How many degrees and in which direction should the foot and leg be rotated to best demonstrate the mortise joint for the AP oblique projection of the ankle?

Show

Why are the IP joint spaces not best shown on an AP projection of the toes?

Because of the natural curve of the toes

Open the joint spaces and reduce foreshortening

AP Axial Projection of Toes CR

Direct the central ray 15 degrees posteriorly through the third MTP joint

AP Oblique Projection (Medial Rotation) of Toes + CR

Medially rotate leg and adjust plantar surface of the foot to form a 30-45 degree angle CR perpendicular entering third MTP joint

Lateral Projection (Great Toe)

Lateral recumbent position. Place patient on unaffected side and rotate foot until toe is in true lateral position (mediolateral)

AP or AP Axial Projection angle (Foot) + CR

Angle of 10 degrees posteriorly (toward heel) entering at the base of the 3rd metatarsal OR perpendicular to the IRCR perpendicular to the metatarsals, reducing foreshortening

For Foot, what Projection is best to see the TMT joints?

AP or AP Axial

What is the AP/AP Axial Projection used for (Foot)

Localizing foreign bodies, fractures of the metatarsals and anterior tarsals

AP Oblique Projection (Medial Rotation) Foot

Center IR to midline of the foot at the level of the 3rd metatarsal. Rotate medially at an angle of 30 degrees. If rotated more, the lateral cuneiform will superimpose the others.

Which projection of the foot best demonstrates the cuboid and its articulations?

AP oblique (medial rotation)

How should the central ray be directed to best demonstrate the tarsometatarsal joint spaces of the midfoot for the AP projection of the foot?

10 degrees posteriorly (toward the heel)

Which projection of the foot best demonstrates the sinus tarsi?

AP oblique projection (medial rotation)

Which projection of the foot best demonstrates most of the tarsals with the least amount of superimposition

AP oblique projection (medial rotation)

Which projection of the foot best demonstrates the bases of the fourth and fifth metatarsals free from superimposition

AP oblique projection (medial rotation)

Which two projections comprise the typical series that best demonstrates the calcaneus

Axial (plantodorsal) and lateral projections

How many degrees and in what direction should the central ray be directed for the axial (plantodorsal) projection of the calcaneus

40 degrees cephalad

At which level on the plantar surface should the central ray enter the foot for the axial (plantodorsal projection of the calcaneus

Base of the third metatarsal

Where should the central ray be directed for the lateral projectio of the calcaneus

Toward the midpoint of the calcaneus

Where should the central ray enter for the lateral projections of the ankle

At the medial malleolus

How many degrees and in which direction should the foot and leg be rotated to best demonstrate the mortise joit for the AP oblique projection of the ankle

15 to 20 degrees medially

Which projection of the anke best demonstrates the talofibular joint space free from bony superimposition

AP oblique projection (medial rotation

With reference to the plane of the IR, how should the malleoli be positioned for the AP oblique projection of the ankle to best demonstrate the mortise joint space open

Parallel

Which projection of the knee best demonstrates the femorotibial joint spaces open if teh patient measures more than 10 inces between the ASIS and the tabletop

AP projection with the central ray angled 3 to 5 degrees cephalad

For the lateral projection of the knee, how many degrees should the knees be flexed

20 to 30 degrees

How many degrees of angulation should be formed between the femur and the radiographic table for the PA axial projection (Holmblad method) of the knee

70 degrees

Which of the following projections of the knee best demonstrates the intercondylar fossa

PA axial projection (Holmblad method

How many degrees and in what direction should the central ray be directed for the lateral projection of the knee

5 to 7 degrees cephalad

Which structure of the knee is best demonstrated with the tangential projection

Patella

Which structure of the knee is best demonstrated with the PA axial projection (the Holmblad method)

Femoral intercondylar fossa

Which projection of the knee best demonstrates the femoropatellar space open

Lateral

Which of the following evaluation criteria indicates that the knee is properly positioned for a lateral projection

The femoral condyles are superimposed

What should be done to prevent the knee joint space from being obscured by the magnified shadow of the medial femoral condyle when the lateral projection of the knee is performed

Direct the CR 5 to 7 degrees cephalad

For the lateral projection of the patella, which positioning maneuver reduces the femorpatellar joint space

Flexing the knee more than 10 degrees

Which area of the knee should the central ray enter for the PA axial projection (Holmblad method)?

