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Chapter 6/7 Tib/Fib Distal Femur Proximal Tibia • Medial/Lateral ______________ – Processes on outer margins • _______________ Eminence – Medial and Lateral intercondylar tubercles Proximal Tibia • ________________ – Articular facets • Tibial _______________ – Proximal anterior protrusion • _____________ crest – Anterior ridge Proximal Fibula • ____________ – Superior pointed portion of head • Head – Rounded aspect • ____________ – Tapered area inferior to head Tib/Fib • 2 Joints – ___________tibiofibular – ___________tibiofibular Tib / Fib Imaging Routine • • • • AP Lateral 40” SID 65 kV AP Tib / Fib • • • • • Pt Supine Place _____________in AP. Ensure ____________is on IR Center at mid tibia Collimate to skin Lateral Tib / Fib • • • • • • Position for mediolateral projection Flex ___________ Place lateral aspect against IR Ensure ____________is on IR Center to mid leg Collimate to skin Distal Femur Anterior • ____________ Surface – (Intercondylar Sulcus) (Trochlear Groove) Smooth, Shallow depression. • Shaft – Body Distal Femur Posterior • __________ Condyle – Rounded distal portion medial • ___________ Condyle – Rounded distal portion lateral • _________________ Fossa – Notch between condyles Distal Femur Posterior • Lateral _____________ – Lateral distal projection • Medial ______________ – Medial distal projection • _____________ Tubercle –Off of posteriolateral aspect of medial condyle Important Considerations • Femur is _____________ – Angle between __________ • Medial Condyle – More ___________ than lateral • Adductor Tubercle – Not seen on proper ______________ Distal Femur Imaging Routine • • • • AP Lateral 40” SID 70 – 75 kV AP Distal Femur • Pt Supine • Rotate leg ____________or until interepicondylar line ________ with IR • Ensure ____________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 posterior to affected • Flex affected _____________ • Epicondyles _______________ to IR • Center to mid cassette
