latar belakang: PACS merupakan sistem digital yang menggantikan proses manual dalam pengarsipan, penyimpanan, dan distribusi gambar radiologi. Pada Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta, PACS telah digunakan untuk memfasilitasi digitalisasi pengarsipan dan distribusi gambar. Namun, tingginya beban kerja radiografer masih menjadi kendala dalam aspek teknis operasional. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan PACS terhadap beban kerja dan efisiensi kerja radiografer. Metode: Jenis penelitian ini adalah mix method dengan pendekatan deskriptif yang dilaksanakan di Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta sejak September 2024 hingga Juni 2025. Data kuantitatif dikumpulkan melalui dokumentasi dan dianalisis menggunakan metode Workload Indicator of Staffing Need (WISN) untuk menghitung kebutuhan ideal tenaga radiografer berdasarkan jumlah pemeriksaan, waktu standar, serta tenaga yang tersedia. Data kualitatif diperoleh melalui observasi, wawancara, dan dokumentasi terhadap tiga radiografer dan satu dokter spesialis radiologi untuk menggali pengalaman kerja dan konteks penggunaan PACS. Analisis dilakukan melalui reduksi data dan penyajian naratif untuk memperkuat hasil kuantitatif. Hasil: Hasil penelitian menunjukkan bahwa penerapan PACS meningkatkan efisiensi kerja radiografer dengan mengurangi tugas manual, beban administratif, serta mempercepat akses data dan proses pelayanan, sehingga mendukung percepatan diagnosis. Namun, analisis WISN menunjukkan jumlah radiografer yang tersedia 9 orang masih di bawah kebutuhan ideal 13 orang. Disarankan kepada manajemen Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta untuk menambah tenaga radiografer sesuai hasil perhitungan WISN guna mengurangi beban kerja berlebih serta menjaga mutu dan efisiensi pelayanan radiologi

Teknik Pemeriksaan Kegawatdaruratan Os Nasal Dengan Klinis Suspek Fraktur Di Instalasi Radiologi Rsi Siti Aisyah Madiun Dea Desta Juni Lestari; Ike Ade Nur Liscyaningsih; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 6 No. 3 (2026): Agustus 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Nasal bone fractures are among the most common facial injuries, commonly caused by traffic accidents, sports injuries, or direct trauma. Radiographic examination is essential for confirming the diagnosis, particularly in non-cooperative patients, where examination techniques must be adapted to ensure patient safety and obtain optimal diagnostic images. Objective: This study aimed to describe the radiographic examination procedure of the nasal bone and explain the rationale for using the semiprone true lateral position in non-cooperative patients with suspected nasal bone fractures at the Radiology Department of RSI Siti Aisyah Madiun. Method: A qualitative case study approach was conducted from December 2025 to January 2026 involving three radiographers and one radiologist. Data were collected through observation, interviews, documentation, and literature review, then analyzed descriptively. Results: The examination required no special patient preparation except removing metallic objects from the head region. Radiography was performed using a lateral projection in the semiprone true lateral position with exposure factors of 65 kV, 200 mA, and a focus-to-film distance of 100 cm. This positioning was selected because the patient was weak and unable to follow instructions, providing greater safety and comfort during the examination. The lateral projection clearly demonstrated the nasal bone anatomy and fracture line without requiring additional projections. Conclusion: The semiprone true lateral position is an effective radiographic technique for evaluating suspected nasal bone fractures in non-cooperative patients, providing adequate diagnostic information while improving patient safety and examination efficiency

PROSEDUR PEMERIKSAAN MASTOID DENGAN KASUS OTITIS MEDIA KRONIK (OMK) DI INSTALASI RADIOLOGI RSU ‘AISYIYAH PONOROGO Amal Maaruf; Ike Ade Nur Liscyaningsih; Anshor Nugroho
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1825

