Lower Extremity 2 Flashcards
true AP position for LE
knee extended
foot dorsiflexed
leg internally rotated 5 degrees
cassette goes in the table bucky if knee measures more than 11 cm
AP knee labels
femur patella lateral condyle fibula tibia tibial plateau medial epicondyle
film size and orientation for AP knee
10x12 lengthwise
tube tilt for AP knee
5 degree cephalic
collimation for AP knee
part size
lateral knee labels
femur femoropatellar space patella tibia fibula condyles superimposed
cassette size and orientation for lateral knee
10x12
lengthwise
patient orientation for lateral knee
roll patient to affected side and flex knee
collimation for lateral knee
part size
holmblad cassette size and orientation
10x12 lengthwise
patient orientation for holmblad
patient in prone position, have patient gently raise to hands and knees just enough so effected leg forms a 20 degree angle with CR
collimation for holmblad
part size
labels for holmblad
femoral notch
medial condyle
tibial spines
with lower leg series, what must you include?
joint closest to injury
true AP position for AP leg
knee extended
foot dorsiflexed
leg internally rotated 5 degrees
cassette goes on top of the table
film size and orientation for AP leg
14x17
lengthwise
CR for AP leg
centered to film
collimation for AP leg
7x17
labels for AP leg
fibula
tibia
distal tibiofibular joint
tibiotalar joint
lateral leg film size and orientation
14x17
lengthwise
patient orientation for lateral leg
roll patient on to affected side and flex knee
CR for lateral leg
centered to film
labels for lateral leg
tibia talus navicular fibula tibiotalar joint calcaneus
AP ankle film size and orientation
10x12
lengthwise
collimation for AP ankle
part size
AP ankle labels
tibia medial malleolus styloid process tibiotaler joint lateral malleolus fibula
internal oblique ankle film size and orientation
10x12
lengthwise
patient orientation for internal oblique ankle
internally rotate ankle 15 degrees (foot dorsiflexed)
inter-malleolar plane is parallel with film
CR for internal oblique ankle
mid ankle and center of cassette
collimation for internal oblique ankle
part size
labels for internal oblique ankle
tibia
mortise joint
fibula
patient orientation for lateral ankle
roll patient onto affected side, flex knee and foot
film size and orientation for lateral ankle
10x12
lengthwise
labels for lateral ankle
tibia navicular base of 5th metatarsal cuboid calcaneous talus tibiotalar joint fibula
AP foot tube tilt
10 degree cephalic
labels for AP foot
metatarsophalangeal joint
phalanges
metatarsals
film size and orientation for AP foot
10x12
lengthwise
medial oblique foot labels
head of metatarsal base of 5th metatarsal cuboid calcaneus interphalangeal joint sesamoids medial cuneiform
film size and orientation for medial oblique foot
10x12
lengthwise
patient placement for medial oblique foot
plantar surface of foot on cassette, rotate foot and leg medially until you can place 2 fingers between the cassette and plantar surface of foot
lateral foot labels
phalanges metatarsals navicular talus calcaneus
film size and orientation for lateral foot
10x12
table top
patient position for lateral foot
place foot in lateral position
flex knee
plantar surface perpendicular to IR
accessory views
calcaneus (axial and lateral)
ankle (oblique stress views)
knee (notch views), modified beclere, camp coventry
tangential patella views (settegast-unilateral, merchant’s- bilateral)