Knee - Horizontal Ray LateralThis is a featured page

Radiographic Positioning


Adult
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Name of projection Knee - Lateral - Horizontal Ray (Trauma)
Area Covered Distal femur, proximal tibia & fibula, patella, and knee joint.
Pathology shown Any fractures, fluid/fat levels (lipohaemarthrosis), soft tissue abnormalities
see snow globe effect and lateral knee radiography
Radiographic AnatomyKnee Radiographic Anatomy
IR Size & Orientation 24 x 30cm
Landscape
Film / Screen Combination Detail
(CR and DR as recommended by manufacturer)
Bucky / Grid No
FilterNo
Exposure 60 kVp
8 mAs
FFD / SID 100cm
Central Ray CR directed horizontally 2.5cm distal to apex of patella
Collimation Collimate on the sides to the skin margins
Include maximum amount of femur and tibia / fibula
Markers Distal and Anterior
Marker orientation AP
Shielding Gonadal (check your department's policy guidelines)
RespirationNot applicable
Positioning
  • Patient supine on the X-ray table or barouche
  • Place vertical IR against medial aspect of knee centred to level of knee joint
  • Place support under knee to centre knee to IR
  • Direct CR horizontally and perpendicular to IR 2.5cm distal to apex of patella
Critique

Positioning
Area Covered
Collimation
Exposure
Special NotesA horizontal beam true lateral of the knee without knee flexion demonstrates subpatella bursa and associated fat pads for possible displacement or presence of a fluid level. Effusion is well visualised because of the horizontal ray. Effusion within the articular cavity of the knee is a strong indicator of knee joint pathology. This is also a good projection for possible fracture or dislocation of patella



AndyC
AndyC
Latest page update: made by AndyC , Jun 18 2011, 3:26 PM EDT (about this update About This Update AndyC Edited by AndyC

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