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Chapter 6

Chapter 6. Knee Patella. Knee Joint. Distal ___________ Proximal __________ __________. Patella. Anterior to _________ Superior to __________ Flat Triangular bone. Patella. __________ – Inferior border __________ – Superior border. Knee Joint Ligaments.

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Chapter 6

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  1. Chapter 6 Knee Patella

  2. Knee Joint • Distal ___________ • Proximal __________ • __________

  3. Patella • Anterior to _________ • Superior to __________ • Flat Triangular bone

  4. Patella • __________ – Inferior border • __________ – Superior border

  5. Knee JointLigaments • ________ Collateral Ligament (____) • Fibular Collateral Ligament • ______ Collateral Ligament (____) • Tibial Collateral Ligament Patellar ___________________ –Patella to Tibial tuberosity

  6. Knee JointLigaments • __________ Cruciate Ligament (____) – Femur to Posterior Tibia • _________ Cruciate Ligament (____) – Femur to Anterior Tibia

  7. Joint CapsuleBursa • _________ Filled • ____________ Bursa • Infrapatellar Bursa

  8. Menisci • ______________ “Shock Absorbers” • Medial • Lateral

  9. Knee Imaging Routine • AP • Lateral • Internal Oblique • External Oblique • Tunnel • 65 kV

  10. AP Knee • Pt________ • Rotate leg ____________to align epicondyles __________ to table • CR ______________to apex of patella • Collimate to skin • ______________a tube angle**

  11. Lateral Knee • Position for ___________projection • Flex Knee ___________ • Epicondyles should be ___________ to table • _________cephaladangle • Center mid knee • Collimate to knee

  12. Medial (Internal) Oblique • Position as AP • Rotate leg _____________ • CR ____________to apex of patella • Shows • ___________ Condyle in profile • Proximal __________ joint

  13. Lateral (External) Oblique • Position as AP • Rotate leg _________lateral • CR ____________to patella • Shows • ___________ Condyle in profile

  14. 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

  15. Patella Imaging Routine • PA • Lateral • Axial (Sunrise) • 40” SID • 60 kV

  16. PA Patella • Pt Prone • Rotate leg ____________ • Center mid _____________ • Collimate to skin

  17. Lateral Patella • Position as per _________ Knee • Flex knee ____________ • CR to midfemoropatellar joint • Collimate down to ________

  18. Axial Patella(Sunrise) • If Prone ______________ • Angle tube _____________cephalad • Center at petellofemoral joint • Collimate to patella • MANY other ways to get it ______________

  19. Axial Patella(Sunrise) • If Supine • Flex ____________ • Have pt hold ____________knee • Angle tube cephalad to be ___________to IR • Collimate to patella

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