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Lower Limb
Final Study Guide
100
Other
Graduate
03/19/2011

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Cards

Term
How many and what kind of bones comprise the foot and ankle?
Definition
14 phalanges, 5 metatarsals, and 7 tarsals.
Term
Which bone classification are tarsals?
Definition
Short
Term
What is the most distal part of a metatarsal?
Definition
Head
Term
Where in the foot is the tuberosity that is easily palpable?
Definition
Proximal portion of 5th metatarsal
Term
Which tarsal bone is the most superior tarsal bone?
Definition
Talus
Term
Which tarsal bone is the largest of the tarsal bones?
Definition
Calcaneus
Term
Which tarsal bone is located on the lateral side of the foot between the calcaneus and the fourth and fifth metatarsals?
Definition
Cuboid
Term
Which tarsal bone is located on the medial side of the foot between the talus and the three cuneiforms?
Definition
Navicular
Term
Which bone articulates medially with the cuboid?
Definition
Lateral Cuneiform
Term
Which bones comprise the midfoot?
Definition
navicular, cuboid, and cuneiforms
Term
Which bone articulates superiorly with the calcaneus?
Definition
Talus
Term
Which bones articulate distally with the tarsal navicular?
Definition
Cuneiforms
Term
Which bones articulate distally with the three cuneiforms?
Definition
Metatarsals
Term
which bones articulate with the metatarsals?
Definition
Cuneiforms and cuboid
Term
Which cuneiform is the largest cuneiform?
Definition
Medial
Term
Where in the foot are the cueiforms located?
Definition
Between the navicular and the metatarsals.
Term
Which articulation is a condyloid-type joint?
Definition
Tarsometatarsal
Term
Which articulations of the foot is a gliding type joint?
Definition
Interphalangeal
Term
Which two tarsal bones articulate with each other by way of three facets?
Definition
Talus and calcaneus
Term
which part of the talus articulates with the distal tibia?
Definition
Trochlea
Term
which type of joint is the ankle joint?
Definition
Hinge
Term
Where is the medial malleolus located in the leg?
Definition
Distal Tibia
Term
Where is the lateral malleolus located in the leg?
Definition
Distal fibula
Term
What structure is located on the proximal end of the fibula?
Definition
Apex
Term
Where is the intercondylar eminence located?
Definition
Proximal tibia
Term
Where is the tibial plateus located?
Definition
Proximal tibia
Term
on which border of the tibia is the crest located?
Definition
Anterior
Term
Which term refers to the sharp ridge on the anterior border of the tibia?
Definition
Crest
Term
Which term refers to the prominant process on the anterior surface of the proximal tibia that is just inferior to the condyles?
Definition
Tuberosity
Term
Which joint is formed by the articulation of the head of the fibula with the lateral condyle of the tibia?
Definition
Proximal tibiofibular
Term
Which type of joint is the proximal tibiofibular joint?
Definition
Gliding
Term
Which structure is located on the head of the fibula?
Definition
Apex
Term
With which structure does the head of the fibula articulate?
Definition
Lateral tibial condyle
Term
Which term refers to the inferior tip of the patella?
Definition
Apex
Term
Which part of the patella is the base?
Definition
Superior border
Term
Where on the femur is the greater trochanter located?
Definition
Lateral and superior
Term
Where on the femur is the lesser trochanter located?
Definition
Medial and posterior
Term
Where is the fovea capitis located?
Definition
Proximal femur
Term
Where is the intercondylar fossa located?
Definition
Distal femur
Term
Which femoral structures articulate with the tibia?
Definition
Condyles
Term
With which structure does the head of the femur articulate?
Definition
Acetabulum
Term
When an angled CR is used to perform the AP projection of the toes, how many degrees and in what direction should the CR be directed?
Definition
15* cephalad toward the heel
Term
How many degrees and in what direction should the foot be rotated for the AP oblique projection to demonstrate the second toe?
Definition
30-45* medially
Term
How and toward what centering point should the CR be directed for the AP oblique projection to demonstrate all 5 toes?
