Total Knee Tips & Pearls From Dr. Adam Rosen (A Virtual Total Knee Fellowship Podcast)

Rosenberg View

Dr. Adam Rosen Season 4 Episode 23

The Forty-five-Degree Posteroanterior Flexion Weight-Bearing Radiograph of the Knee

Thomas Rosenberg, Lonnie Paulos, Richard Parker, David Coward, Steven Scott

JBJS 1988

PA x-ray with the knee in 45 degrees of flexion and the patella touching the cassette. The beam is aimed at the inferior pole of the patella and aimed 10 degrees caudad,

55 patients in 1981-1982 (age 19-70)

Major narrowing in the medial compartment
AP xray - 25%
Rosenberg - 85%
Major narrowing in the lateral compartment
AP xray - 30%
Rosenberg - 80%

Additional advantage of identifying osteophytes in the notch, loose bodies, OCD and SONK

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