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When Xrays are taken to rule-out cervical spine fractures, should the helmet be removed or left on?

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When Xrays are taken to rule-out cervical spine fractures, should the helmet be removed or left on?

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It may be difficult to remove helmets and protective padding. If this is done, it should be done VERY carefully and requires 3 skilled health-care providers to perform the task. Usually Xrays will be adequate for athletes wearing hockey helmets and shoulder pads, although it may be difficult to visualize the cervico-thoracic junction. Conversely, football padding and helmets are much more likely to lead to inadequate films.

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