tibia and fibula

Question 1

standard series for tibia and fibula

Answer 1

AP Lateral

Question 2

AP postioning for tib fib

Answer 2

Pt supine with both legs extended/ one leg (I find both easier)
Posterior aspect of lower leg in contact with IR
Dorsiflex the ankle and rotate the foot medially 5 degrees

Question 3

evalution Critique for AP tib fib

Answer 3

Ankle and knee joints included and
in AP position
> Tibiotalar joint space open
> Femoral and tibial condyles should
appear symmetrical
> Patella superimposed on midline of
femur
> Proximal and distal fibula slightly
superimposed on tibia

Question 4

positioning for lateral tib fib

Answer 4

Pt supine with affected leg extended
Roll Pt towards affected leg, with the other leg either in front or behind for
support
Knee flexed at 90deg
Superimpose femoral condyles and lateral borders of patella
Superimpose medial and lateral malleoli

Question 5

evaluation for lateral tib fib

Answer 5

Femoraltibial joint space
> Tibiotalar joint space
> Femoral and tibial condyles should
be superimposed
> Fibular distally superimposing
posterior half of tibia
> Lateral Malleolus superimposes talus