Chronic Otitis Media (COM) is an inflammation of the middle ear that can lead to intratemporal complications such as mastoiditis. Radiographic evaluation of the mastoid bone plays a crucial role in identifying structural damage and assessing the extent of infection. Theoretically, the Schüller method axiolateral projection involves a 45° head rotation and a 25°–30° caudal beam angulation. However, preliminary observations at the Radiology Department of 'Aisyiyah Ponorogo General Hospital revealed the use of a 40° caudal angulation. This study aimed to examine the mastoid examination procedure and the rationale behind the 40° caudal angulation at the Radiology Department of 'Aisyiyah Ponorogo General Hospital. A qualitative case study approach was employed at the facility between December 2025 and June 2026, involving interviews with three radiographers and one radiologist. Data collection was conducted through direct observation, interviews, and documentation. Data analysis was performed narratively—involving data reduction and presentation—followed by a comparison with theoretical standards and the drawing of conclusions. The results indicate that the mastoid examination is performed without special preparation, other than the removal of metal objects from the head area. Patients are positioned erect in a true lateral position, with the side of the head being examined placed against the detector. A bilateral Schüller method axiolateral projection is used, with a centering point 2–3 cm posterior-superior to the external auditory meatus (EAM), a 40° caudal beam angulation, and exposure factors of 70–80 kV, 200 mA, 16 mAs, and an FFD of 100–120 cm. The 40° angulation was selected to produce an elongation effect on the mastoid, thereby minimizing superimposition with surrounding bony structures, allowing for clearer visualization of mastoid air cells, and facilitating a comparison of the bilateral mastoid conditions. The study concludes that the mastoid examination procedure for patients with chronic otitis media (COM) at 'Aisyiyah Ponorogo General Hospital utilizes the bilateral axiolateral projection (Schüller method) with a 40° caudal angulation and no special preparation. This angulation aims to achieve optimal elongation of mastoid structures, minimize superimposition, and enhance the diagnostic accuracy for COM.

ANALISIS PROYEKSI POSTERO ANTERIOR BILATERAL PADA PEMERIKSAAN BONE AGE DENGAN GANGGUAN PERTUMBUHAN DI RSUD SLEMAN Laura Ariwisnu; Ike Ade Nur Liscyaningsih; Ari Anggraeni
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1834

Bone age assessment is a radiographic procedure used to evaluate skeletal maturity in children with growth disorders. While the left posteroanterior (PA) projection is the standard method, the use of bilateral PA projections for specific conditions was observed at the Radiology Department of Sleman Regional General Hospital (RSUD Sleman). This study aimed to examine the bone age assessment techniques and the rationale for selecting either the left PA or bilateral PA projection for patients with growth disorders at the hospital. A qualitative case study approach was employed, focusing on two patients with growth disorders. The study was conducted at the Radiology Department of RSUD Sleman between September 2025 and June 2026. Data were gathered through observation, in-depth interviews with three radiographers, a radiologist, and a pediatrician, as well as through documentation and a literature review. Data analysis involved data reduction, data presentation, and conclusion drawing. The results revealed that bone age assessments utilized the left PA projection as the standard procedure, with bilateral PA projections reserved for specific conditions. The left PA projection was performed with the central point at the third metacarpophalangeal joint and a focal-film distance (FFD) of 100 cm, whereas the bilateral PA projection utilized a central point positioned between the two hands, also with an FFD of 100 cm. The left PA projection was selected because it met diagnostic requirements for bone age assessment and adhered to the ALARA (As Low As Reasonably Achievable) radiation protection principle. Conversely, the bilateral PA projection was selectively used for patients with suspected congenital anomalies, deformities, trauma, or asymmetrical growth to compare the ossification development of both hands.

Prosedur Pemeriksaan CT Scan Kepala Polos pada Kasus Microcephaly di Instalasi Radiologi RS Roemani Muhammadiyah Semarang : (Studi Kasus pada Pasien Pediatrik Usia 5 Bulan) Shintanaya Anggraeni; Sofie Nornalita Dewi; Ike Ade Nur Liscyaningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 2 (2025): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i2.6074

Microcephaly is a condition in which a child's head circumference is smaller than the average for age and gender. The diagnosis can be made using a CT Scan, which should be adjusted to the patient's age according to the IAEA protocol (2012), with an ideal effective dose of 1.8–3.8 mSv for a tube current of 200 mAs. However, at the Radiology Installation of Roemani Muhammadiyah Hospital Semarang, the examination was carried out without differentiating age, resulting in an excess dose of 9.317 mSv. This study aims to evaluate the procedures, diagnostic information, and radiation protection in plain head CT Scans of pediatric patients with microcephaly. This study used a qualitative approach through observation, interviews, and documentation of 3 radiographers, 1 PPR, and 1 radiologist. The results showed no protection for patients and only basic protection for companions. CT Scans showed decreased brain volume and ventriculomegaly. It is recommended that the CT Scan protocol be adjusted to the child's age to reduce the radiation dose, through the setting of exposure factors, slice thickness, and pitch.

