Lower extremity Projections Flashcards
For all toe projections the cassette size used?
10x12
For all toe projections the SID is?
40”
For all toe projections the Collimation is?
1” on all sides
For toes AP/PA Axial what is the IR?
center 3rd MTP joint
For toes AP/PA Axial what is the CR?
perpendicular to 3rd MTP joint CR angle 15 degrees posteriorly or elevate foot
For toes AP/PA Axial what is the criteria to be met?
entire toes to distal metatarsals
no rotation
open interphalangeal and metatarsophalangeal joints
For toes AP oblique Medial what is the IR?
center toes to IR
For toes AP oblique Medial what is the CR?
perpendicular entering 3rd MTP joints- pt is rotated 30-45 degrees
For toes AP oblique Medial what is the criteria to be met?
entire toes to distal metatarsal
open interphangeal and 2-5 metatarsophalangeal joints spaces
1st MTP not always open
For all foot projections the cassette size is?
10x12
For all foot projections the collimation is?
1” on all sides
For Foot AP/AP Axial what is the IR?
center to base of 3rd metatarsal
For Foot AP/AP Axial what is the CR?
10 degree toward heel entering base of 3rd metatarsal
For Foot AP/AP Axial what is the criteria to be met?
toes to tarsals
no rotation of foot
overlap of 2-5 metatarsal
open joint spaces
For Foot AP Oblique Medial what is the IR?
parallel to long axis center foot
For Foot AP Oblique Medial what is the CR?
perpendicular to base of 3rd metatarsal- patient at 30 degree angle
For Foot AP Oblique Medial what is the criteria to be met?
entire foot: toes to heel 3-5 metatarsal free of superimpostion navicular, lateral cuneiform and cuboid with less superimpostion tuberosity of 5th metatarsal sinus tarsi seen
For Foot Lateral what is the IR?
center to midfoot, 90 degree dorsifelxion
For Foot Lateral what is the CR?
perpendicular to base of 3rd metatarsal
For Foot Lateral what is the Criteria to be met?
entire foot
superimposed plantar surface of metatarsal head
fibula overlapping tibia
tibiotalar joint
For Calcaneus Axial what is the cassette size?
10x12
For Calcaneus Axial what is the IR?
center midline of ankle
For Calcaneus Axial what is the CR?
midpoint of IR with cephalic angle of 40 degrees
For Calcaneus Axial what is the criteria to be met?
calcaneus and calcaneocuboid joint
no rotation
For Calcaneus Lateral what is the cassette size?
10x12
For Calcaneus Lateral what is the IR?
long axis parallel to plantar surface
For Calcaneus Lateral what is the CR?
1” distal to medial malleolus
For Calcaneus Lateral what is the Criteria to be met?
entire calcaneus
tuberosity in profile
sinus tarsi open
calcaneocuboid and talonavicular joint open
For all Ankle projections what is the cassette size?
10x12
For all ankle projections what is the collimation?
1” on sides, 8” lengthwise
For ankle AP what is the IR?
center ankle, foot pointing up and flex
For ankle AP what is the CR?
perpendicular through ankle joint
For ankle AP what is the criteria to be met?
medial and lateral malleoli
talus-overalapping distal fibula
normal overlapping tibiofibular articulation
For Ankle Lateral what is the IR position?
parallel with long axis , center to ankle joint
For Ankle Lateral what is the CR position?
perpendicular to ankle joint
For Ankle Lateral what is the criteria to be met?
ankle centered
distal tibia, fibula, talus, calcaneus, and adjacent tarsals
5th metatarsal base and tuberosity seen
For Ankle Oblique (Mortise) what is the IR?
center ankle joint with 15-20 degree rotation
For Ankle Oblique (Mortise) what is the CR?
enter ankle joint
For Ankle Oblique (Mortise) what is the criteria to be met?
entire ankle mortise
distal tibia, fibula and talus
talofibular open
tibiotalar open
For all Leg projections the cassette size is?
14x17
For all leg projections the collimation is?
1” on sides, 1.5” beyond ankle/knee
For AP leg what is the IR?
femoral condyles parallel to IR
For AP leg what is the CR?
perpendicular to center of leg
For AP leg what is the criteria to be met?
ankle/knee joint included
prox and distal articulation of tibia/fibula
For Lateral Leg what is the IR?
patella/femoral condyles perpendicular to IR
For Lateral Leg what is the CR?
perpendicular to midpoint of leg
For Lateral Leg what is the criteria to be met?
ankle/knee joint included
distal fibula superimposed by half tibia
moderate separation of tibial/fibular bodies
For all Knee projections the cassette size is?
10x12 except for bilateral then its 14x17
For all knee projections the the collimation is?
8x10
For AP knee what is the IR position?
1/2” below patellar apex
For AP knee what is the CR Position?
