Tibia / Fibula - Oblique (Medial / Lateral Rotation)

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Tibia / Fibula - Oblique (Medial / Lateral Rotation)
Area Covered	Entire tibia / fibula, knee joint proximally and ankle joint distally
Pathology shown	Fractures, dislocation, foreign body, bony lesions, osteomyelitis
Radiographic Anatomy	Tibia / Fibula Radiographic Anatomy
IR Size & Orientation	35 x 43 cm Diagonally
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	No
Filter	No
Exposure	50 kVp 5 mAs
FFD / SID	115cm
Central Ray	Midpoint of tibia / fibula Perpendicular to IR
Collimation	Collimate on sides to the soft tissue borders of the tibia / fibula Lower margin to include ankle joint, Upper margin to include knee joint
Markers	Distal and Lateral Marker orientation AP
Shielding	Gonadal (check your department's policy guidelines)
Respiration	Not applicable
Positioning	Patient supine Patient's leg fully extended on the table Place IR under tibia / fibula of the affected leg diagonally Externally rotate the leg from the hip either medially or laterally 45° Centre to the midpoint of the tibia / fibula, perpendicular to IR
Critique PACEMAN	Positioning Area Covered Collimation Exposure
Special Notes