Extremities without shoulder down Flashcards
AP Pelvis
LYING DOWN - in bucky? shot
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
HIP + Femur series
ALL 70 kvp
AP hip
AP femur
Lateral femur
AP hip
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
Frog leg oblique hip
SAME AS AP HIP ^^^
+ Use 15 degree sponge block on lateral side of straight leg for comfort.
AP femur
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
Lateral femur
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
Knee series
- ALL 60 kvp
- ALL out of bucky shots
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)
AP knee
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
Lateral knee
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
Intercondylar knee (all 4’s)
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?)
Tanential patella knee (knee bent up)
10 degrees UP
100cm tape measure
shows: patella + femoral joint space
aim: patella
collimation: a4 sheet of paper
Tiba/Fibula series
All out of bucky shots
All 60kvp
AP Tib/Fib
Lateral Tib Fib
AP Tib/Fib
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
Lateral Tib/Fib
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
Ankle series
All out of bucky shots
All 60kvp
AP ankle
Lateral ankle
Medial oblique ankle