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♦ ROUTINE: AP AND PROFILE ♦
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♦ AP:
► Patient Positioning:
Place the patient in the supine position, with the femur centered on the midline of the table; give one
pillow for the head. (This incidence can also be done on the stretcher, with a mobile grid
placed below the femur.)
► Position of the Party:
• Align the femur for RC and the midline of the table or RI.
• Rotate the leg internally approximately 5° for a true AP, as for an AP of
knee. (For proximal femur, 15° to 20° of internal leg rotation is required, as for a
hip AP.)
• Ensure that the knee joint is included in the RI, considering the divergence of the
X-rays. (The smaller RI margin should be approximately 5 cm below the joint of the
knee.)
► RC:
• RC is perpendicular to the femur and RI.
• Direct RC to RI midpoint.
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♦ PROFILE:
► Patient Positioning:
Place the patient in a lateral reclining position, or supine for trauma patients.
► Position of the Party:
Caution
Do not attempt this position if the patient has serious trauma.
• Bend the knee approximately 45° with the affected side of the patient, and align the femur to the
midline of the table or RI.
• Place unaffected leg behind affected leg to prevent over rotation.
• Adjust RI to include the knee joint (margin of smaller RI should be approximately 5 cm
below the knee joint). A second RI to include the proximal femur and usually the hip will be required in the adult
Incidence of Lateromedial Trauma
► RC:
CR perpendicular to the femur and RI directed to the midpoint of the RI.
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Source: Bontrager, 8th Edition. #Radiology
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