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PA Weight Bearing Knee: CR
Perpendicular entering popliteal and exiting 1/2 “ distal to apex of patella
SID for Knee, Patella, Femur, Intercondylar Fossa
40”
Method Name for PA Weight Bearing Knee
Rosenberg Method
Method Name for PA Axial (no angle) of Intercondylar Fossa
Holmblad Method
Method Name for PA Axial (angle) of Intercondylar Fossa
Camp-Coventry Method
How much do you flex the knee for Holmblad Method of Intercondylar Fossa?
70 degrees
How much do we flex the knee for Camp-Coventry of Intercondylar Fossa?
40 or 50 degrees
For Camp-Coventry of Intercondylar Fossa we drop SID to _____ if angled 40 degress or ______ if angled 50 degrees
32” or 30”
PA Axial Holmblad Method of Intercondylar Fossa: CR
Perpendicular entering popliteal depression and exiting at patellar apex
PA Axial Camp-Coventry Method of Intercondylar Fossa: CR
Angle 40 or 50 degrees caudal entering at the popliteal depression and exiting at the apex of patella
PA Projection of Patella: CR
Perpendicular to Popliteal Region, exiting the patella
Lateral Projection of Patella: CR
Perpendicular to enter knee at mid-patellofemoral joint
How much to you flex the knee for Lateral Patella?
5-10 degrees to open patellofemoral joint space
Tagential Projections of the Patella Method Name?
Settegast Method
Tagential 1 (Laying) of Patella: CR
15-20 degrees cephalic entering knee joint
How much to you flex the knee for Tagential 1 (Laying) of Patella?
20 degrees
Tangential 2 (Sitting) of Patella: CR
angles cephalic entering joint space (degree of angulation dependent on degree of flexion)
How much do you flex the knee for lateral distal femur?
45 degrees
AP Distal & Lateral Distal of Femur: CR
Perpendicular to mid femur
AP Proximal and Lateral Proximal of Femur: CR
Perpendicular to hip joint (top of IR at the level of ASIS)
Breathing Instructions for AP and Lateral Proximal of Femur
Suspend Respiration
How much do we invert the foor for AP and Lateral Proximal of Femur
10-15 degrees in to ?
How to tell difference between Holmblad Method and Camp-Coventry on a Radiograph
With Holmblad the intercondylar fossa would look short, fat, and wide; while with Camp-Coventry it would look skinny and the femur would look longer
AP Pelvis: CR
Perpendicular to 2” inferior to ASIS and 2” superior to Pubic Symphysis
How much do we invert feet for AP Pelvis & Hip
15-20 degrees
AP Oblique Pelvis: Method Name/ Position
Modified Cleaves/ Bilateral Frog Leg
What is the femoral angle range for the AP Oblique Pelvis (Modified Cleaves)?
25-45 degrees depending on pt mobility
AP Oblique Pelvis: CR
Perpendicular entering 1” superior to pubic symphysis
AP Axial Outlet of Pelvis: CR Male
angle 20-35 (25) degrees cephalic entering 2” inferior to pubic symphysis
AP Axial Outlet of Pelvis: Method name
Taylor Method
AP Axial Outlet of Pelvis is done to see…
the superior and inferior rami without foreshortening
AP Axial Outlet of Pelvis: CR Female
angle 30-45 (40) degrees cephalic entering 2” inferior to pubic symphysis
Superoinferior Axial Inlet of Pelvis Method Name
Bridgman Method
Superoinferior Axial Inlet of Pelvis: CR
40 degrees caudal entering at ASIS
The SUperoinferior Axial Inlet of Pelvis is done to see…
the pelvic ring in entirety
AP Hip: CR
Perpendicular to Femoral Neck (Top of IR at ASIS)
Lateral Hip Method Name/ Position
Lauenstein Method/ Frog Leg Lateral
Lateral Hip (Lauenstein Method): CR
Perpendicular to Hip Joint
Axiolateral (Cross Table) Projection of Hip: Method Name
Danelius-Miller Method
Axiolateral (Cross Table) Projection of Hip: CR
Perpendicular to Femoral Neck entering Groin Region
Modified Axiolateral of Hip: Method Name
Clements-Nakayama
Modified Axiolateral of Hip (Clements-Nakayama): CR
15 degrees posteriorly (down) aligned perpendicular to femoral neck
AP Axial (Ferguson) of SI Joints: CR Male
30 degrees cephalic entering 2 ½ “ inferior to ASIS
AP Axial (Ferguson) of SI Joints: CR Female
35 degrees cephalic entering 2 ½ “ inferior to ASIS
AP Oblique (RPO/LPO) of SI Joints: CR
Perpendicular entering 1” medial to ASIS
Degree of Obliquity for AP Oblique (RPO/LPO) of SI Joints
25-30 degrees
AP Oblique RPO of SI Joints will show which joint?
The Left SI Joint
AP Oblique LPO of SI Joints will show which joint?
The Right SI Joint
AP Axial of SI Joint Method Name
Ferguson Method
AP Oblique Acetabulum: Method Name
Judet Method
AP Oblique Acetabulum - External Rotation (RPO - Right, LPO - Left): CR
Perpendicular entering at pubic symphysis through the acetabulum of interest
AP Oblique Acetabulum: Degree of Obliquity
45 degrees
AP Oblique Acetabulum - External Rotation (RPO - Right, LPO - Left): On Radiograph
will see the whole Ala of ilium flat and the anterior rim of the pelvis
External Rotation of Acetabulum the affected side is…
Down (RPO- Right, LPO- Left)
Internal Rotation of Acetabulum affected side is…
Up (RPO - Left, LPO - Right)
AP Oblique Acetabulum - Internal Rotation (RPO - Left, LPO - Right): CR
Perpendicular entering 2” inferior to ASIS through acetabulum of interest
AP Oblique Acetabulum - Internal Rotation (RPO - Left, LPO - Right): On radiograph
ilium looks perpendicular/ superimposed and we see the posterior rim
The AP Oblique of Pelvis (Modified Cleaves) is done to see…
the femoral necks, heads, and trochanteric areas, does not have to have iliac crest