Extremities without shoulder down Flashcards

1
Q

AP Pelvis

LYING DOWN - in bucky? shot

A

70 kvp
shows: pelvis and hip joints

internally rotate patients leg are straight

aim:
vertically: in between iliac crest and greater trochanter
horizontally: midline

collimation: full width of pelvis

gonad shielding apron
male = bottom
female = bottom

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2
Q

HIP + Femur series

ALL 70 kvp

A

AP hip

AP femur

Lateral femur

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3
Q

AP hip

A

100cm tape measure

INTERNALLY ROTATE LEGS so they are straight

aim: top of femur head ( in between asis + symphasis pubis + MOVE DOWN 5cm)

collimation: A4 sheet
- ——-

gonad shielding
male = CORNER covering testes
female = top of collimation

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4
Q

Frog leg oblique hip

A

SAME AS AP HIP ^^^

+ Use 15 degree sponge block on lateral side of straight leg for comfort.

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5
Q

AP femur

A

needs to include bottom patella to know what bone we are looking at

100cm tape measure

aim: shaft of femur
collimation: just past skin to skin + entire length of long bone

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6
Q

Lateral femur

A

entire FEMUR not leg parallel with table
INCLUDE bottom of patella again

100cm tape measure

aim: shaft of femur

collimation: just past skin to skin
entire length of long bone

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7
Q

Knee series

  • ALL 60 kvp
  • ALL out of bucky shots
A

AP knee - (5 degree tilt up)
Lateral knee - (5 degree tilt up)
intercondylar knee (all 4’s) - NO TILT
tangential patella knee - (knee bent up) - (10 degree tilt up)

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8
Q

AP knee

A

5 degree tilt up
100cm tape measure

PATIENT LEG INTERNALLY ROTATED

shows: distal femur + distal tib/fib - medial/lateral joint integrity
aim: apex of patella
collimation: A4 sheet of paper

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9
Q

Lateral knee

A

5 degree tilt up
100cm tape measure

PATIENT LEG INTERNALLY ROTATED
block under patients foot for comfort

aim: middle of knee joint

collimation A4 sheet of paper

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10
Q

Intercondylar knee (all 4’s)

A

100cm tape measure
shows: intercondylar fossa of femur and tibia

aim: crease of knee in popliteal fossa
collimation: A4 sheet of paper (include backside THEN push them forwards so it is just outside of the view?)

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11
Q

Tanential patella knee (knee bent up)

A

10 degrees UP
100cm tape measure
shows: patella + femoral joint space

aim: patella
collimation: a4 sheet of paper

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12
Q

Tiba/Fibula series

All out of bucky shots
All 60kvp

A

AP Tib/Fib

Lateral Tib Fib

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13
Q

AP Tib/Fib

A

Leg internally rotated
sandbag and block at base of foot- foot facing roof

aim: middle of shaft tib/fib

collimation: include malleoli
to skin edges

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14
Q

Lateral Tib/Fib

A

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: middle of shaft of tib/fib

collimation: include malleoli
to skin edges

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15
Q

Ankle series

All out of bucky shots
All 60kvp

A

AP ankle

Lateral ankle

Medial oblique ankle

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16
Q

AP ankle

A

foot facing roof
and internally rotated about 10 degrees

aim: 5cm proximal to malleoli (on shin)
collimation: skin edges and include calcaneus and distal tib fib

17
Q

medial oblique ankle

A

block and sandbag foot facing roof
ALSO foot internally rotated 45 degrees

aim: 5cm proximal to malleoli (shin way)
collimation: skin edges, include calcaneus, distal tib/fib

18
Q

Lateral ankle

A

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: 2cm proximal to medial malleolus (shin way)
collimation: skin edges and include distal tib fib and calcaneus

19
Q

Foot series

All 60 kvps
All out of bucky

A

AP foot (15 degree tube tilt UP)

Lateral foot (0 tube tilt)

medial oblique foot (15 degree tube tilt UP)

20
Q

AP foot = foot = flat

A

FLAT ON TABLE

aim: middle of foot on metatarsals
collimation: skin edges and include calcaneus and end of toes

21
Q

Medial oblique ankle

A

From AP position, leg is internally rotated 30 degrees use triangle block??

aim: middle of metatarsals
collimation: skin edges and include calcaneus and end of toes

22
Q

Lateral foot

A

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: middle of side of foot
collimation: skin edges, include calcaneus and end of toes

23
Q

Calcaneus series

All 60kvps

A

Axial calcaneus (foot band one) Tilt: 40 degree DOWN

Lateral calcaneus (0 tube tilt)

24
Q

Axial calcaneus (foot band one)

A

Tilt: 40 degree DOWN

foot facing roof using band around top of foot

aim: bottom of foot at level of malleoli

25
Q

Lateral calcaneus

A

from AP position, externally rotate leg so lateral malleoli facing up

aim: middle of lateral calcaneus (3cm distal to malleoli)
collimation: 10cmx10cm
show: calcaneus laterally and distal ends of tib/fib

26
Q

AP shoulder

A

in bucky
70kvp

patients torso rotated 30 degrees until scapula of capture is parallel with bucky

patients arm internally rotated, elbow slightly flexed and top of hand against lateral thigh

aim: