CJT Case Study Essay

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Projections at CJJT differ from other sites. If you do not have a total knee replacement, the projection they do is a “four view knee” which is an AP/PA, PA tunnel view, lateral, and sunrise. If you do have a total or a partial knee replacement, they do a “three view knee” which is an AP/PA, lateral, and sunrise. A 65-year-old female came into the clinic in a wheelchair and could hardly stand on either leg. She stated she had a left total knee replacement and still couldn’t bare to stand on it. The physician wanted to take a look at both knees and since she had one total knee replacement and nothing done to the other knee the physician ordered a bilateral PA, tunnel and sunrise knees with additional images of a lateral on each knee. Once I was done taking those images, I went and got the technologist, Lori Huffman (who is also the CI) who approved my images. Since this exam had multiple images I will…show more content…
The Patellofemoral and knee joints would be open, but she has small bone spurs projecting from the patella, going posteriorly towards the femur and superiorly from the tibia towards the femur. The patient is under rotated because the lateral condyle is not completely superimposed over the medial condyle of the femur. The medial condyle is the one that appears “smaller” because it is closest to the image receptor. The lateral condyle is more posterior than the medial so the patient needs to be rotated more. The knee joint is not in the center of the collimated field. To make the knee joint in the center, we would need to move the field size anteriorly half an inch to an inch. There is optimal exposure with no motion. This image also visualizes the soft tissue, including fat pad region anterior to knee joint and sharp trabecular markings. My marker is clearly demonstrated and is out of any anatomy. There are no artifacts on this

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