Positioning final: Tib/fib, knee, femur

AP knees on adults are done standing at the clinical site unless the patient had recent trauma. If they had trauma the AP view will done supine.
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Terms in this set (38)
AP knees on adults are done standing at the clinical site unless the patient had recent trauma. If they had trauma the AP view will done supine.
True
What is the area called that separates the medial and lateral femoral condyles posteriorly?
Intercondyloid fossa
A 16 year old patient arrives at 3300 for a 3 view knee. She has been sore for a few weeks.
1. Which views will you take for this patient?
2. Would your AP knee be upright standing or supine for a 16 year old patient?
AP supine, lateral, sunrise
Which projection/position will best show the space between the patella and the femur?
Tangential (Axial) Patella
Which femoral condyle sits lower causing us to angle the tube for a recumbent lateral knee?
Medial condyle
A trauma patient arrives to the ER x-ray room with an order for a FEMUR. After taking the AP views, it shows that he has a distal fracture. He is unable to rotate the leg. How will you obtain the DISTAL lateral?
X-table lateral
What is the name of the bony projection found on the tibial plateau?
Intercondylar eminence
TIB FIB should always be done with a grid?
False
Using your mouse, locate the GREATER TROCHANTER
Image: Using your mouse, locate the GREATER TROCHANTER
The knee deformity demonstrated in the bilateral standing Knee radiograph below is demonstrating VARUS
True
What is a reason for performing standing knees?Visualize compression of joint space or valgus varusThe telescoping of a section of bowel into another loop is calledIntussusceptionTechnical Factors for SUNRISE view of the patella?4 @ 70If the patient's knee is measuring greater than 25 cm how will you position the tube for an AP knee?5 degree cephalad angleIn the femur radiograph below, the fracture most likely being demonstrated is a TRANSVERSE fractureWhat is the rounded process on the proximal, lateral aspect of the femur called?Greater trochanterIn the femur radiograph below, which of the following fracture types are being demonstrated?ComminutedWhat is a general technical factor range (mAs @ kVp) for an adult knee in a grid at the clinical site?8-10 mAs @ 60-70 kVpHow much flexion is needed for the lateral position of the knee?20 - 30 degreesUsing your mouse, locate the area of the LATERAL FEMORAL EPICONDYLEA.Which is the common name for the position that demonstrates the intercondylar fossa?Tunnel viewIn the femur radiograph below, which type of fracture is most likely being demonstrated?Which of the following special projections of the knee best demonstrates the intercondylar fossa?HombladA.Palm of hand B.Position in which head is lower than foot C.Top or anterior surface of the foot D.Position in which head is higher than feet E.Front half of patient F.Posterior aspect of the foot G.Lying on back facing upward H.Lying down in any position I.Back half of patient J.Upright positionA. Palmar B. Trendelenburg C. Dorsum Pedis D. Fowler's E. Anterior F. Plantar G. Supine H. Recumbent I. Posterior J. ErectAn adult patient enters the emergency room for a 2 view knee x-ray after a motor vehicle accident what routine views would be done? 1. List the protocol views for this type of patient 2. Identify Upright or Supine for AP 3. Identify recumbent or X-table for the lateral viewSupine AP and X-table lateralIs this lateral knee over-rotated or underrotated?OVER rotatedWhat is the rounded process on the proximal, medial aspect of the femur called?Lesser trochanterUsing your mouse locate the MEDIAL FEMORAL CONDYLEWhen performing a recumbent lateral knee on the table, 1. What degree of tube angle is used? 2. Which direction is the tube angle going? Cephalad or caudad?5-7 degrees cephaladThe femur fracture below would be considered a NONDISPLACED fractureFalseWhat is the name of the area on the anterior portion of the tibia where the patellar ligament attaches?Tibial tuberosityUsing your mouse, identify the BASE of the patellaA 3yr old boy comes into the radiology department with an order for a tib fib. His parent says he fell yesterday and has not been able to put any weight on it. 1. What views will you do? AND 2. What type of fracture is the doctor most likely looking for?AP, Medial obl, Lat Toddler fractureWhere should the central ray be directed for an AP projection of the knee joint?½ inch distal to the apex of the patellaWhat is a general range of degree of tube angle is recommended for the "Sunrise" view of the patella?15-25The lesser tubercle should be visualized in profile in which of the following positions?Lateral HumerusWhen radiographing the Proximal Femur in the AP position, what should be done to the patient's foot?Rotated InternallyUsing your mouse locate the APEX of the patella