CT Lower Extremities

 

Hip

Orient axial from superior acetabulum through lesser trochanter

Orient coronal parallel to the femoral heads.

Orient sagittal perpendicular to coronal.

 

Knee

Coronal plane with line parallel to the femoral condyles, image entire knee

Sagittal plane perpendicular to coronal © through entire knee – should NOT see fibula or medial condyle on the last image.

 

 

Ankle

Orient axial plane to axis of calcaneus.

Coronal plane oriented perpendicular to axial plane.

Sagittal plane oriented with line parallel to talus. Cover entire ankle from medial to lateral.

Foot

Orient short axis plane parallel to 2nd/3rd metatarsal shaft.

Orient long axis plane parallel to 1st and 5th metatarsal shafts.

Orient sagittal plane perpendicular to the coronal © plane.

Leg Length Survey

4/20/2017

Wooden block secured to table top

Position patients’ feet flat against wood block

Tape ankles together with sponge between

Position hips parallel to table (parent can assist)

Scan A/P Scout from 3cm above the crest to 2cm below ankle joint

A Duke University study shows CT scanography (using scout image) to be 50% less radiation than conventional radiography.