X-ray Positioning
Lateral knee (mediolateral)
Radiographic projections, patient positioning and X-ray references.
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Method & scope
Patient position
- Turned onto the affected side (right side down); the other leg brought forward over it or behind it.
- Knee flexed 20–30° (no more if a patella fracture is possible).
- Femoral epicondyles directly superimposed, perpendicular to the IR; patella perpendicular to the IR.
Centering
2.5 cm (1″) distal to the medial epicondyle.
Central ray
Angled 5–7° cephalic (the medial condyle projects lower); 0° for a horizontal-beam trauma lateral.
Source-to-image distance
100 cm (40″).
Image evaluation
- Femoral condyles superimposed
- Patellofemoral joint space open
- Fibular head slightly overlapped by the tibia
- Knee flexed 20–30°