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