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Anatomy and Positioning
Lower Extremities
63
Other
Professional
11/03/2010

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Cards

Term
Which metatarsal bone of the foot has a prominent tuberosity frequently fractured?
Definition
Fifth
Term
What are the two arches of the foot?
Definition
The longitudinal and transverse
Term
The patella is drawn into the intercondylar sulcus when the knee is overextended
Definition
False
Term
The medial malleolus is part of the:
Definition
tibia
Term
The ankle joint is a ___ joint with a ____ type of movement
Definition
synovial; sellar
Term
A tear of the tibial (medial) collateral ligament (MCL) due to a trauma injury is frequently associated with tears of the:
Definition
ACL and medial meniscus
Term
Saclike structures found in the knee joint that allow smooth articulation between ligaments and tendons are called:
Definition
bursae
Term
A radiographic appearance of a highly malignant and extensive destructive lesion that usually occurs in long bones and produces a sunburst pattern describes:
Definition
an osteogenic sarcoma
Term
To reduce scatter radiation during tabletop procedures, the Bucky tray should not be positioned directly under the lower limb being radiographed
Definition
True
Term
A lateral knee radiograph that is overrotated toward the IR can be recognized by which of the following?
Definition
The fibular head will appear less superimposed by the tibia than a true lateral
Term
how much rotation from an AP of the ankle will typically produce an AP mortise projection?
Definition
15-20 degrees
Term
A radiograph of an AP projection of the second toe reveals that the interphalangeal joints are not open. What is the most likely cause for this radiographic outcome?
Definition
Incorrect CR centering or angle
Term
A radiograph of an AP medial oblique projection of the foot, if positioned correctly, should demonstrate:
Definition
3rd-5th metatarsals free of superimposition
Term
The posterior visibility of the adductor tubercle on a lateral knee projection indicates:
Definition
Underrotation of the knee
Term
A radiograph of an AP knee reveals with almost total superimposition of te fibular head and the proximal tibia. What must the tech do to correct this positioning error on the repeat?
Definition
Rotate the knee medially slightly
Term
A patient comes to the radiology department for a knee study with special interest in the region of the proximal tibiofibular joint and the lateral condyle of the tibia. Which of the following positiing routines should the tech obtain?
Definition
AP, lateral, medial oblique
Term
A radiograph of an AP oblique foot with medial rotation demonstrates considerable superimposition of the 3rd-5th metatarsals. How must the original position be changed to eliminate this problem?
Definition
Decrease obliquity of the foot
Term
The radiographic hallmark of Reiter syndrome seen in young men is:
Definition
erosion of the achilles tendon insertion
Term
The foot is composed of 3 groups of bones which include the:
Definition
phalanges, metatarsals, tarsals
Term
The small unattached bones found in the foot that are often embedded in tendons are called:
Definition
sesmoids
Term
The most superior bone of the foot that articulates with the tibia and fibula at the ankle joint is called the:
Definition
astragulus or talus
Term
The largest and strongest bone of the foot that is located most posteriorly is called the:
Definition
calcaneous or os calcis
Term
The opening in the middle of the subtalat joint is called the:
Definition
Sinus tarsi or the tarsal sinus
Term
The foot is formed with two arches that run the length of the foot and across from medial to lateral. These are called:
Definition
longitudinal and transverse
Term
The opening of the ankle joint formed by the talus, tibia, and the fibula often is referred to as the _____ b/c of its shape where the superior portion of the talus fits into the socket formed by the tibia nd fibula.
Definition
Mortise
Term
The ankel joint is capable of flexion and extension movement and is correctly identified as which type of joint?
