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AP Tibia/ Fibula (Right)

What joints must be included?
Knee and ankle joints

The bottom of the IR must be just below what structure?
Lateral malleolus

The top of the IR must be just above what structure?
Apex of the patella

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Mediolateral Tibia/ Fibula (Right)

What structures must be superimposed for this to be lateral?
Femoral condyles

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AP Knee (Right)

what is the centering point for the beam?
½ inches inferior to apex of patella

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AP Knee (Right)

State the acceptance criteria
Distal femur, proximal tib/fib
Femorotibial joint space open
No rotation

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Mediolateral knee (Right)

What structures must be superimposed?
Femoral condyles

How much is the knee flexed?
20-30 degrees

What is the angle AND direction of the CR?
5-7 degrees cephalic

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Mediolateral knee (Left)

State the acceptance criteria
Distal femur, proximal Tib/fib, patella in lateral profile
Patellofemoral and knee joint spaces open
Femoral condyles superimposed

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AP lateral oblique Knee (Right)

How much is the entire leg rotated laterally?
45 degrees

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AP lateral oblique Knee (Right)

State the acceptance criteria
Distal femur, proximal Tib/Fib, with patella superimposing lateral femoral condyle
Tibia superimposing the fibula

How will you recognize this projection?
The fibula is superimposed by the tibia
The patella is superimposing the lateral femoral condyle

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AP medial oblique knee (Right)

How much is the entire leg rotated medially?
45 degrees

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AP medial oblique knee (Right)

State the acceptance criteria
Distal femur, proximal Tib/Fib with the patella superimposing the medial femoral condyle
Lateral condyles are well demonstrated
The fibular head and neck are not superimposed

How will you recognize this projection?
Patella is superimposing medial condyles
Fibula is free of superimposition
Lateral condyles are well demonstrated

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PA Intercondylar fossa (Camp Coventry method)

What is the relationship of the CR to the lower leg?
45 degrees caudal

Where does the CR enter?
Center of knee joint (popliteal fossa)

Where does the CR exit?
Apex of the patella

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Knee- Intercondylar fossa (tunnel view)

State the acceptance criteria
Intercondylar fossa, articular facets, and knee joint spaces open
No rotation

How will you recognize this projection?
The large open joint space
The tibial eminences are prominent

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Lateraomedial patella (Left)

How much is the knee flexed?
5-10 degrees

Where is the CR directed?
Mid-patellofemoral joint space

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Sunrise view

Identify this projection (technical name)
Tangential sunrise/skyline patella

How much is the CR angled for the Settegast method?
20 degrees cephalic

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AP Tibia/ Fibula (Right)

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AP Tibia/ Fibula (Right)

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Mediolateral Tibia/ Fibula (Left)

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AP Distal Femur

How much rotation is required of the entire leg for this projection?
5 degrees internal

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Mediolateral Distal Femur

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Mediolateral proximal femur

What bony landmark is used to center for this projection?
ASIS

How many projections are performed during routine radiographs of the Femur?
4 projections

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Superoinferior patella (Hobbs method)

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Axial sunrise patella (Settegast Method)

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Axial sunrise patella (Hughston Method)

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Axial sunrise patella (Inferosuperior axial projection)

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Axial sunrise patella (Merchant Method)

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Lateral Patella (Left)

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PA patella

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Knee- Intercondylar fossa (Beclere Method)

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Knee- Intercondylar fossa (Holmblad Method)

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Knee- weight bearing (Rosenberg Method)

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Base (Superior border)

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Apex (Inferior border)

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Base (Superior border)

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Posterior surface (Smooth)

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Anterior surface (Rough)

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Apex (Inferior border)

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Patellofemoral joint

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Patellar Surface
(Intercondylar sulcus/ Trochlear groove)

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Lateral epicondyle

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Lateral condyle

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Medial condyle

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Medial epicondyle

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Intercondylar fossa (notch)

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Tibial plateau

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Apex of fibula

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Head of fibula

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Neck of fibula

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Fibula

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Tibia

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Lateral malleolus

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Medial malleolus

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Medial condyle

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Intercondyloid eminence

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Lateral condyle

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Articular facets (tibial plateau)

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Proximal tibiofibular joint

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Anterior crest

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Body of tibia

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Fibular notch of tibia

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Distal tibiofibular joint

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Medial malleolus

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Adductor tubercle

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Medial epicondyle

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Medial condyle

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Lateral condyle

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Lateral epicondyle

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Intercondylar fossa (Notch)

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Popliteal surface

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Lesser trochanter

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Femoral neck

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Femoral head

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Greater trochanter