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Published byPaul Ferguson Modified over 9 years ago
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Chapter 6 Knee Patella
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Knee Joint Distal ___________ Proximal __________ __________
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Patella Anterior to _________ Superior to __________ Flat Triangular bone
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Patella __________ – Inferior border __________ – Superior border
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Knee Joint Ligaments ________ Collateral Ligament (____) – Fibular Collateral Ligament ______ Collateral Ligament (____) – Tibial Collateral Ligament Patellar ___________________ – Patella to Tibial tuberosity
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Knee Joint Ligaments __________ Cruciate Ligament (____) – Femur to Posterior Tibia _________ Cruciate Ligament (____) – Femur to Anterior Tibia
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Joint Capsule Bursa _________ Filled ____________ Bursa Infrapatellar Bursa
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Menisci ______________ “Shock Absorbers” – Medial – Lateral
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Knee Imaging Routine AP Lateral Internal Oblique External Oblique Tunnel 65 kV
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AP Knee Pt ________ Rotate leg ____________to align epicondyles __________ to table CR ______________to apex of patella Collimate to skin ______________a tube angle**
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Lateral Knee Position for ___________projection Flex Knee ___________ Epicondyles should be ___________ to table _________cephalad angle Center mid knee Collimate to knee
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Medial (Internal) Oblique Position as AP Rotate leg _____________ CR ____________to apex of patella Shows – ___________ Condyle in profile – Proximal __________ joint
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Lateral (External) Oblique Position as AP Rotate leg _________ lateral CR ____________to patella Shows – ___________ Condyle in profile
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Tunnel View Many ways to position. Prone – Flex knee _________ – CR ___________ to Tib/Fib to midpopliteal crease Supine – Flex knee ___________ – Raise cassette as close to the knee as possible – CR ______________ to Tib/Fib. ½” distal to patella apex
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Patella Imaging Routine PA Lateral Axial (Sunrise) 40” SID 60 kV
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PA Patella Pt Prone Rotate leg ____________ Center mid _____________ Collimate to skin
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Lateral Patella Position as per _________ Knee Flex knee ____________ CR to midfemoropatellar joint Collimate down to ________
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Axial Patella (Sunrise) If Prone ______________ Angle tube _____________cephalad Center at petellofemoral joint Collimate to patella MANY other ways to get it ______________
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Axial Patella (Sunrise) If Supine Flex ____________ Have pt hold ____________knee Angle tube cephalad to be ___________to IR Collimate to patella
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