Knee X ray teaching
- introduce self
- check student's identity and level of experience
- ensure patient (if applicable) is safe in department
- set learning objectives
- system for looking at knee X rays
- Script for presenting X-ray - patient details, projection, date
- Soft tissue
- on lateral view: effusion (fluid level?)
- peripatellar fat pads should sit next to each other
- Bony tissue
- Tibial plateau
- tibial spine/lateral tibial plateau avulsion fractures
- Segond fracture = pathognomonic for ACL tear
- Patella
- Femoral condyle - avulsion fractures
- Tibial plateau
- Alignment
- Tibiofemoral alignment: >5mm tibia outside line projected from lateral margin of the lateral femoral condyle = tibial plateau fracture
- summarise
- elicit questions
- signpost to further learning material