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Chapter 7/8 Tib/Fib Distal Femur Proximal Tibia • _________________ Condyle – Processes on outer margins • ______________________ – Medial and Lateral Intercondylar Tubercles Proximal Tibia • _________________ – Articular facets (articulates with distal femur) • _________________ – Proximal anterior protrusion • _________________ – Anterior ridge Proximal Fibula • _______________ – Superior pointed portion of head • _______________ – Rounded aspect • _______________ – Tapered area inferior to head Tib/Fib • 2 Joints – ________________ – ________________ Tib / Fib Imaging Routine • • • • AP Lateral 40” SID 65 kVp AP Tib / Fib • • • • • Pt Supine Place knee and _______________ Ensure _____________is on cassette Center at mid tibia Collimate to skin Lateral Tib / Fib • • • • • • Position for _______________ projection Flex ______________ Place lateral aspect against IR Ensure _______________is on cassette Center to mid leg Collimate to skin Distal Femur Anterior • _________________ – (Intercondylar Sulcus) (Trochlear Groove) Smooth, Shallow depression. • ________________ – Body Distal Femur Posterior • __________________ – Rounded distal portion medial • __________________ – Rounded distal portion lateral • __________________ – Notch between condyles Distal Femur Posterior • ________________ – Lateral distal projection • ________________ – Medial distal projection • __________________ –Off of posteriolateral aspect of medial condyle Important Considerations • Femur is ____________ – Angle between __________ • Medial Condyle – More ___________________ • Adductor Tubercle – Not seen on proper _______________ Distal Femur Imaging Routine • • • • AP Lateral 40” SID 70 – 75 kVp AP Distal Femur • Pt Supine • Rotate leg _________________or until __________________ line parallel with IR • Ensure Knee is imaged • Center to mid cassette • Collimate to skin Lateral Distal Femur • Position for ________________projection • Place lateral aspect against IR – May need to put ____________over affected or ____________ to affected • Flex affected ______________ • _______________ perpendicular to cassette • Center to mid cassette
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