LOWER EXTREMITY I.A. Flashcards
LABEL THE IMAGE
- WHAT POSITIONAL ERRORS?
I. Adductor tubercle
J. Lateral condyle
K. Medial condyle
- UNDERROATED & INTERNALLY ROTATED
LABEL IMAGE
- WHAT POSITION ERRORS?
A. Femur
B. Patella
C. Medial condyle
D. Tibia
E. Fibular head
F. Tibiofibular joint
G. Femorotibial join
H. Lateral condyle
- INTERNALLY ROTATED
LABEL IMAGE
- WHAT POSITION ERRORS?
A. Patella
B. Lateral epicondyle
C. Lateral condyle
D. Intercondylar eminence
E. Fibular head
F. Tibia
G. Femorotibial joint
H. Medial epicondyle
I. Femur
- EXTERNALLY / LATERALLY ROTATED AP KNEE
LABEL THE IMAGE
A. Intercondylar fossa
B. Lateral femoral condyle
C. Fibular head
D. Fibula
E. Tibia
F. Intercondylar eminence
G. Medial femoral condyle
LABEL THE IMAGE
A. Fibula
B. Lateral malleolus
C. Lateral mortise
D. Calcaneus
E. Talus
F. Medial mortise
G. Medial malleolus
H. Tibiotalar joint
I. Tibia
LABEL THE IMAGE
A. Fibula
B. Tibiotalar joint
C. Talar domes
D. Calcaneus
E. Talocalcaneal joint
F. Cuboid
G. Fifth metatarsal tuberosity
H. Navicular bone
I. Talus
J. Tibia
LABEL THE IMAGE
A. Phalanges
B. Metatarsals
C. Medial cuneiform
D. Medial-intermediate cuneiform joint
E. Intermediate cuneiform
F. Navicular–cuneiform joint
G. Navicular bone
H. Talus
I. Calcaneus
J. Cuboid
K. Lateral cuneiform
L. Fifth metatarsal tuberosity
M. Fourth tarsometatarsal joint
N. Fifth metatarsal base
REVIEW
NAME TARSAL BONES IN ORDER FROM HEEL TO TOES
CALCANEUS - TALUS - CUBOID - NAVICULAR - 3 CUNEIFORM
C.T.C.N. 3 C
AP FOOT (________)
IMAGE GUIDELINES
DORSOPLANTAR
- EQUAL DISTANCE 2-5TH MTC, overlap OF BASES
- Bases of 1st and 2nd MTs are separated
- Navicular to cuneiform joints open
- INTERTARSAL JOINTS OPEN
-MTP JOINT OPEN
ANALYZE IMAGE
-MEDIAL FOOT ROTATION (EVERSION)
DECREASED SUPERIMPOSITION OF MT BASES
ANALYZE IMAGE
- NO TUBE ANGLE OF 10*
- TMT JOIN SPACES CLOSED
- CR NOT PARALLEL WITH JOINTS
MOST COMMON FOOT FRACTURE:
NAME OF FX:
OPENING IN MIDDLE OF SUBTALAR JOINT IS CALLED:
5TH MT TUBEROSITY = JONES FRACTURE
- SINUS TARSI
AP OBLIQUE FOOT (MEDIAL ROTATION)
IMAGE GUIDELINES
- 30* (2 FINGERS) OBLIQUE
- 3RD-5TH MT FREE SUPERIMPOSITION
- TUBEROSITY OF 5TH MT BASE SEEN IN PROFILE
- SINUS TARSI VISUALIZED
- JOINTS BY CUBOID OPEN
ANALYZE OBLIQUE FOOT IMAGE
EXCESSIVE FOOT OBLIQUITY
ANALYZE OBLIQUE FOOT
- INSUFFICIENT FOOT OBLIQUITY
LATERAL FOOT
IMAGE GUIDELINES
- TIBIOTALAR JOINT OPEN
-Posterior half of distal tibia superimposes the fibula - Tuberosity of the 5th MT seen in profile
- TALAR DOMES ALIGNED (ANTERIOR & POSTERIOR)
IF TOES ARE ELEVATED =
LEG INTERNALLY ROTATED
- TOES UP = FIBULA (LATERAL) MOVES ANTERIOR TO TIBIA (FORWARD)
IF HEEL ELEVATED =
LEG EXTERNALLY ROTATED
- FIBULA TOO POSTERIOR TO MID-TIBIA
ANALYZE LATERAL FOOT
- PROXIMAL LOWER LEG/KNEE ELEVATED
-SUBTALAR & TIBIOTALAR JOINTS CLOSE
IMAGE IS CORRECT OPEN
ANKLE JOINT FORMED BY:
WHERE IS LATERAL MALLEOLUS LOCATED?
WHERE IS MEDIAL MALLEOLUS LOCATED?
WHICH IS MORE POSTERIOR, LATERAL OR MEDIAL MALLEOLUS?
WHICH IS MORE POSTERIOR, TIBIA OR FIBIA?
ANKLE JOINT = TINIA, FINIA & TALUS OF FOOT
- LATERAL MALLEOLUS - DIST. END OF FIBULA (PINKY)
- MEDIAL MALLEOLUS - ELONGATED PROCESS OF TIBIA ( BIG TOE)
- LATERAL MALL. 15-20* MORE POSTERIOR THAN MEDIAL
- FIBIA MORE POSTERIOR THAN TIBIA
AP ANKLE GUIDELINES
- TIBIOTALAR JOINT OPEN
- MEDIAL MORTISE JOINT OPEN AND LATERAL MORTISE CLOSED
- SLIGHT SUPERIMPOSITION OF FIBULA BY TIBIA & TALUS
ANALYZE AP ANKLE
ANKLE IS EXTERNALLY ROTATED
- MEDIAL MORTISE IS OBSCURED, TIBIA SUPERIMPOSES TOO MUCH OF FIBULA
ANALYZE AP ANKLE
- IF LATERAL PORTION OF MORTISE JOINT OPEN, INDICATES RUPTURED LIGAMENT