femur appraisal

Question 1

how many views are there for the femur?
(hint not 2)

Answer 1

4

Question 2

AP knee upwards instruction’s ?

Answer 2

-Patient lays supine on x-ray table – knee fully extended

-Place lower edge of IR 2 inches below the knee

-Internally rotate leg so femoral condyles are equidistant to IR

-Centre midshaft

Question 3

AP hip downwards

Answer 3

-Internally rotate leg so that the greater trochanter is in profile.

-Upper border of IR at the level of ASIS (side of the pelvis)

Question 4

lateral knee (upwards)

Answer 4

-Place pt in recumbent position with affected leg against the table

-Lower edge of IR 2 inches below knee joint

-Flex affected knee 45 deg and rotate the patient on the affected side so that the femoral condyles are perpendicular to IR.

Question 5

lateral hip (downwards)

Answer 5

-Place pt in AP oblique position with affected side closest to IR

-Flex knee for support

-Ensure unaffected leg is out of the FOV

-Place upper border if IR at the level of affected ASIS

-Externally rotate the leg, and rotate the pelvis so that the femoral epicondyles are equidistant.

-Ensure the distal femur is not elevated