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Feb 4 2011, 5:53 AM EST
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Change: This 73 year old lady presented with right knee pain and a history of gout. She was referred for radiography of both knees. You can
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Feb 28 2010, 6:38 PM EST
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Change: positioning challangeschallenges (perhaps surpasedsurpassed only by the lateral elbow). PersistancePersistence and practice will yield results. If you have any technique tips, you can post them as a thread on this page. ... back to the Applied Radiography home page... back to the Wikiradiography home page
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Feb 28 2010, 6:34 PM EST
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Change: to the patientDiscussionFractured patella noted CommentLateral knee radiography is one of the more difficult radiographic positioning challanges (perhaps surpased only by the lateral elbow). Persistance and practice will yield results. If you have any technique tips, you can post them as a thread on this page.
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Feb 28 2010, 5:38 PM EST
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Change: automatically fall into the true lateral position. I ususally place my hand on the patient's raised hip ad roll the patient's pelvis until I am
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Feb 28 2010, 5:10 PM EST
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Change: Note fibula head position (black arrow) and adductor tubercle (white arow)This is a less straightforward case. The knee is malpositioned. The position of the head of fibula suggests that the
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Feb 27 2010, 7:05 PM EST
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Change: required to achieve correction.required. A lipohaemarthrosis is demonstrated. I would not normally repeat this projection on two groundsthe malpositon is minimalthe repeat position requires such small adjustments in tube angle and knee rotation that it may fail to provide an improved outcomea repeat is
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Feb 27 2010, 6:58 PM EST
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Change: It is deficient on the lateral condyle, which allows the tendon of the popliteus muscle to pass out of the joint and insert into the tibia.Inferiorly the fibrous capsule is attached to the articular margin of the tibia, except where the tendon of the popliteus muscle crosses the bone.
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Feb 27 2010, 6:44 PM EST
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Change: Where the underlying subintima is loose the intima sits on a pliable membrane, giving rise to the term synovial membrane. This membrane, together with the
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Feb 26 2010, 8:26 PM EST
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Change: The terms synovium and capsuule do appear to get confused- they are not interchangeable. When is a Knee Demonstrated in a True Lateral Position?The knee is generally considered to be in a true lateral position when
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Feb 26 2010, 7:58 PM EST
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Change: - Inability to weight bear both immediately and in the casualty department (ie, 4 steps – unable to transfer weight twice onto each lower limb regardless of limping).Image Interpretation Courseby Heidi Gable DCR(R) PgCerthttp://www.imageinterpretation.co.uk/knee.htmlWhen is a Knee Demonstrated in a True Lateral Position?The knee
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Feb 26 2010, 7:47 PM EST
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Change: knee although the knee flexion is greater than the recommended 30 degrees..Correcting a Malpositioned Lateral knee1. Fibula head PositionThis patient was imaged in a rolled lateral knee position. The knee is clearly not
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Feb 26 2010, 7:44 PM EST
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Change: well positioned lateral knee for surgical planning. On balance, I would probably repeat this projection.This knee is minimally malpositioned. The knee is excesively externally rotated and tube angulation adjustment is required to achieve correction. A lipohaemarthrosis is demonstrated. I would not normally repeat this projection on two groundsthe
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Feb 26 2010, 7:40 PM EST
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Change: This is a less straightforward case. The knee is malpositioned. The position of the head of fibula suggests that the knee is excessively internally rotated.
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Feb 26 2010, 9:39 AM EST
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Change: The superior technique is the one that works for you. Research published in Synergy in 2006 (Symes, E. Lateral Knee Radiographs: Investigating the Techniques, Synergy,
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Feb 26 2010, 9:14 AM EST
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Change: --- under construction---IntroductionLateral knee radiography commonly raises a number of questions:is there a reliable technique for lateral knee radiography?how do I correct a lateral knee malposition?when is it malpositioned enough to warrant a repeat?This page attempts to answer these
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Feb 26 2010, 9:06 AM EST
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Change: The fibula head position is unremarkableFor Horizontal Ray Lateral TechniqueTo Correct Rotation Error: there is insignificant errorTo Correct Angulation Error: More cephalic angulationFor Rolled Lateral techniqueTo Correct Rotation Error: there is insignificant errorTo Correct Angulation Error: More caudal angulation Note:NoteHorizontal ray
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Feb 26 2010, 8:54 AM EST
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Change: You will sometimes see a lateral knee where all of the malposition indicators are absent Case 11 The IndicatorsThe lateral femoral notch is demonstrated (white arrow)The adductor tubercle is demonstrated (black arrow)For Horizontal Ray Lateral TechniqueTo Correct Rotation Error: there is insignificant errorTo Correct
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Feb 25 2010, 10:28 PM EST
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Change: The head of fibula is too superimposed over the proximal tibial metaphysis suggesting the need for further external rotationFor Horizontal Ray Lateral TechniqueTo Correct Rotation Error: Rotate leg externallyTo Correct Angulation Error: More cephalic angulationFor Rolled Lateral techniqueTo Correct Rotation Error: Rotate leg externallyTo
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Feb 25 2010, 10:18 PM EST
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Change: psoitionposition is unremarkableFor Horizontal Ray Lateral TechniqueTo Correct Rotation Error: Rotate leg internally (note insignificant error)To Correct Angulation Error: More caudal angulationFor Rolled Lateral techniqueTo Correct Rotation Error: Rotate leg internallyTo Correct Angulation Error: More cephalic AngulationNote:Horizontal ray technique
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Feb 25 2010, 9:14 PM EST
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Change: These images are presented for the pupose of demonstration and are not necesarily worthy of repeating. The decision to repeat should be based on a balanced consideration of the costs vs the lilkely benefits to the patientThe IndicatorsThe lateral femoral notch is not demonstrated The adductor
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