Definition
Perpendicular to the 3rd metatarsophalangeal joint.
Term
How many degrees and in what direction should the foot be rotated for the AP oblique projection to best demonstrate the great toe?
Definition
30-45* medially
Term
What other projection term refers to the AP projection of the foot?
Definition
Dorsoplantar
Term
How many degrees and in what direction should the central ray be directed for the AP axial projection of the foot?
Definition
10*cephalad (toward the heel)
Term
which projection of the foot best demonstrates the cuboid and its articulation?
Definition
AP medial oblique
Term
How many degrees and in what direction should the foot be rotated for the AP oblique projection of the foot?
Definition
30* medially
Term
How many degrees and in what direction should the foot be rotated for the AP oblique projection to best demonstrate the cuboid and its articulations?
Definition
30* medially
Term
How and toward what centering point should the CR be directed for the AP oblique projection of the foot?
Definition
Perpendicular to the base of the third metatarsal.
Term
Where should the CR be directed for the AP oblique projection of the foot?
Definition
To the base of the 3rd metatarsal
Term
Regardless of the condition of the patient, which positioning maneuver should be performed to position the foot for the lateral projection?
Definition
Ensure that the plantar surface is perpendicular to the IR.
Term
How should the CR be directed to best demonstrate the tarsometatarsal joint spaces of the midfoot for the AP projection of the midfoot for the AP projection of the foot?
Definition
10* posteriorly (toward the heel)
Term
Which projection of the foot best demonstrates the sinus tarsi?
Definition
AP oblique projection medial rotation
Term
Which projection of the foot best demonstrates most of the tarsals witht least amount of superimposition?
Definition
AP oblique projection (medial rotation)
Term
Which projection of the foot best demonstrates the bases of the fourth and fifth metatarsals free from superimposition?
Definition
AP oblique projection (medial rotation)
Term
Which projection of the foot should demonstrate metatarsals nearly superimposed on each other?
Definition
Lateral projection
Term
Which 2 projections comprise the typical series that best demonstrates the calcaneus?
Definition
Axial (plantodorsal) and lateral projections
Term
How many degrees and in what direction should the CR be directed for the axial(plantodorsal) projection of the calcaneus?
Definition
40* cephalad
Term
At which level on the plantar surface should the CR enter the foot for the axial (plantodorsal) projection of the calcaneus?
Definition
Base of the third metatarsal
Term
where should the CR be directed for the lateral projection of the calcaneus?
Definition
Toward the midpoint of the calcaneus
Term
Where should the CR enter for the lateral projection of the ankle?
Definition
At the medial malleolus
Term
HOw many degrees and in which direction should the foot and leg be rotated ro best demonstrate the mortise joint for the AP oblique projection of the ankle?
Definition
15-20* medially
Term
Which projection of the ankle best demonstrates the talofibular joint space free from bony superimposition?
Definition
AP oblique projection (medial rotation)
Term
Which articulation should be seen in profile with the AP oblique projection (medial rotation) of the ankle?
Definition
talofibular
Term
With reference to the plane of the IR, how should the malleoli be positioned for the AP oblique projection of the ankle to best demonstrate the mortise jt. spaces open?
Definition
Parallel
Term
Which projection of the ankle should be performed to best demonstrate a ligamentous tear?
Definition
AP projection with inversion
Term
Which projection of the knee best demonstrates the femorotibial joint space open if the patient measures more than 24cm between the ASIS and the tabletop?
Definition
AP projection with the CR angled 3-5* cephalad
Term
For the lateral projection of the knee, how many degrees should the knee be flexed?
Definition
20-30*
Term
With reference to the knee, where should the image receptor be centered for the PA axial projection (Holmblad method) of the knee?
Definition
To the apex of the patella
Term
How many degrees of angulation should be formed between the femur and the radiographic table for the PA axial projection (Holmblad) of the knee?
Definition
70*
Term
Which of the following projections of the knee best demonstrates the intercondylar fossa?
Definition
PA axial projection (Holmblad Method)
Term
How many degrees and in what direction should the CR be directed for the lateral projection of the knee?
