PURPOSE: To develop a user-friendly method of achieving optimal radiographs for measurement of joint space width of the knee with minimal radiation exposure. In order to accomplish this the X-ray technologist must (1) be able to identify the anterior and posterior rims of the tibial plateau at a variety of X-ray head angles and (2) be able to choose the direction to adjust the head angle to get a better view based on the criteria for acceptable radiographs. METHODS: We have developed a training manual and materials to instruct investigators and radiology technologists in a method that uses a commercially available Plexiglas positioning frame (Synaflexer) and standard X-ray equipment to achieve optimal X-rays with regard to tibial plateau alignment of the knee. This should be accomplished with four or fewer radiographs. RESULTS: Optimized radiographs for joint space width measurements are achieved without the need for fluoroscopy or foot maps. CONCLUSIONS: This method is readily understood and instituted by radiology technologists in the field.
PURPOSE: To develop a user-friendly method of achieving optimal radiographs for measurement of joint space width of the knee with minimal radiation exposure. In order to accomplish this the X-ray technologist must (1) be able to identify the anterior and posterior rims of the tibial plateau at a variety of X-ray head angles and (2) be able to choose the direction to adjust the head angle to get a better view based on the criteria for acceptable radiographs. METHODS: We have developed a training manual and materials to instruct investigators and radiology technologists in a method that uses a commercially available Plexiglas positioning frame (Synaflexer) and standard X-ray equipment to achieve optimal X-rays with regard to tibial plateau alignment of the knee. This should be accomplished with four or fewer radiographs. RESULTS: Optimized radiographs for joint space width measurements are achieved without the need for fluoroscopy or foot maps. CONCLUSIONS: This method is readily understood and instituted by radiology technologists in the field.
Authors: V B Kraus; G McDaniel; J L Huebner; T V Stabler; C F Pieper; S W Shipes; N A Petry; P S Low; J Shen; T A McNearney; P Mitchell Journal: Osteoarthritis Cartilage Date: 2016-04-12 Impact factor: 6.576
Authors: R B Souza; D Kumar; N Calixto; J Singh; J Schooler; K Subburaj; X Li; T M Link; S Majumdar Journal: Osteoarthritis Cartilage Date: 2014-04-30 Impact factor: 6.576
Authors: Deepak Kumar; Richard B Souza; Karupppasamy Subburaj; Toran D MacLeod; Justin Singh; Nathaniel E Calixto; Lorenzo Nardo; Thomas M Link; Xiaojuan Li; Nancy E Lane; Sharmila Majumdar Journal: Clin Orthop Relat Res Date: 2015-08 Impact factor: 4.176
Authors: D Kumar; D C Karampinos; T D MacLeod; W Lin; L Nardo; X Li; T M Link; S Majumdar; R B Souza Journal: Osteoarthritis Cartilage Date: 2013-12-20 Impact factor: 6.576
Authors: Felix Eckstein; Wolfgang Wirth; Martin I Hudelmaier; Susanne Maschek; Wolfgang Hitzl; Bradley T Wyman; Michael Nevitt; Marie-Pierre Hellio Le Graverand; David Hunter Journal: Arthritis Res Ther Date: 2009-06-17 Impact factor: 5.156