PERANAN PENAMBAHAN PROYEKSI LATERAL PADA PEMERIKSAAN BNO-IVP DENGAN PASIEN VESICOCELE DI INSTALASI RADIOLOGI RSUD BANYUMAS Wa Upik La Parman; Ike Ade Nur Liscyaningsih; Ayu Mahanani
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.15179

ABSTRACT Vesicocele, or urinary bladder diverticulum, is a structural abnormality of the bladder wall characterized by protrusion of the mucosa and submucosa through a defect in the detrusor muscle layer. BNO-IVP examination generally uses AP supine, oblique (RPO/LPO), and post-void AP erect or PA prone projections. However, at the Radiology Department of RSUD Banyumas, modifications were identified, including the addition of lateral and oblique projections at 60 minutes and the use of AP supine projection during the post-void phase. This study aimed to describe the BNO-IVP procedure in patients with vesicocele, explain the role of the additional projections, and determine the rationale for using AP supine projection during the post-void phase. This qualitative study employed a case study approach and was conducted at the Radiology Department of RSUD Banyumas from October 2025 to May 2026. Data were obtained through direct observation, documentation, and in-depth interviews with one radiographer and one radiologist, followed by data reduction, presentation, and conclusion drawing. The BNO-IVP examination included a plain abdominal radiograph, intravenous contrast administration using bolus injection, post-contrast images at 5, 15, 30, and 60 minutes using AP supine projection, followed by lateral and oblique projections at 60 minutes, and a post-void AP supine image. The main findings showed that the lateral and oblique projections helped overcome anatomical superimposition and improved visualization of diverticular morphology, while AP supine post-void imaging provided adequate information regarding bladder emptying and residual urine within the diverticulum. These modifications supported the visualization of vesicocele and diagnostic assessment. ABSTRAK Vesicocele atau divertikel vesika urinaria merupakan kelainan struktural dinding kandung kemih yang ditandai dengan penonjolan mukosa dan submukosa melalui defek lapisan otot detrusor. Kondisi ini diperiksa menggunakan BNO-IVP dengan proyeksi standar meliputi AP supine, oblique (RPO/LPO), serta post void proyeksi AP erect atau PA prone. Namun, di Instalasi Radiologi RSUD Banyumas ditemukan penambahan proyeksi lateral pada menit ke-60 dan penggunaan proyeksi AP supine pada fase post void, dua variasi yang seharusnya tidak ada dalam protokol standar dan belum terdokumentasi dalam penelitian terdahulu. Tujuan penelitian ini bertujuan untuk mendeskripsikan prosedur pemeriksaan BNO-IVP pada pasien Vesicocele di Instalasi Radiologi RSUD Banyumas, mengetahui peranan penambahan proyeksi lateral, serta mengetahui alasan penggunaan proyeksi AP supine pada fase post void. Penelitian ini merupakan kualitatif dengan pendekatan studi kasus yang dilaksanakan di Instalasi Radiologi RSUD Banyumas dari Oktober 2025 hingga Mei 2026. Data dikumpulkan melalui observasi langsung, dokumentasi, dan wawancara mendalam dengan satu radiografer dan satu dokter spesialis radiologi. Analisis data meliputi tahap pengumpulan data, reduksi, penyajian, dan penarikan kesimpulan. Prosedur BNO-IVP dilakukan dengan foto polos abdomen, injeksi media kontras intravena metode bolus injection, foto post-kontras menit ke-5, 15, 30, dan 60 proyeksi AP supine, dilanjutkan proyeksi lateral dan oblique pada menit ke-60, serta foto post void proyeksi AP supine. Penambahan proyeksi lateral dan oblique terbukti mengatasi superposisi anatomi dan memungkinkan visualisasi morfologi divertikel dari berbagai sudut pandang. Penggunaan AP supine pada fase post void memberikan informasi diagnostik yang memadai mengenai kemampuan pengosongan vesika urinaria dan sisa urin dalam kantong divertikel. Modifikasi teknik BNO-IVP yang diterapkan di RSUD Banyumas terbukti efektif dalam mengidentifikasi Vesicocele dan mendukung penegakan diagnosis yang akurat untuk menentukan derajat keparahan serta kebutuhan intervensi lebih lanjut.

PROSEDUR PEMERIKSAAN RADIOGRAFI OS HUMERUS PADA KASUS TRAUMA EMERGENCY DI INSTALASI RADIOLOGI RUMAH SAKIT PKU MUHAMMADIYAH KARANGANYAR Ziyad Fatikh Farhat Ar Rizal; Amril Mukmin; Ike Ade Nur Liscyaningsih
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.15180

