JULIA QUIZ CRAMMMMMMMMM

AP/AP AXIAL TOES

• Open IP and MTP joint spaces on axial projections

• Entire toes, including distal ends of the metatarsals

AP OBLIQUE TOES

• Entire toes, including distal ends of the metatarsals

• Open IP and 2nd-5th MTP joint spaces

LATERAL TOES

• Toe(s) in a true lateral position

• Entire toe, without superimposition of adjacent toes

TANGENTIAL PROJECTION SESAMOIDS (Lewis & Holly Method)

• Prone: Lewis Method

• Seated: Holly method

  • Sesamoids free of any portion of the first metatarsal

  • Metatarsal heads

AP/AP AXIAL FOOT

• Anatomy from toes to tarsals; may include portions of talus and calcaneus

• Overlap of the second through fifth metatarsal bases

AP OBLIQUE FOOT (medial)

• Bases of the first and second metatarsals superimposed on medial and intermediate cuneiforms

• Tuberosity of the fifth metatarsal

LATERAL FOOT

• Entire foot and distal leg

• Tibiotalar Joint

AP AXIAL FEET (Weight-bearing Method)

• Both feet centered on one image

• Anatomy from toes to tarsals; may include portions of talus and calcaneus

LATERAL PROJECTION FEET (Weight-bearing Method)

• Entire foot and distal leg

• Tibiotalar joint

AXIAL CALCANEUS (Plantodorsal)

• Calcaneus & Talocalcaneal (subtalar) Joints

• No rotation of the calcaneus demonstrated by Sustentaculum Tali in profile on the medial side

AXIAL CALCANEUS (dorsoplantar)

• Calcaneus & Talocalcaneal (subtalar) Joints

• No rotation of the calcaneus demonstrated by Sustentaculum Tali in profile on the medial side

LATERAL CALCANEUS

• No rotation of calcaneus demonstrated by an open Sinus Tarsi

• Tuberosity in profile

AP ANKLE

• Medial and lateral malleoli

• Tibiotalar Joint space

AP OBLIQUE ANKLE

• Distal Tibia, Fibula, and Talus

• Proper 45-degree rotation of ankle shown by distal tibiofibular articulation open

AP OBLIQUE ANKLE (MORTISE) 15-20 Degree medial rotation

• Distal tibia, fibula, and talus

• Proper 15-20 degree rotation of ankle demonstrated by an open Talofibular articulation

LATERAL ANKLE

• 5th metatarsal base and tuberosity should be seen to check for Jones fracture

• Ankle in true lateral shown by the fibula over the posterior half of the tibia

ANKLE WEIGHT-BEARING METHOD

• Medial mortise open

• Lateral mortise closed

AP Leg Tib/Fib

• Ankle and knee joints on one or more image

• Fibular midshaft free of tibial superimposition

Lateral Leg Tib/Fib

• Ankle and knee joints on one or more image

• Entire leg in true lateral position demonstrated by slight overlap of the tibia on the proximal fibular head

AP Knee

• slight superimposition of the fibular head if the tibia is normal

• Patella completely superimposed on the femur

AP Oblique Knee (medial)

• Tibia and fibula separated at their proximal articulation

• Open knee joint

AP Oblique Knee (lateral)

• Fibula superimposed over the lateral half of the tibia

• Open knee joint

Lateral Projection Knee

• Patella in a lateral profile

• Open patellofemoral joint space

AP Axial Knee ICF (Beclere)

• Open intercondylar fossa

• No superimposition of the fossa by the apex of the patella

A

A

Lateral Patella

• Open patellofemoral joint space

• Patella in lateral profile

Tangential Patella (settegast)

• Patella in profile

• Open patellofemoral articulation

Tangential Patella Merchant

• Patella in profile

• Open patellofemoral articulation

Tangential Patella Hughston

• Patella in profile

• Open patellofemoral articulation

PA axial ICF Holmblad

• Open intercondylar fossa

• Apex of patella no superimposing the fossa

(more elongated)

PA axial ICF camp-coventry

• Open intercondylar fossa

• Apex of patella not superimposing the fossa

AP Axial ICF Beclere

• Open intercondylar fossa

• Apex of patella not superimposing the fossa

What position is this?

Tangential Patella Settegast

What position is this?

Tangential Patella Hughston

What position is this?

AP Axial ICF Beclere

What position is this?

PA Axial ICF camp-coventry

What position is this?

PA Axial ICF Holmblad

What does overrotation on a lateral knee do?

Causes less superimposition

What underrotation on a lateral knee do?

Causes more superimposition

LEWIS or HOLLY?

Lewis

LEWiS OR HOLLY

Holly