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Friday 23 November 2012

Patella Study


PA Projection

  1. Patient in prone position;
  2. Tip of the foot supported in the table (patella parallel with the plane of the IP).

Central ray perpendicular to the middle of the popliteal area.


Evaluation Criteria:

  • Patella superimposed by the femur;
  • No rotation;
  • Visualization of the knee joint;
  • Appropriate exposure values (visualization of the all bony trabeculation and soft tissue).



Lateral projection


  1. Patient in the lateral recumbent position;
  2. Flex the knee at 30º.
Central ray perpendicular to the middle of pattelofemoral joint.


Evaluation Criteria:

  • Knee flexed 0º;
  • Patellofemural joint open;
  • Patella in profile;
  • Appropriate exposure values (visualization of the all bony trabeculation and soft tissue).



Tangential Projection


  1. Patient in supine position;
  2. Flex the knee at 30º, 60º or 90º;
  3. Ask to patient hold the IP.
Central ray angled 15º (knee flexed 30º), 20º (knee flexed 60º) or 25º (knee flexed 90º) cephalic and tangential to the patella.


Evaluation Criteria:

  • Patella in profile;
  • Patellofemural joint open;
  • Appropriate exposure values (visualization of the all bony trabeculation and soft tissue).



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