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University of Perpetual Help System JONELTA

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medical imaging radiography anatomy orthopaedics

Summary

This document provides detailed instructions and images for various leg projections in medical imaging. It covers AP, lateral, and oblique methods, emphasizing proper positioning and anatomical landmarks. The purpose is to correctly visualize the tibia and fibula for diagnostic purposes.

Full Transcript

# Tibia and Fibula ## Leg Projection ### AP Projection - supine; - Femoral condyles // to IR - Foot is Vertical (Dorsiflex) to IR ### Lateral Projection Mediolateral - supine; - turn toward the affected side RPO / LPO; - Patella I to IR; - Femoral condyles I to IR - Lateral side Place on IR ##...

# Tibia and Fibula ## Leg Projection ### AP Projection - supine; - Femoral condyles // to IR - Foot is Vertical (Dorsiflex) to IR ### Lateral Projection Mediolateral - supine; - turn toward the affected side RPO / LPO; - Patella I to IR; - Femoral condyles I to IR - Lateral side Place on IR ### Alternativemethod (can't turn) - CROSS-Table, horizontal CR; - IR placed b/n the legs & RP lateral side ### AP oblique Projection - Supine; - Leg Rotate 45° med / Laterally - medial - turn leg inward; - Rest the foot & ankle on 45° foam wedge ## Midshaft ### Medial Rotation - Proximal & distal tibiofibular jt. - maximum interosseous space b/n T & F ### Lateral Rotation: - Tibia superimpose fibula - ankle and knee Jt. ## Midshaft ### Lateral pros. - Tibia & fibula adjacent Jts ## Long Legs: CT - use 2 separate image - cover w/ lead the unexposed part **Fig. 6-127 AP tibia and fibula.** ## Lateral - Patella - Femoral condyles **Fig. 6-129 Lateral tibia and fibula.** **Fibula: 1cm Posterior than Tibia** **Fig. 6-131 AP oblique leg, medial rotation.** **Fig. 6-132 AP oblique leg, lateral rotation.** **Fig. 6-133 AP oblique leg, medial rotation, showing a fixation device.** **Fig. 6-134 AP oblique leg, lateral rotation, with a fixation device in place.**

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