Knees Flashcards

1
Q

what is the SID for knee views

A

100-110cm

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2
Q

what is the kV for knee views

A

60-65kV

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3
Q

what is the mAs for knee views

A

4-5mAs

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4
Q

do you use grids for knee views

A

depends on the view

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5
Q

what is the CP for the AP knee view

A

perpendicular to 1cm distal to the patella apex

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6
Q

what is the patient positioning for AP knee

in terms of the leg, knee rotation, patella and intercondylar line

A

fully extend the leg

internally rotate the knee

centralise the patella

intercondylar line parallel to the IR

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7
Q

what is the area to be included in the collimation for AP knee view

A

distal femur to the proximal tibia/fibula

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8
Q

what joint space needs to be open for the AP knee view

A

femorotibial joint space open

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9
Q

if you see too much of the fibula head in the AP knee view what does this mean

A

too much fibula head = internally rotated

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10
Q

if you see too little of the fibula head in the AP knee view what does this mean

A

externally rotated

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11
Q

in the AP knee view where should the patella be located

what does it rest on and what is it superimposing

A

resting on the superior portion of the image, superimposing the distal femur

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12
Q

the femoral and tibial condyles should look like what in the AP knee view

A

symmetrical

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13
Q

what is the image critique for the AP knee view in terms of the positioning

in terms of which joint space needs to be open, intercondylar eminence, condyles

what 4 things need to be superimposed

A

femoral tibial joint space open

intercondylar eminence seen in the intercondylar fossa centre

femoral and tibial condyles symmetrical

head of fibula slightly superimposed by the lateral tibial condyle

patella superimposes the distal femur

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14
Q

what is the CP for a lateral/rolled knee view

A

5* cranial angle

2.5cm distal to the medial epicondyle

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15
Q

what way lateral is the lateral/rolled knee

A

mediolateral

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16
Q

what is the patient positioning for a lateral/rolled knee

in terms of the knee flexure and what things need to be parallel to the table

A

flex knee 20-30*

pad under the heel so tib/fib and femur are parallel to the table

17
Q

for a lateral/rolled knee what shows no rotation

A

patella in profile

18
Q

for a lateral/rolled knee what joint space is needed and what needs to be superimposed

A

patellofemoral joint needs to be open

femoral condyles superimposed

19
Q

what is the image critique for the lateral/rolled knee view in terms of the positioning

in terms of what 4 things need to be superimposed, the patella and the femoral condyles

A

tibia superimposes 1/2 fibula head

posterior and distal borders of femoral condyles superimposed

patella in profile and patellofemoral joint space open

20
Q

what is the area of interest for knee views

A

distal femur to proximal tibia and fibula

21
Q

what is the CP for lateral hori-ray knee view

A

perpendicular to the knee joint

1.5-2cm distal to the patella apex

22
Q

what kind of lateral is the lateral hori-ray knee

A

lateromedial

23
Q

what is the patient positioning for the lateral hori-ray knee

in terms of affected knee flexion, sponge use, detector placement

A

affected knee flexed 20*

45* sponge pad under knee

IR against medial knee running parallel to the affected leg

24
Q

what is the AP weight bearing knee view used to assess

in terms of anatomy and pathology

A

knee joint, distal femur, proximal tibia/fibula and patella

evaluates OA

25
Q

what is the patient positioning for the AP weightbearing knee view

in terms of the detector and knee rotation

A

both knees imaged

patient erect against upright IR with knee and ankle joint in contact with IR

knees un-rotated (sometimes need to turn the toes in)

26
Q

what is the patient positioning for the skyline knee view

in terms of knee position and what the 2 places are that the detector could be placed at

A

knees flexed

IR at patients heels or against their knee

27
Q

what is the CP for the skyline knee view when the detector is at the heels

A

angled IR to patellofemoral joint space

detector at heels = 30* (to femur) caudal

28
Q

what is the CP for the skyline knee view when the detector is at the knees

A

angled IR to patellofemoral joint space

detector at knees = 10-15* from horizontal, tangential to patella

29
Q

what is the CP for the intercondylar notch knee view

A

20* angle? perpendicular to the tibia

1.5cm distal of patella apex

30
Q

what is the patient positioning for the intercondylar notch knee view

in terms of patient body position, knee flex angle and IR placement

A

supine

knee flexed 40*

IR under flexed knee

31
Q

what is the image critique for the AP weightbearing knee view in terms of positioning

2 things

A

1/2 proximal fibula superimposed by tibia

joint spaces open

32
Q

what is the image critique for the rosenberg knee view in terms of positioning

in terms of joint spaces and fossas, tibial plateau and condyles

A

Femorotibial joint space open

Intercondylar fossa open

Tibial plateau should be free from any superimposition

Femoral and tibial condyles in profile (no rotation)

33
Q

what is the image critique for the skyline knee view in terms of positioning

in terms of joint space and patella

A

patellofemoral joint space open

symmetric appearance of patella

34
Q

what is the image critique for the intercondylar notch knee view in terms of positioning

in terms of tibial plateau, femoral condyle, patella

A

Tibial plateau free from any superimposition

Femoral condyles free from superimposition with the intercondylar fossa in profile

Patella should be free of intercondylar fossa

35
Q

what is the image critique for the intercondylar notch knee view in terms of area of interest

4 things

A

distal femur

proximal tibia and fibula

intercondylar fossa

tibial plateaus and knee joint

36
Q

what is the image critique for the skyline knee view in terms of positioning

2 things

A

intercondylar sulcus

patella

37
Q

what is the image critique for the rosenberg knee view in terms of positioning

2 things

A

distal femur

proximal tibia/fibula