In addition to dorsiflexing the foot, what is another recommended position for the patient during the Holly method for sesamoids?

The Holly method for imaging the sesamoids is designed to enhance visualization of these small bones located beneath the first metatarsophalangeal joint. In addition to dorsiflexing the foot, positioning the patient in a sitting position is beneficial because it allows for better access and stability of the foot during the imaging process. This position helps in maintaining proper alignment and minimizes movement, which is critical for obtaining clear radiographs.

The sitting position typically enables the patient to keep the foot stable and flat on the imaging plate while allowing the toes to be dorsiflexed effectively. This positioning can also reduce any discomfort that may arise from lying down or standing, particularly for patients with limited mobility or those who may experience pain when placing weight on their feet.

Other positions, while potentially valid in different contexts, do not provide the same level of support and stability required for the Holly method, making sitting the most effective option for both the patient’s comfort and the quality of the imaging.