![]() ![]() This page considers a variety of swimmers and swimmers-like techniques in no particular order. One disadvantage of using CT to clear a trauma spine is that it entails a higher radiation dose to the patient. I have an increasingly low threshold for approaching the referring doctor to consider CT scanning of the cervico-thoracic junction if I consider that the swimmers projection is unlikely to be successful. One glimmer of hope is that CT scanning has become an increasingly popular technique for imaging cervical spine trauma. When searching for the ultimate 100% reliable technique, you will think that you have found it, and then it will let you down. ![]() I consider the true difficulty with this technique is that it is difficult to assess a patient and be sure which technique will work- at times apparently defying all logic. My experience is that all of the techniques work, and all of them don't work. The swimmers technique is one of those signature projections for trauma radiographers- we all have our own techniques that we swear by. Doesn't work well on large patients or patients with shoulder injuries.The swimmers technique has the worst of everything The increasing use of CT scanning to assess the cervical spine in trauma patients has reduced (and in some cases eliminated) the reliance on the swimmers projection to demonstrate the cervico-thoracic junction. The swimmers projection of the cervico-thoracic junction is the bane of the trauma radiographer. ![]()
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