Extremities without shoulder down

Question 1

AP Pelvis

LYING DOWN - in bucky? shot

Answer 1

70 kvp
shows: pelvis and hip joints

internally rotate patients leg are straight

aim:
vertically: in between iliac crest and greater trochanter
horizontally: midline

collimation: full width of pelvis

gonad shielding apron
male = bottom
female = bottom

Question 2

HIP + Femur series

ALL 70 kvp

Answer 2

AP hip

AP femur

Lateral femur

Question 3

AP hip

Answer 3

100cm tape measure

INTERNALLY ROTATE LEGS so they are straight

aim: top of femur head ( in between asis + symphasis pubis + MOVE DOWN 5cm)

collimation: A4 sheet
- ——-

gonad shielding
male = CORNER covering testes
female = top of collimation

Question 4

Frog leg oblique hip

Answer 4

SAME AS AP HIP ^^^

+ Use 15 degree sponge block on lateral side of straight leg for comfort.

Question 5

AP femur

Answer 5

needs to include bottom patella to know what bone we are looking at

100cm tape measure

aim: shaft of femur
collimation: just past skin to skin + entire length of long bone

Question 6

Lateral femur

Answer 6

entire FEMUR not leg parallel with table
INCLUDE bottom of patella again

100cm tape measure

aim: shaft of femur

collimation: just past skin to skin
entire length of long bone

Question 7

Knee series

• ALL 60 kvp
• ALL out of bucky shots

Answer 7

AP knee - (5 degree tilt up)
Lateral knee - (5 degree tilt up)
intercondylar knee (all 4’s) - NO TILT
tangential patella knee - (knee bent up) - (10 degree tilt up)

Question 8

AP knee

Answer 8

5 degree tilt up
100cm tape measure

PATIENT LEG INTERNALLY ROTATED

shows: distal femur + distal tib/fib - medial/lateral joint integrity
aim: apex of patella
collimation: A4 sheet of paper

Question 9

Lateral knee

Answer 9

5 degree tilt up
100cm tape measure

PATIENT LEG INTERNALLY ROTATED
block under patients foot for comfort

aim: middle of knee joint

collimation A4 sheet of paper

Question 10

Intercondylar knee (all 4’s)

Answer 10

100cm tape measure
shows: intercondylar fossa of femur and tibia

aim: crease of knee in popliteal fossa
collimation: A4 sheet of paper (include backside THEN push them forwards so it is just outside of the view?)

Question 11

Tanential patella knee (knee bent up)

Answer 11

10 degrees UP
100cm tape measure
shows: patella + femoral joint space

aim: patella
collimation: a4 sheet of paper

Question 12

Tiba/Fibula series

All out of bucky shots
All 60kvp

Answer 12

AP Tib/Fib

Lateral Tib Fib

Question 13

AP Tib/Fib

Answer 13

Leg internally rotated
sandbag and block at base of foot- foot facing roof

aim: middle of shaft tib/fib

collimation: include malleoli
to skin edges

Question 14

Lateral Tib/Fib

Answer 14

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: middle of shaft of tib/fib

collimation: include malleoli
to skin edges

Question 15

Ankle series

All out of bucky shots
All 60kvp

Answer 15

AP ankle

Lateral ankle

Medial oblique ankle

Question 16

AP ankle

Answer 16

foot facing roof
and internally rotated about 10 degrees

aim: 5cm proximal to malleoli (on shin)
collimation: skin edges and include calcaneus and distal tib fib

Question 17

medial oblique ankle

Answer 17

block and sandbag foot facing roof
ALSO foot internally rotated 45 degrees

aim: 5cm proximal to malleoli (shin way)
collimation: skin edges, include calcaneus, distal tib/fib

Question 18

Lateral ankle

Answer 18

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: 2cm proximal to medial malleolus (shin way)
collimation: skin edges and include distal tib fib and calcaneus

Question 19

Foot series

All 60 kvps
All out of bucky

Answer 19

AP foot (15 degree tube tilt UP)

Lateral foot (0 tube tilt)

medial oblique foot (15 degree tube tilt UP)

Question 20

AP foot = foot = flat

Answer 20

FLAT ON TABLE

aim: middle of foot on metatarsals
collimation: skin edges and include calcaneus and end of toes

Question 21

Medial oblique ankle

Answer 21

From AP position, leg is internally rotated 30 degrees use triangle block??

aim: middle of metatarsals
collimation: skin edges and include calcaneus and end of toes

Question 22

Lateral foot

Answer 22

leg externally rotated with block on ankle so lateral malleoli is facing up
sandbag on that block^^

aim: middle of side of foot
collimation: skin edges, include calcaneus and end of toes

Question 23

Calcaneus series

All 60kvps

Answer 23

Axial calcaneus (foot band one) Tilt: 40 degree DOWN

Lateral calcaneus (0 tube tilt)

Question 24

Axial calcaneus (foot band one)

Answer 24

Tilt: 40 degree DOWN

foot facing roof using band around top of foot

aim: bottom of foot at level of malleoli

Question 25

Lateral calcaneus

Answer 25

from AP position, externally rotate leg so lateral malleoli facing up aim: middle of lateral calcaneus (3cm distal to malleoli) collimation: 10cmx10cm show: calcaneus laterally and distal ends of tib/fib

Question 26

AP shoulder

Answer 26

in bucky 70kvp patients torso rotated 30 degrees until scapula of capture is parallel with bucky patients arm internally rotated, elbow slightly flexed and top of hand against lateral thigh aim: