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Chapter 7 Calcaneus Ankle
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Calcaneus Os Calcis Articulates with –___________(Subtalar joint) –__________ 3 articulating surfaces (facets) –____________ –Middle –Anterior
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Calcaneus __________________ –Medial process __________________ –Trochlea Process –Lateral process __________________ –Forms Sinus Tarsi _________________ –Posterioinferior
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Calcaneous Imaging Os Calcis Routine Plantardorsal Lateral 40” SID 65 kVp
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Plantardorsal Pt Supine __________________ Angle ____________________ Center at base of ____________and exit at the level of lateral malleolus Collimate to calcaneus
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Lateral Calcaneus Position patient for __________ projection ___________________ Use a pillow under knee if needed to ensure no tilt Center ___________to medial malleolus Collimate to include calcaneous
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Ankle Consists of: –Distal ______________ –Talus Synovial _____________
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Distal Tibia/Fibula __________________ – Extended portion of distal Fibula _________________ – Extended portion of distal Tibia
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Distal Tibia Anterior ______________ – Process off anterior distal tibia ______________ – Flattened portion lateral distal aspect
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Ankle ___________ – Space formed by inferior Tib/Fib and where superior talus fits. _____________ –The “ceiling” of the mortise.
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Imaging the Ankle Routine AP Lateral Internal / External Oblique 60 kVp 40” SID
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AP Ankle Dorsiflex foot. Ankle to form __________ No Foot rotation Center Mid ankle _______________ Collimate to skin
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Lateral Ankle Position patient for _________ projection _________ aspect of foot against cassette Dorsiflex foot to ___________ Use a pillow under knee if needed to ensure no tilt Center at _______________ Collimate to include _______________
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Internal Rotation Place Ankle in AP and rotate ________ Center ___________________
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Ankle Mortise Place ankle __________ Rotate ________________ CR between _____________ Collimate to the skin laterally
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External Rotation Place Ankle in AP Rotate _______________ Center between _____________ Collimate to the skin laterally
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