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Wheeless' Textbook of Orthopaedics
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Radiographic Evaluation of the Knee




- Discussion:
    - complete knee series should include an anteroposterior, lateral, & axilla view
          as well as a tunnel view in skeletally immature pts;

- Specific Views:
    - Axilla View
    - Lateral Radiograph
    - Tangential Patellar Views:
    - Tunnel Radiograph
    - X-ray Features of OA
    - X-ray Features of RA
    - Anterior Posterior View:
          - femoral/tibial angle
          - medial and lateral joint space
          - size, position, and integrity of patella;
          - clinical findings:
                - bipartite patella
                - osteochondritis dissecans;
                - calcification of origin of MCL (Pellegrini-Stieda Phenomenon);
          - technique:
                - pt is supine w/ knee fully extended & leg in neutral position;
                - central beam is directed vertically to knee w/ 5-7 deg cephalic tilt;




Observations on patellar height after proximal tibial osteotomy.

Roentgenographic assessment of the hip-knee-ankle axis in medial gonarthrosis. A study of reproducibility.

A clinical and radiographical analysis of 127 anterior cruciate insufficient knees.

Relation of the fibular head sign to other signs of anterior cruciate ligament insufficiency. A follow-up letter to the editor.

Radiographic analysis of patellar tilt.

Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion.










Original Text by Clifford R. Wheeless, III, MD.