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Published byEdwin Ryan Modified over 9 years ago
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Chapter 6/7 Tibia and Fibula Distal Femur
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Proximal Tibia Condyle Medial Lateral Intercondylar Eminence Tibial Plateau Tibial Tuberosity Anterior Crest
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Proximal Fibula Apex Head Neck
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Tibia and Fibula Tibiofibular joint Proximal Distal
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Imaging the Tib/Fib AP Lateral 40” SID 65 kV
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AP Tib/Fib Supine Extend the leg Knee and ankle included CR to mid Tibia Collimate to skin
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Lateral Tib/Fib Position for mediolateral projection May need to flex knee Include knee and ankle CR to mid leg Collimate to skin
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Distal Femur Anterior Patellar Surface Posterior Condyle Medial Lateral Intercondylar Fossa Epicondyle Medial Adductor Tubercle Lateral
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Femur Angled 5-15˚ Medial Condyle more distal Adductor Tubercle not seen on properly positioned lateral knee
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Imaging the Femur (Distal) AP Lateral 40” SID 70-75 kV
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AP Femur (Distal) Supine Rotate leg 5˚ internal Interepicondylar line parallel to IR Knee must be included Bottom of IR CR to mid Femur Collimate to skin
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Lateral Femur (Distal) Position for mediolateral projection Remove superimposition of unaffected leg Flex knee 45˚ Epicondyles perpendicular to IR Include knee at bottom of IR CR to mid femur
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