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Aug 4 2011, 9:24 AM EDT
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Change: This 68 year old male presented to the Emergency Department following a fall onto a concrete floor. His right knee was painful and deformed with a very prominent patella. He described a hyperflexion injury to his right knee. He was referred for right knee radiography.His right knee
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Jan 3 2011, 6:18 PM EST
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Change: This 13 year old boy fell of his bike and was referred for right knee radiography. He was unwilling/unable to flex his knee Resultant skyline patella image. This has no diagnostic value and should not have been attempted.Case StudiesCase 1This 23 year old
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Dec 30 2010, 7:51 AM EST
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Change: patella, and patellaLT = length of the patellar tendon.The skyline knee projection demonstrates good patient positioning but the radiographer has had difficulty including all of the anatomy on the IR because of the patella alta.Case 3 This 34 year old male presented
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Dec 30 2010, 2:59 AM EST
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Change: The position of the patella may be evaluated on the basis of the ratio of the greatest diagonal length of the patella to the length
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Dec 30 2010, 2:44 AM EST
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Change: Case 3 This 34 year old male presented to the Emergency Department following a fall from his pushbike. On examination, he was found to have a painful and swollen left knee. He was referred for knee radiography.The AP projection image demonstrates patella alta.
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Dec 26 2010, 12:02 AM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Dec 20 2010, 6:57 AM EST
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Change: centre.centre? If you scroll up the page and review the AP image you will notice that there is a faint impression of a lucency over
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Dec 20 2010, 6:52 AM EST
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Change: The skyline projection image demonstrates a possible fracture of the lateral aspect of the patella. Is this a fracture or a secondary ossification centre. If
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Oct 12 2010, 10:06 PM EDT
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Change: and swollen left knee. He was referred for knee radiography.The AP projection image demonstrates patella alta. Patella lataalta refers to a condition in which the patella is located in an abnormally proximal position.The cross-table lateral knee image also demonstrates patella alta.Skyline knee radiography
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Oct 12 2010, 10:04 PM EDT
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Change: This 34 year old male presented to the Emergency Department following a fall from his pushbike. On examination, he was found to have a painful andswollen left knee. He was referred for knee radiography.The AP projection image demonstrates patella alta. Patella
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Oct 5 2010, 7:09 AM EDT
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Change: Renamed from The Skyline Patella View by Oct 5 2010, 7:09 AM EDT for: Rename
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Oct 5 2010, 7:09 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Oct 5 2010, 7:08 AM EDT
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Change: There are a variety of radiographic techniques for achieving a tangential image of the patella. This table details some (but not all) of the techniques.What Went Wrong? Case 1 Fault This is an example of incorrect centring. The central
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Oct 5 2010, 7:00 AM EDT
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Change: offcutoff-cut sponge pieces that I cut down to different heights until I achieved what appeared to be the perfect height. The final result is shown below. Sponge can be cut with a hot wire or an electric carving
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Oct 5 2010, 6:58 AM EDT
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Change: ) Introduction There is nothing quite like nailing a perfect skyline knee projection. This page looks at some issues and tips for achieving the goal of perfect skyline knee radiography. The Positioning Sponge In pursuit of the perfect skyline knee projection,
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Jun 6 2010, 8:09 AM EDT
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Change: "The patella initially ossifies at between three and five years, commencing as multiple foci that rapidly coalesce" (Ogden JA. Skeletal Radiol. 1984;11(4):246-57. Radiology of postnatal skeletal development. X. Patella and tibial tuberosity.)The skylien projection will not demonstrate a patella that has not ossified. Resultant skyline patella image. Case 1
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Jun 5 2010, 10:50 PM EDT
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Change: image.The post-reduction skyline patellar image demonstrates the patella to be relocated. The possible site of the avulsion fracture is shown (white arrow). A bony fragment (black arrow) demonstrated on the lateral aspect of the lateral femoral condyle is of unknown significance. ....back to the Applied Radiography home page here
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May 5 2010, 6:05 AM EDT
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Change: Always check previous imaging when possible- you might discover that the patient has had a previous patellectomy. Case 7 A skyline knee viewprojection taken in this position, with the central ray as shown above, will project the tibial tuberosity over the patello-femoral joint.Note- patient has Osgood-Schlatter disease .
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Feb 8 2010, 2:55 AM EST
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Change: Moved by AndyC Feb 8 2010, 2:55 AM EST
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Jan 7 2010, 7:24 AM EST
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Change: from the horizontal ray lateral knee shown above.Discussion My understanding of the skyline patella position is that a minimum of knee flexion is more likely to reveal abnormal patellar tracking. The most frequent problem that I found with this
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