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xray exam 4

lower limb positioning (knee, femur, patella)

QuestionAnswer
what is the longest, strongest & heaviest bone in the body femur
What bone slants 5-15° medially femur
what is the largest sesmoid bone in the body patella
what is the meniscus C- shaped pad of cartilage that acts as a shock absorber. Located on the medial side of the knee
What is the ACL ACL= anterior cruciate ligament stabilizes the knee & runs medial to lateral connects femur, tib & knee
what is the PCL PCL= Posterior cruciate ligament keeps the tibia from moving behind the femur & stabilizes the knee runs lateral to medial
What is the MCL MCL= Medial Cruciate ligament connects femur to the tibia
what is the LCL LCL= Lateral Cruciate ligament connects femur to the fibula
what is the quad tendon Attaches the quad muscle to the patella and works to straighten the knee
what is the patellar tendon Attaches bottom of the knee to the tibia
where does the CR enter for the knee 1/2 inches below apex of the patella
how do you want the femoral condyles for an AP knee condyles parallel to IR
what does the AP knee show open femorotibial joint
For a supine lateral knee, what is the tube angle 5-7° cephalic
How much do you flex the knee for a upright & supine lateral knee 20-30°
How are the femoral condyles positioned for a lateral knee perpendicular to the IR
for a lateral knee, what side is closest to the IR the affected knee
for an AP oblique knee (lateral or medial) how much is the leg rotated 45°
is there a tube angle for AP oblique knees depends on the body habitus
if a pelvis is 18cm or smaller, what is the tube angle for an AP supine knee to get the joint space open 5° caudad
if a pelvis is 25cm or larger, what is the tube angle for an AP supine knee to get the joint space open 5° cephalad
How are the patella's positioned for an AP bilateral wt bearing knee parallel to the IR
What does the AP bilateral Wt bearing knee show varus and valgus deformities
What is varus deformity bow legged
what is valgus deformity knees go inward
How do you position someone for a Rosenberg 1) face IR 2) flex knees 45° 3) squat into IR 4) 10° caudad tube angle
what does the Rosenberg projection show joint space narrowing
what is the tube angle for a sunrise knee 5-7° to match angle of IR
What is the positioning for a PA patella -prone -5-10° rotation of leg
How much do you flex the leg for a lateral patella 5-10°
how are the femoral condyles positioned for a lateral patella perpendicular to the IR
what is the tube & patient position for the Tangential patella-hugston method -prone with knee flexed 50-60° -tube angle 45°
what is the tube & patient position for the Tangential patella-merchant method -supine with lower legs attached to axial viewer flexed 40° -IR on shins -tube 30° caudad with 6ft SID
what is the tube & patient position for the Tangential patella-settegast method -seated or prone with knee flex until patella perpendicular to IR -15-20° tube angle if knee not perpendicular
what is the patient position for PA axial, intercondylar fossa- holmblad method -standing or kneeling with knee flexed 70 °
what is the tube & patient position for the PA axial intercondylar fossa-camp Coventry method -prone with knee flexed 40-50° -tube 40-50° to match knee
what is the patient position for the AP axial intercondylar fossa- beclere method -seated with knee flexed 60° with a sponge under for support -IR under knee
what does the Holmblad, Camp Coventry & Beclere method all demonstrate open intercondylar fossa & intercondylar eminence
What does the Hugston, Merchant and Settegast method all demonstrate -patellofemoral joint and articulation -patella
where does the top of the IR go for an AP proximal femur ASIS
where does the bottom of the IR go for an AP distal femur 2 inches below the knee
what needs to be included in AP and lateral femurs hip and ankle joint with overlap
what needs to be done with the leg for an AP proximal femur rotate 5-10° medially
what needs to be done with the leg for an AP distal femur femoral condyles parallel to the IR
what needs to be done with the leg for a lateral distal femur femoral condyles perpendicular to the IR
what are condyles Rounded prominences at the end of the femur
what is the patella surface Median groove on the front lower femur
What is an intercondylar fossa Groove at the end of the femur between the condyles
What is the adductor tubercle bone protuberance on medial femoral condyle
What is a fabella small sesmoid bone in the muscle behind the lateral femoral head
ORIF open reduced & internal fixation
BKA below the knee amputation
TKA total knee arthroplasty
THA total hip arthroplasty
AVN avascular necrosis
DJD degenerative joint disease
S/P status post...
FX fracture
NWB non-weight bearing
TVO tibial valgus ostomy
IM intermuscular
SRA surface replacement arthroplasty
ROM range of motion
OOC out of cast
OOB out of boot/brace
OCD osteochondritis dissecans: softening of femoral condyles
Created by: oliviasmith11
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