X-Knee
The basic principles about the knee X-ray examination.
Table of contents
Checklist
The following points may be used as a guide to assess a knee X-ray.
General:
- Technique: has everything been imaged correctly; is it suitable for evaluation? Can the question be answered?
- Soft tissues: swelling? Skin intact? Foreign body? Atherosclerosis?
- Joint effusion? Lipohemarthrosis?
- Bone mineral density? Ossal lesions?
- Check the cortex; cortex interrupted? Cortex destruction?
- Femorotibial joint: position? Osteoarthritis?
- Patellofemoral joint: position of patella? Insall-Salvati ratio? Osteoarthritis?
- Specific: free body? Osteochondral defects?
- Accessory ossicles / normal variations?
- Abnormalities outside the knee joint?
- Changes versus previous examinations?
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Literature: sources and author
Text & Illustrations
drs.A. van der Plas, MSK radiologist Maastricht UMC+
Sources:
- B.J. Manaster et al. The Requisites – Musculoskeletal Imaging. 2007
- N. Raby et al. Accident & Emergency Radiology – A Survival Guide. 2005.
- K.L. Bontrager, J.P. Lampignano. Textbook of Radiographic Positioning and Related Anatomy. 2014 (8th edition)
- W. Fischer et al. MRI-essentials.com – An illustrated atlas of orthopedic MRI (2014)
- B. Keegan Markhardt et al.Schatzker Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment; RadioGraphics (2009)
- N. Shabshin et al. MRI criteria for patella alta and baja; Skeletal Radiology (2004)
- Ferris M. Hall, M.D. Radiographic Diagnosis and Accuracy in Knee Joint Effusions; Radiology (1975)
- Duke G. Pao, MD. The Lateral Femoral Notch Sign; Radiology (2001)
- C.J. Gottsegen et al. Avulsion Fractures of the Knee: Imaging Findings and Clinical Significance; RadioGraphics (2008)
- G. Diederichs et al. MR Imaging of Patellar Instability: Injury Patterns and Assessment of Risk Factors; RadioGraphics (2010)
10/07/2016
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