1/2” below patellar apex
less than 19cm= 3-5 degree caudal angle
19-24 cm= 0 degree
more than 24 cm= 3-5 degree cephalic angle
For AP knee what is the criteria to be met?
femoral condyles symmetrical
slight superimposition of fibular head
patella superimposed
open femorotibial joint
For Lateral knee what is the IR position?
patella/epicondyles perpendicular to IR
For Lateral knee what is the CR position?
1” below medial epicondyle with a 5-7 degree cephalic angle
patient will flex knee 20-30 degrees
For Lateral knee what is the criteria to be met?
fibular head and tibia slightly superimposed
patella in lateral profile
open patellofemoral joint spaces
For AP weight bearing knee what is the IR position?
1/2” below apices of patella
For AP weight bearing knee what is the CR position?
1/2” below apices of patella
For AP weight bearing knee what is the criteria to be met?
both knees without rotation
knee joint spaces centered
For AP oblique Lateral knee what is the IR position?
1/2” below apex of patella
For AP oblique Lateral knee what is the CR position?
1/2" below patellar apex Patient in 45 degree rotation less than 19cm= 3-5 degree caudal angle 19-24 cm= 0 degree more than 24 cm= 3-5 degree cephalic angle
For AP oblique Lateral knee what is the criteria to be met?
medial femoral and tibial condyles
tibial plateaus
fibular superimposed over tibia
open knee joint
For AP oblique Knee Medial what is the IR position?
1/2” below patellar apex
For AP oblique Knee Medial what is the CR position?
1/2” below patellar apex with patient in 45 degree rotation
For AP oblique Knee Medial what is the criteria to be met?
tibial plateau
tibia/fibula seperated at proximal articulation
lateral condyles of femur
open knee joint
For PA Axial Homblad (intercondylar fossa) what is the cassette size?
10x12
For PA Axial Homblad (intercondylar fossa) what is the IR Position?
@ level of apex of patella
For PA Axial Homblad (intercondylar fossa) what is the CR position?
enter superior popliteal fossa exit @ level of patellar apex
For PA Axial Homblad (intercondylar fossa) what is the criteria to be met?
open intercondylar fossa
tibial plateaus in profile
apex not superimposing
For PA Axial Homblad (intercondylar fossa) what is the collimation?
8x10
For PA Axial Camp-Coventry what is the cassette size?
10x12
For PA Axial Camp-Coventry what is the IR position?
center the knee joint
For PA Axial Camp-Coventry what is the collimation?
8x10
For PA Axial Camp-Coventry what is the CR Position?
enter popliteal fossa exit patellar apex, CR angle will match knee angle
For PA Axial Camp-Coventry what is the criteria to be met?
open intercondylar fossa
apex not superimposing
tibial plateau in profile
For all Patella projections what is the cassette size?
10x12
For AP and Lateral Patella projections what are the collimations?
AP-6x6
Lateral- 4x4
For AP Patella what is the IR position?
center to patella
For AP Patella what is the CR position?
perpendicular to midpopliteal area exiting patella patient will rotate heel laterally 5-10 degrees
For AP Patella what is the criteria to be met?
patella superimposed by femur
no rotation
For Lateral Patella what is the IR position?
patella perpendicular to IR
For Lateral Patella what is the CR position?
perpendicular entering @ midpatellofemoral joint patient will flex knee 5-10 degrees
For Lateral Patella what is the criteria to be met?
knee flexed 5-10 degrees
patell in lateral profile
For Tangential Settegast Method (sunrise) what is the cassette size?
10x12
For Tangential Settegast Method (sunrise) what is the collimation?
4x4
For Tangential Settegast Method (sunrise) what is the IR position?
patella perpendicular to IR, Center to joint space between patella and femoral condyles
For Tangential Settegast Method (sunrise) what is the CR position?
perpendicular to joint space between patella and femoral condyles. CR angled 15-20 degrees cephalic
For Tangential Settegast Method (sunrise) what is the criteria to be met?
patella in profile
femoral condyles and intercondylar sulcus
open patellofemoral articulation
For all Femur projections what is the cassette size?
14x17
For all Femur projections the collimation is?
1” on sides, 17” length
For AP Femur what is the IR position?
thigh midline to IR
knee included: 2” below knee joint
hip included: top of IR @ ASIS
Patient will rotate extremity 10-15 degrees
For AP Femur what is the CR position?
Perpendicular to Midfemur
For AP Femur what is the criteria to be met?
lesser trochanter not seen
no knee rotation
most femur and joint of interest in profile
femoral neck not foreshortened
For Lateral Femur what is the IR position?
with knee: 2” beyond knee
with Hip: @ level ASIS
For Lateral Femur what is the CR position?
perpendicular to midfemur
For Lateral Femur what is the criteria to be met?
most of femur and joint of interest