EXAM #9 Flashcards
CR for:
AP Femur
Perpendicular to mid-femur and center of IR
Key patient/part positioning points for:
AP Femur
IR 2 inches below knee joint
Rotate limb internally to place in true anatomic position
CR for:
Lateral Femur
Perpendicular to mid-femur
Key patient/part positioning points for:
Lateral Femur
IR 2 inches below knee joint
Patient on AFFECTED side with knee flexed 45°
Epicondyles perpendicular to tabletop
CR for:
AP Oblique Femoral Necks
Modified Cleaves Method
Perpendicular, entering midline approx. 1 inch superior to symphysis pubis
(Perpendicular to femoral neck for unilateral)
Key patient/part positioning points for:
AP Oblique Femoral Necks
Modified Cleaves Method
Flex thighs and knees
Abduct thighs 45° from vertical with soles of feet together
CR for:
AP Hip
Perpendicular to a point 2.5 inches distal on a line drawn perpendicular to midpoint of line between ASIS and the pubic symphysis
Key patient/part positioning points for:
AP Hip
Rotate AFFECTED limb 15°-20° medially
Center hip to IR
ASIS equidistant to table
CR for:
Lateral Hip
Lauenstein Method
Perpendicular to hip at point midway between ASIS and pubic symphysis
CR for:
Lateral Hip
Hickey Method
Perpendicular to hip at point midway between ASIS and pubic symphysis at cephalic angle of 20°-25°
Key patient/part positioning points for:
Lateral Hip
Turn patient slightly toward AFFECTED side
Flex AFFECTED knee and hip
Extend UNAFFECTED knee
CR for:
Axiolateral Hip
Danelius-Miller Method
Perpendicular to long axis of femoral neck and IR
Key patient/part positioning points for:
Axiolateral Hip
Danelius-Miller Method
Greater trochanter elevated to center of IR
Flex knee and hip of UNAFFECTED side w/ foot elevated
Rotate AFFECTED leg medially 15°-20°
CR for:
AP Pelvis and Upper/Proximal Femora
Perpendicular to midpoint of IR
Center IR approximately 2 inches superior to pubic symphysis and 2 inches inferior to ASIS
Key patient/part positioning points for:
AP Pelvis and Upper/Proximal Femora
ASIS equidistant to table
Rotate feet and lower limbs medially 15°-20°
Center IR approximately 2 inches superior to pubic symphysis and 2 inches inferior to ASIS
CR for:
AP External Oblique Hip
Judet Method
Perpendicular to the IR and entering at the pubic symphysis
CR for:
AP Internal Oblique Hip
Judet Method
Perpendicular to the IR and entering 2 inches inferior to the ASIS of the AFFECTED side
Key patient/part positioning points for:
AP External Oblique Hip
Judet Method
AFFECTED hip DOWN
Elevate UNAFFECTED side so that the anterior surface of the body forms a 45° with the table
Key patient/part positioning points for:
AP Internal Oblique Hip
Judet Method
AFFECTED hip UP
Elevate AFFECTED side so that the anterior surface of the body forms a 45° with the table
What projection is used when:
A patient with a suspect fracture of the ilioischial column (posterior) and the anterior rim of the acetabulum
AP External Oblique Hip
Judet Method
What projection is used when:
A patient with a suspect fracture of the iliopubic column (anterior) and the posterior rim of the acetabulum
AP Internal Oblique Hip
Judet Method
CR for:
AP Axial Outlet Projection
Taylor Method
Men = 20°-35° cephalic and entering midline at a point 2 inches inferior to the superior border of the pubic symphysis
Women = 30°-45° cephalic and entering midline at a point 2 inches inferior to the superior border of the pubic symphysis
Key patient/part positioning points for:
AP Axial Outlet Projection
Taylor Method
ASIS equidistant to table
Slightly flex knees
IR centered to CR in Bucky tray
CR for:
Superoinferior Axial Inlet Projection
Bridgeman Method
40° caudad entering midline at the level of the ASIS
Key patient/part positioning points for:
Superoinferior Axial Inlet Projection
Bridgeman Method
ASIS equidistant to table
Slightly flex knees
IR (in Bucky tray) centered with greater trochanters
CR for:
Modified Axiolateral Hip
Clements-Nakayama Method
15° posteriorly and aligned perpendicular to the femoral neck
Key patient/part positioning points for:
Modified Axiolateral Hip
Clements-Nakayama Method
Neutral patient position
IR parallel to the femoral neck and tilted back 15°
CR for:
Lateral Pelvis and Upper/Proximal Femora
2 inches above greater trochanter
Key patient/part positioning points for:
Lateral Pelvis and Upper/Proximal Femora
Patient stands straight with MSP parallel to IR
CR for:
Axiolateral Projection of Femoral Necks
Original Cleaves Method
Parallel with the femoral shafts
between 25°-45°
Key patient/part positioning points for:
Axiolateral Projection of Femoral Necks
Original Cleaves Method
Patient abducts thighs with soles of feet together
What projection is also known as:
Cross-table
or
Surgical-lateral
Axiolateral Projection (Danelius-Miller)