ABSTRACT Radiographic examination of the humerus in emergency trauma cases generally uses two projections, namely anteroposterior (AP) and lateral projections. However, at the Radiology Department of PKU Muhammadiyah Karanganyar Hospital, a single-exposure technique using an AP chest projection including the humerus is employed. This study aimed to determine the examination procedure, the rationale for using this technique, the effectiveness of the standard operating procedure (SOP), and the implementation of radiation protection measures. This study employed a qualitative descriptive method with a case study approach. The study was conducted at the Radiology Department of PKU Muhammadiyah Karanganyar Hospital from March to April 2026. Data were collected through observation, interviews with three radiographers, one radiologist, and one referring physician, as well as documentation. The data were then analyzed through data reduction, data presentation, and conclusion drawing. Radiographic examination was performed using an AP chest projection including the humerus, with the patient in the supine position and a single exposure. This technique allows the thorax and humerus to be visualized simultaneously, thereby supporting diagnostic assessment and surgical preparation. The single-exposure technique was effective in shortening examination time, reducing patient mobilization, improving patient comfort, and lowering radiation dose in accordance with the ALARA principle. Radiation protection was implemented through appropriate collimation and optimal exposure factors. However, a limitation of this technique is that it does not optimally demonstrate the lateral view of the humerus. The SOP for humeral radiographic examination using an AP chest projection including the humerus with a single exposure is effective for emergency trauma cases because it meets diagnostic needs, improves service efficiency, and optimizes radiation protection. A lateral projection may be added, when necessary, based on clinical indications. ABSTRAK Pemeriksaan radiografi os humerus pada kasus trauma emergency umumnya menggunakan dua proyeksi, yaitu anteroposterior (AP) dan lateral. Namun, di Instalasi Radiologi Rumah Sakit PKU Muhammadiyah Karanganyar diterapkan teknik satu kali eksposi menggunakan proyeksi AP thorax tampak humerus. Penelitian ini bertujuan mengetahui prosedur pemeriksaan, alasan penggunaan teknik tersebut, efektivitas SOP, dan penerapan proteksi radiasi. Penelitian menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus. Penelitian dilakukan di Instalasi Radiologi Rumah Sakit PKU Muhammadiyah Karanganyar pada Maret–April 2026. Data dikumpulkan melalui observasi, wawancara terhadap tiga radiografer, satu dokter spesialis radiologi, dan satu dokter pengirim, serta dokumentasi, kemudian dianalisis melalui reduksi, penyajian, dan penarikan kesimpulan. Pemeriksaan radiografi dilakukan menggunakan proyeksi AP thorax tampak humerus dengan posisi pasien supine dan satu kali eksposi. Teknik ini mampu menampilkan thorax dan humerus secara bersamaan sehingga cukup membantu penegakan diagnosis dan persiapan operasi. Penggunaan satu kali eksposi terbukti efektif karena mempercepat waktu pemeriksaan, mengurangi mobilisasi pasien, meningkatkan kenyamanan pasien, serta menurunkan dosis radiasi sesuai prinsip ALARA. Proteksi radiasi diterapkan melalui pengaturan kolimasi dan faktor eksposi yang optimal. Keterbatasan teknik ini adalah belum mampu menampilkan gambaran lateral humerus secara optimal. SOP pemeriksaan radiografi os humerus menggunakan proyeksi AP thorax tampak humerus dengan satu kali eksposi efektif diterapkan pada kasus trauma emergency karena memenuhi kebutuhan diagnostik, meningkatkan efisiensi pelayanan, dan mengoptimalkan proteksi radiasi, dengan penambahan proyeksi lateral apabila diperlukan sesuai indikasi klinis.

TEKNIK PEMERIKSAAN RADIOGRAFI ANKLE JOINT HINDFOOT ALIGNMENT VIEW (SALTZMAN) PADA KASUS DISLOKASI DI RUMAH SAKIT ORTOPEDI PROF. DR. R. SOEHARSO SURAKARTA Amanda Rizki Ramadhani; Ildsa Maulidya Mar`atus Nasokha; Ike Ade Nur Liscyaningsih
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1897

Ankle joint dislocation is an injury that causes pain, deformity, and functional impairment, necessitating accurate radiographic examination to establish a diagnosis. Standard Anteroposterior and Lateral radiographic projections do not always optimally demonstrate hindfoot alignment; therefore, the addition of the Hindfoot Alignment View (Saltzman) projection is required. This study aimed to examine the radiographic technique for ankle joint dislocation cases involving the addition of this projection at Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta. A qualitative descriptive method with a case study approach was employed. The study was conducted at the Radiology Department of Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta, between November 2025 and April 2026. Data were collected through observation, interviews, and documentation involving one radiologist, one orthopedic surgeon, and three radiographers, followed by descriptive analysis. The results indicate that radiographic examination for ankle joint dislocation cases at the hospital utilizes the lateral projection supplemented by the Hindfoot Alignment View (Saltzman) projection. The examination is performed in a weight-bearing standing position with a 40° caudad beam angulation, allowing for clearer visualization of the alignment relationship between the tibia and the calcaneus. This additional projection provides optimal information regarding hindfoot alignment and assists physicians in evaluating malalignment to support the diagnosis. In summary, radiographic examination for ankle joint dislocation cases at Prof. Dr. R. Soeharso Orthopedic Hospital employs the lateral projection supplemented by the Hindfoot Alignment View (Saltzman) projection based on clinical indications. This additional projection offers optimal visualization of the alignment between the tibia and calcaneus, thereby facilitating the evaluation of malalignment and supporting both diagnosis and patient management.

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