Definition
5-7* cephalad
Term
Which structure of the knee is best demonstrated with the tangential projection?
Definition
patella
Term
Which structure of the knee is best demonstrated with the PA axial projection (Holmblad method)?
Definition
Femoral Intercondylar Fossa
Term
Which projection of the knee best demonstrates the proximal tibiofibular articulation without bony superimposition?
Definition
AP oblique projection (medial rotation)
Term
Which projection of the knee best demonstrates the femoropatellar space open?
Definition
Lateral projection
Term
Which of the following evaluation criteria indicates that the knee is properly positioned for a lateral projection?
Definition
The femoral condyles are superimposed
Term
What should be done to prevent the knee joint space from being obscured by the magnified shadow of the medial femoral condyle when the lateral projection of the knee is performed?
Definition
Direct the CR 5-7* cephalad
Term
Which of the following evaluation criteria indicates that the knee is properly positioned for the AP projection?
Definition
The femorotibial jt space is open.
Term
Where should the patella be demonstrated on the radiograph of the AP oblique projection of the knee with the medial rotation?
Definition
Over the medial condyle of the femur.
Term
Where should the patella be demonstrated on te radiograph of the AP oblique projection of the knee with lateral rotation?
Definition
over the lateral femoral condyle
Term
For the lateral projection of the patella, which positioning maneuver reduces the femoropatellar joint space?
Definition
Flexing the knee more than 10*.
Term
Which area of the knee should the CR enter for the PA axial projection (Holmblad method)?
Definition
Posterior
Term
Which of the following projections of the knee best demonstrates the femoral intercondylar fossa?
a. AP projection
b. Lateral projection
c. AP oblique projection (medial rotation)
d. PA axial projection (Camp Coventry Method)
Definition
PA axial projection (Camp Coventry Method)
Term
Which projection of the knee should be used to demonstrate the patella completely superimposed on the femur?
Definition
AP projection
Term
Which projection of the knee should be used to demonstrate the patella in profile?
Definition
Lateral Projection
Term
For a patient prone on the radiographic table with the knee centered to the midline and the knee flexed until the lower leg forms a 40-degree angle with the table, how should the central ray be directed to demonstrate the femoral intercondylar fossa?
Definition
Caudally 40*
Term
For which projection of the knee should the patient be prone on the table, with the knee flexed until the leg forms an angle of 40* with the table, and the CR directed perpendicular to the long axis of the leg, entering the back side of the knee?
Definition
PA axial projection( Camp Coventry method)
Term
How should the CR be directed for the bilateral weight-bearing AP projection of the knees?
Definition
Perpendicularly
Term
Which projection of the knee can be accomplished with the patient upright, the affected knee flexed and its anterior surface in contact with a vertically placed IR, and the horizontally directed CR entering the posterior aspect of the knee?
Definition
PA axial projection (Holmblad method)
Term
Which positioning factor determines the number of degrees the central ray should be angled for the tangential projection (Settegast method) to demonstrate the patella?
Definition
Degree of knee flexion
Term
How should the CR be directed for the AP projection of the Femur?
Definition
Perpendicularly
Term
Which positioning maneuver should be performed to place the femoral neck in profile for the AP projection of the femur?
Definition
Rotate the lower limb medially 10-15*
Term
Which positioning maneuver should be performed to prevent the femoral neck from appearing foreshortened in the AP projection of the femur?
Definition
Rotate the lower limb medially 10-15*
Term
For the AP projection of the femur on typical adults, what should be done to ensure that both joints of the femur are demonstrated?
Definition
Perform a second exposure with another image receptor.
Term
For which lower limb projection should the lower limb be rotated medially 10-15*?
Definition
AP projection of the femur
Term
For which lower limb projection should the pelvis be rotated 10-15* from true lateral?
Definition
Lateral projection of the femur
Term
For the lateral projection of the femur, how should the pelvis be positioned to demonstrate only the knee joint with the distal femoral shaft?
Definition
True Lateral
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