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xray exam 4
lower limb positioning (knee, femur, patella)
| Question | Answer |
|---|---|
| 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 |