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knee revision - diagnostic radiography

what is the area of interest for an AP knee x-ray?

distal 1/3 of the femur and proximal 1/3 of the tibia and fibula

where should the patella be in an AP knee x-ray?

centralised

what should be slightly superimposed on an AP knee x-ray?

fibular head, should be slightly superimposed by the lateral tibial condyle

what should be superimposed in a lateral knee x-ray?

femoral condyles

what there should be a clear view of in a HBL knee x-ray?

suprapatellar pouch

why should the knee be rotated slightly in an AP knee x-ray?

to centralise the patella

what is the exposure factors for an AP, lateral and HBL knee x-ray?

63kV, 2.5 mAs

what is the exposure factor for a skyline knee x-ray?

65kV, 3.2 mAs

where should the apex of the patella not be in an AP knee x-ray?

in the intercondylar notch

what should not be visible in an lateral knee x-ray?

adductor tubercle

when is a knee x-ray not justified?

osgood-schlatter's disease or anything to do with the soft tissue structures of the knee

what is the most common cause of a platella fracture?

direct blow to the anterior knee

what should the suprapatellar pouch measure in a normal knee?

5mm or less

what is commonly mistaken for a platella fracture?

bipartite patella

how can a bipartite patella be differentiated from a fracture?

smooth edges

what is more common: lateral tibial plateau fractures or medial tibial plateau fractures?

lateral tibial plateau fractures

what is a valgus force?

distal aspect of the knee joint and the tib and fib are angled more laterally

what is a varus force?

distal aspect of the knee joint and the tib and fib are angled more medially

what is a layered effusion of fat and blood?

lipohaemarthrosis

where are tibial eminence fractures most commonly found in?

children / paediatrics

what are symptoms of osteoarthritis in the knee?

knee pain, stiffness, and swelling

what is OCD?

osteochondritis dissecans

what are the ligaments of the knee?

PCL, MCL, ACL & LCL

what muscle is underneath the patella?

patellar ligament

what muscle is above the patella?

platella tendon

what is crepitus?

bone on bone clicking

what does osgood-schlatter's diseasd affect?

the tibial tuberosity

what is lipoharmarthrosis sometimes only a clear indication of?

an intra-articular fracture

what kind of bone is the platella?

sesamoid bone

what type of joint is the knee joint?

synovial condylar joint

what are the movements of the knee?

flexion, extension, lateral and medial rotation

to which structures do the cruciate ligaments attach to?

intercondylar eminence

what is the function of the menisci?

shock absorption, acts as a cushion. also provides stabilisation for the joint

what is the function of the ACL?

prevents too much anterior translation of tibia in relation to the femur

what is the function of the pcl?

prevents too much posterior translation of tibia in relation to the femur

what are the functions of the MCL and the LCL?

stops lateral and medial movement

where does the platella ligament attach to?

tibial tuberosity

what does tenderness at the site of the platella ligament insertion normally mean?

osgood-schlatter's disease

in which age group does the knee ossify?

2 - 6

what is the function of the knee bursae?

reduce friction between moving surfacdd

what is bursitis?

inflammation of the bursae

what is a bursae that may extend in injury?

suprapatellar bursa

what are the cruciate ligaments?

PCL & ACL

what are the structures attached to the collateral ligaments?

MCL & LCL

what are some diseases of the knee?

kohlers, kienbox, frieburgs, severs (calcaneum)

what causes prepatellar bursitis?

repetitive kneeling on a hard surface

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