Posterior

Which projection of the knee should be used to demonstrate the patella completely superimposed on the femur

AP

For which projection of the knee should the patient be prone on the table, with the knee flexed until the leg forms an angle of 40 degrees with the table, and the CR directed perpendicular to the long axis of the leg, entering the back side of the knee

PA axial projection (Camp-Coventry method

Which projection of the knee can be accomplishedwith the patient upright, the affected knee flexed and its anterior surface in contactwith a vertically placed IR, and the horizontally directed central ray entering the posterior aspect of the knee

PA axial projection (Holmblad method

Which positioning factor determines the number of degrees the central ray should be angled for the tangential proejction (Settegast method) to demonstrate the patella

Degree of knee flexion

How should the CR be directed for the AP projections of the femur

Perpendicular

Which positioning maneuver should be performed to place the femoral neck in profile for the AP projection of the proximal femur

Rotate the lower limb medially 10 to 15 degrees

For which lower limb projection should the lower limb be rotated medially 10 to 15 degrees

AP projection of the proximal femur

For which lower limb projection should the pelvis be rotated 10 to 15 degrees from true lateral

Lateral projection of the proximal femur

For the lateral projection of the femur, how should the pelvis be positioned to demonstrate only the knee joint with the distal femoral shaft

True Lateral

How many and what kind of bones comprise the foot and ankle?

14 phalanges, 5 metatarsals and 7 tarsals

Which bone classification are tarsals

Short

Which tarsal bone is located on the medial side of the foot between the talus and three cuneiforms

Which articulation of the foot is a gliding-type joint

Intertarsal

Which two tarsal bones articulate with each other by way of three facets

Talus and calcaneus

Which part of the talus articulates with the distal tibia

Trochlea

Which type of joint is the ankle joint

Hinge

WHich joint is formed by the articulation of the head of the fibula with the lateral condyle of the tibia

Proximal tibiofibular

WHich type of joint is the proximal tibiofibular joint

Gliding

How and toward what centering poit should the central ray be directed forthe AP oblique projection to demonstrate all five toes

Perpendicular to the 3rd metatarsophalangeal joint

What other projection term refers to the AP projection of the foot

Dorsoplantar

How many degrees and in what direction should the foot be rotated for the AP oblique projection to best demonstrate the great toe

30 to 45

How many degrees and in what direction should the central ray be directed for the AP axial projection of the foot

10 degrees cephalad (towards the head)

How many degrees and in what direction should the foot be rotated for the AP oblique projection for the foot?

30 degrees medially

This is the second longest bone in the body and is situated on the medial side of the leg; it is also a weight-bearing bone

Tibia

Avulsion fracture of the base of the fifth metatarsal

Jones Fracture

For the lateral projection of the foot, dorsiflex the foot to form a _____ degree angle with the lower leg

90

What does the lateral projection, weight-bearing method show

It shows the structural status of the longitudinal arch

limb is rotated externally 45-degrees; demonstrates the margin of the patella projected slightly beyond the edge of the lateral femoral condyle

AP Oblique Projection (lateral rotation) of the Knee

What does the weight-bearing AP Projection that is routinely included in the radiographic examination show

Arthritic Knees, reveals narrowing of the joint space that appears normal on a non-weight-bearing study

What does the Holmblad method show

Shows the intercondylar fossa

What is the flexion of the knee in the PA axial projection (Holmblad Method

70 degrees from full extension (20-degree difference from the central ray

What projection should not be attempted until a transverse fracture of the patella has been ruled out

Settagast (sunrise)

Inferiosuperior flexion and Cr angle knee to see patella and patellofemoral joint

CR 10-15 degrees and knees flexed 40-45

Settagast (sunrise) CR and flexion of knees

CR 15-20 and knees flexed 90

Hughston method knee Cr and flexion

Cr 15-20 and knee flexed 40

Rosenberg Method (pa Axial weight bearing knee bilateral)

Knees flexed 45 degrees CR 30

How many degrees and in what direction should the foot and leg be rotated for the best demonstration of the mortise joint for the AP projection of the ankle?

Bontrager Ch 6 Self Test Questions.

How many degrees is a leg rotation?

Rotate the lower limb medially 10 to 15 degrees.

Where should the CR be directed for the AP oblique projection of the foot?

Toes, Foot, Ankle, Tib/Fib, Knee.

What CR angulation is required for the AP oblique projection of the foot?

Chapter 7.