X-ray Positioning

Lateral knee (mediolateral)

Radiographic projections, patient positioning and X-ray references.

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°