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Published byChristiana Phelps Modified over 9 years ago
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Chapter 7 Knee Patella
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Knee Joint Distal Femur Proximal Tibia Patella
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Anterior _______________ Superior to ______________ Flat Triangular bone
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Patella ________________ – Inferior border ______________ – Superior border
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Knee Joint Ligaments _____________________________ – Fibular Collateral Ligament ____________________________ – Tibial Collateral Ligament _____________________________ – Patella to Tibial tuberosity
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Knee Joint Ligaments ___________________________ – Femur to Posterior Tibia ___________________________ – Femur to Anterior Tibia
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Joint Capsule Bursa ______________ Filled Suprapatellar Bursa ______________ Bursa
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Menisci ____________________________ – Medial – Lateral
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Knee Imaging Routine AP Lateral Internal Oblique External Oblique Tunnel 65 kVp
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AP Knee Pt Supine Rotate ______________to align epicondyles parallel to table Center _______________to apex of patella Collimate to skin Might need _________________
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Lateral Knee Position for mediolateral projection Flex ________________ Epicondyles should be _____________ to table ______________angle Center mid knee Collimate to knee
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Medial (Internal) Oblique Position as AP Rotate leg _______________ Center _____________to apex of patella Shows – Lateral _____________ in profile – Proximal_________________joint
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Lateral (External) Oblique Position as AP Rotate leg ____________ Center ____________to patella Shows – Medial ____________ in profile
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Tunnel View Many ways to position. Prone – Flex knee ________________ – CR perpendicular to _______________ Supine – Flex knee ______________ – Raise cassette as close to the knee as possible – CR _______________________________to patella apex
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Patella Imaging Routine PA Lateral Axial (Sunrise) 40” SID 60 kVp
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PA Patella Pt Prone Rotate leg _____________ Center mid Patella Collimate to skin
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Lateral Patella Position as per Lateral Knee Flex knee ____________ CR to _________________ joint Collimate down to patella
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Axial Patella (Sunrise) If Prone Flex ________________ Angle tube ____________________ Center at petellofemoral joint Collimate to patella __________________ other ways to get it
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Axial Patella (Sunrise) If Supine Flex _________________ Have pt _________________________ Angle tube ___________________ to be perpendicular to IR Collimate to patella
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