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Joint space narrowing is defined by this system as a joint space less than 3 mm, or less than half of the space in the other compartment, or less than half of the space of the homologous compartment of the other knee. II: Obliteration of the joint space III: Bone defect/loss < 5 mm IV: Bone defect/loss between 5 and 10 mm V
The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
Fairbank's changes describe the radiological changes observed on an AP radiograph of the knee after meniscectomy. [ 1 ] Fairbank identified significant changes including squaring of the femoral condyles , peak eminences, ridging, and joint space narrowing.
However, from a practical point of view, false positives that lead to negative X-ray tests were the very thing that the knee rules are trying to address. Nonetheless, the Pittsburgh knee rules offer fewer false positives than do the Ottawa knee rules, though the Ottawa knee rules are more commonly used. [2]
The standard set of X-rays for a skeletal survey includes X-rays of the skull, entire spine, pelvis, ribs, both humeri and femora (proximal long bones). It is more effective than isotope scans at detecting bone involvement in multiple myeloma. Although significantly less sensitive than MRI, it is easier to include more bones. A study found that ...
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A Settegast is a standard medical x-ray projection that presents a tangential view of the patella. To acquire such an image the patient is placed in a prone position with the knee flexed at least 90 degrees and the field of view centered on the patellofemoral joint space.
X-ray of the knee of a 12-year-old male, showing knee effusion of medium severity, marked by black arrows. It displaces the patella anteriorly and extends into the suprapatellar bursa. An X-ray is useful to verify that there is no break or dislocation when there is a history of trauma. May show signs of osteoarthritis.