CH.6 Merrills Lower limb
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What is the position of part for the Lateral Femur (with the knee included)? | show 🗑
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show | For the proximal femur, place the top of the IR at the level of the ASIS. Adjust the pelvis so that it is rolled 10 to 15 degrees from the lateral position to prevent superimposition.
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What is the central ray for the Lateral Femur? | show 🗑
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What is the structures shown for the Lateral Femur? | show 🗑
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show | A 2nd radiograph for the other end of femur is recommended,Any orthopedic,Trabecular detail on the femoral body, With the knee- Superimposed anterior surface of the femoral condyles, Patella in profile, opposite thigh, greater trochanter not prominent.
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Added evaluation criteria for the Lateral Femur? | show 🗑
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show | Supine, pelvis is not rotated
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show | Center the IR midline, when patient is too tall include the entire femur, include the joint closest to the area of interest.
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show | Proximal femur-which must include the hip joint, place the top of the IR a the level of the ASIS. Rotate limb internally 10to15 degrees to place the femoral neck in profile.
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show | Projection of the femur, including the knee joint and/or the hip. Femoral neck not foreshortened on the proximal femur.
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show | Supine or Prone. Use an even, slow flexion to tolerate pain. Place IR transversely under the knee and center to joint space b/t the patella and the femoral condyles.
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What is the central ray for the Tangential Projection for the Patella? | show 🗑
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What is the evaluation criteria for the Tangential Settegast? | show 🗑
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show | 6 feet, to reduce magnification
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show | Adjust the angle of knee flexion to 40 degrees, may varies 30to90 to demonstrate patellofemoral disorders, Place IR perpendicular to the central ray 1 ft distal to patellae,
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show | The right angle alignment of the IR and the central ray, the patellae are seen as nondistorded, albeit slightly magnified images.
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show | Patellae in profile, Femoral condyles, and intercondylar sulcus, Open patellofemoral articulations.
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show | Mediolateral
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What is the postion or patient and part for the Lateral Patella? | show 🗑
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What is the CR for the Lateral Patella? | show 🗑
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Evaluation Criteria for the Lateral Patella? | show 🗑
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show | 8x10 in lengthwise
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show | Center the IR to the Patella, Adjust the leg to place patella parallel with IR, usually requires that the heel be rotated 5-10 degrees laterally.
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show | Perpendicular to the midpopliteral area exiting the Patella, Collimate close to the patellar area.
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What is the structures shown for the PA Patella? | show 🗑
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show | Place the patient in prone, and do not rotate.
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Position of Part for the Camp-Coventry? | show 🗑
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CR for the Camp-Conventry? | show 🗑
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Structures shown for the Camp-Coventry? | show 🗑
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What are the four parts of the lower limb? | show 🗑
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How many bones are in the foot? | show 🗑
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What are the Forefoot, Midfoot, and Hindfoot and what do they contain? | show 🗑
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show | Calcaneus
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show | Tibia, Fibula, Calcaneus, and Navicular
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What does the Trochlear surface articulate with? | show 🗑
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show | The cuboid bone lies on the lateral side of the foot between the calcaneus and the fourth and fifth metatarsals.
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show | The navicular bone lies on the medial side of the foot between the talus and the three cuneiforms.
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show | Tibia and Fibula
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What is the sharp projection between the two surfaces of the the tibal plateaus? | show 🗑
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show | Medial malleolus
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show | The apex is the lateorposterior aspect of the head that is the conic projection
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show | Lateral malleolus
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Where does the lateral malleolus lie? | show 🗑
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show | Fibula, convex anteriorly and slants medially from 5to15 degrees.
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What is the patella? | show 🗑
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show | Directed inferiorly lies 1/2 inch above the knee joint
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What are the three positions for the Intercondylar Fossa PA Axial (Holmblad Method)? | show 🗑
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What is the position of part for the Intercondylar Fossa PA Axial (Holmblad Method)? | show 🗑
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What is the Positon of part for the AP Oblique Knee (Medial)? | show 🗑
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show | Directed 1/2 inferior to patellar apex. The angle is variable, depending on measurement between the ASIS & table:<19cm = 3-5 degrees caudad19-24cm = 0 degrees>24cm= 3-5 degrees cephalad
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show | If necessary, elevate the hip of the unaffected side enough to rotate the affected limb. Center IR 1/2 below the apex of the patella. Externally rotate the limb 45 degrees
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show | Ask the patient to stand straight w/knees fully extended. Center the IR 1/2 below the apices of the patellae.
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What is the position of part for the Knee Lateral? | show 🗑
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What is the Central Ray for the Knee Lateral? | show 🗑
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What is the Central Ray for the PA Knee? | show 🗑
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show | Rotate the limb 45 degress medially or laterally. For the medial rotation ensure that the leg is turned inward and not just the foot.
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What is the position of part for the Lateral Leg? | show 🗑
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What is the position of part for the Ankle AP Oblique? | show 🗑
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show | Grasp diatal femur area w/one hand and foot w/the other. Assist pt by internally rotating the entire leg and foot together 15-20 degrees until the intermalleolar plane is parallel w/IR.
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