The knee joint is a hinge type synovial joint , which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the patella, femur and tibia. Knee joint
Dig
Defination The knee series is a set of radiographs taken to investigate knee joint pathology, often in the context of trauma The Knee AP view is a standard projection to assess the knee joint, distal femur, proximal tibia and fibula and the patella. Knee ap view radiography
trauma bony tenderness at the head of the fibula isolated patella tenderness patient unable to flex the knee to 90 degrees if the patient is unable to weight bear suspected osteoarthritis detecting joint effusions infection indication
osteoarthritis
Joint effusion
Your may be asked to remove some clothing, jewelry, or any metal objects that might interfere with the image. If patient is pregnant, it is important to tell the X-ray technician or her doctor. X-rays are usually avoided during pregnancy because there's a small chance the radiation may harm the developing baby. But if the X-ray is necessary, precautions can be taken to protect the fetus. prepration
patient is supine on the table with the knee and ankle joint in contact with the table leg is extended ensure the knee is not rotated positioning
radiograph
The cassette size used for this examination is 10”x12” and placed vertically directly under the knee joint covering the aspects from 1/3 of distal femur and 1/3 of proximal tibia and fibula. Cassette position
anteroposterior projection centering point center of the knee 1.5 cm distal to the apex of the patella collimation superior to include the distal femur inferior to include the proximal tibia/fibula medial to include medial skin margin lateral to include the skin margin Technical factor
Cassette orientation portrait exposure 60-70 kVp 7-10 mAs SID 100 cm grid no contd.
The fibula head is a great indication of rotation, if the fibula head is entirely superimposed, the image is not AP; to correct this you must internally rotate until the knee is in even contact wit the image detector. Very slim patients may require a slight caudal angle to better visualize the joint space in an AP fashion. The opposite applies for larger patients (larger thighs mean the leg may be naturally flexed at rest), requiring a slight cephalic angle. Both angles roughly 5-8 degrees. Practical points