POSITIONING OF KNEE JOINT

DR MUNAZZAH
PGR RADIOLOGY
 VIEWS OF KNEE JOINT

• AP VIEW
• LATERAL VIEW
• INTERCONDYLAR VIEW
• SUNRISE VIEW
 AP VIEW

• PATIENT POSITION
• SUPINE OR UPRIGHT POSTION WITH INTERNALLY ROTATED LEG SO THAT KNEE IS
IN TRUE AP POSITION
• CENTRAL RAY : SHOULD 1CM INFERIOR TO PATELLAR APEX BECAUSE JOINT
SPACE LIES 1CM INFERIOR TO IT
 IN AP VIEW

• THE MEDIAL AND LATERAL MARGINS OF FEMORAL CONDYLES AND OPPOSING

TIBIAL CONDYLES SHOULD BE IN VERTICAL ALIGNMENT
• PATELLA SHOULD LIE CENTRALLY OVER DISTAL FEMUR
• FIBULAR HEAD SHOULD BE OVERLAPPING TIBIAL CONDYLE
• NORMAL FEMOROTIBIAL SPACE IS 4 TO 6 MM
 LATERAL VIEW

• PATIENT POSITION
• LATERAL RECUMBENT
• FLEX LOWER LEG 45 DEGREES TO TRACTION THE PATELLA IN PLACE
• CENTRAL RAY : 1CM DISTAL TO MEDIAL EPICONDYLE
 IN LATERAL VIEW

• FEMORAL CONDYLES SHOULD BE SUPERIMPOSED

• JOINT SPACE BETWEEN FEMORAL CONDYLES AND TIBIA SHOULD BE OPEN
• PATELLA SHOULD BE IN LATERAL PROFILE
• FEMOROPATELLAR SPACE SHOULD BE OPEN
• ALL SOFT TISSUE AROUND KNEE SHOULD BE INCLUDED
• FEMORAL CONDYLES SHOULD BE DEMONSTRATED WITH PROPER DENSITY