Definition
Synovial sellar
Term
The process at the end of the fibula that forms the lateral most portion of the ankle is the:
Definition
Lateral malleolus
Term
The most superior portion of the fibula which is somewhat pointed is shape is the:
Definition
apex
Term
The long, deep groove between the two femorail condyles is called the:
Definition
intercondyloid fossa or tunnel
Term
The posterior surface or region of the femur at the knee just above the intercondyloid fossa where numerous blood vessels and nerves pass is called the:
Definition
popliteal surface
Term
The patella's most inferior aspect is more pointed and is referred to as the:
Definition
apex
Term
The major ligaments of the knee which prevents adductionand abduction and help to stabilize the knee joint are called the:
Definition
lateral collateral and medial collateral
Term
The structures in the knee that are sac-like structures that cushion the knee joint with synovial fluid are the:
Definition
suprapatellar and the infrapetellar bursa
Term
The CR for the mediolateral projection of the calcaneous is directed to a point:
Definition
1 in distal to the medail malleolus
Term
When performing the PA axial projection, sometimes referred to as the tunnel view, the lower leg is flexed at a 40 degree angle at the knee and the central ray is directed at an angle of 40 degrees caudal and perpendicular to the tibia. This projection is performed to better demonstrate the:
Definition
intercondyloid fossa, tibial plateau and eminences
Term
The correct amount of oblique for the AP oblique projection of the foot (medial rotation) is _____ degrees internally
Definition
30-40
Term
To demonstrate the ankle in the AP oblique projection, the entire lower extremity is rotated:
Definition
interanlly 45 degrees
Term
To correctly position the AP projection of the knee, the CR should be directed to the:
Definition
1/2 distal to the apex of the patella
Term
To compensate for thinner orlarger patient, when performing the AP projection of the knee, the CR can be correctly:
Definition
angled 3-5 degrees for the thinner patient and 3-5 cephalic for the larger patient
Term
In performing the mediolateral projection or lateral position of the knee, it becomes necessary to angle the CR 5-7 degrees cephalad to demonstrate the knee joint free from superimposition. This is necessary because:
Definition
The medial condyle of the femur is lower or more inferior than the lateral condyle
Term
What is the central ray placement for an AP projection of the toes?
Definition
Center to the MTP joint in question and angle tube 10-15 degrees
Term
What is the central ray placement for an AP oblique projection of the toes?
Definition
Directed to MTP joint in question
Term
What is the central ray placement for a lateral projection of the toes?
Definition
1st digit - directed to the IP joint
2nd-5th digits- directed to the PIP joint
Term
What is the central ray placement for an AP porjection of the foot?
Definition
CR directed to the base of the 3rd metatarsal, angled 10 degrees towards the calcaneous
Term
What is the central ray placement for an AP oblique projection of the foot?
Definition
Directed to the base of the 3rd metatarsal
Term
What is the central ray placement for a Lateral projection of the foot?
Definition
directed to the medial cuneiform (at level of the base of the 3rd metatarsal
Term
What is the central ray placement for a plantodorsal (Axial) projection of the calcaneous?
Definition
CR angled 40 degrees cephalad, directed to the base of the 3rd metatarsal
Term
What is the central ray placement for a lateral projection of the calcaneous?
Definition
Directed to a point 1 in inferior to the medial malleolus
Term
What is the central ray placement for a projection of the AP, mortise, and oblique ankle?
Definition
Directed to a point midway between malleoli
Term
What is the central ray placement for a lateral projection of the ankle?
Definition
Directed to the medial malleolus
Term
What is the central ray placement for an AP and lateral projection of the tibia-fibula?
Definition
CR directed to the mid point of the leg
Term
What is the central ray placement for an AP projection of the knee?
Definition
directed to a point 1/2 in distal to the apex of the patella
Term
What are the degrees of angulation for an AP projection of the knee?
Definition
Thin thighs and buttocks- 3-5 caudad
average - 0 angle
thick thighs and buttocks 3-5 cephalad
Term
What is the central ray placement for a medial or lateral oblique projection of the knee?
Definition
0 degree angle on the average size patient, directed 1/2 in distal to the apex of the patella
Term
What is the central ray placement for a lateral projection of the knee?
Definition
Angle 5-7 degrees cephalad, direct CR 1 in distal to medial epicondyle
Term
What is the central ray placement for a tangential (axial/sunrise/skyline) projection of the knee?
Definition
align CR 15-20 from long axis of lower leg, direct CR to midfemoropatellar joint
Term
What will appear in profile medially on an Axial projection of the calcaneous?
Definition
The sustentaculum tali
Term
Patient position for AP ankle
Definition
natural position, intermalleolar line will not be parallel to IR; the lateral malleolus will be about 15 degrees posterior
Term
The medial mortise joint will be open and the lateral mortise joint will be closed in an AP projection of the ankle
Definition
True
Term
The lateral and medial mortise joints are open on a AP mortise joint view of the ankle.
Definition
True
Term
What is the position of the fibula in a lateral projection of the ankle?
Definition
The fibula is superimposed by the posterior half of the tibia
Term
What is well demonstrated on an AP medial oblique projection of the knee?
Definition
The lateral condyles of the femur and tibia, and the head and neck of the fibula
Term
What is well visualized on an AP lateral oblique projection of the knee?
Definition
Medial condyles of the femur and tibia, fibula superimposed by the tibia
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