Knee (Beclere method intercondylar view)

Changed by Andrew Murphy, 3 Mar 2018

Updates to Article Attributes

Body was changed:

The Beclere method intercondylar view is an additional projection of the knee, used to better examine the tibial plateau and femoral intercondylar spaces. It is anecdotally known as a 'notch view'

Patient position

  • patient is supine on the table with the knee flexed 40 degrees 
  • image receptor is placed under the flexed knee slightly more superior than that of the AP projection 

Technical factors

  • axial projection
  • centring point
    • central ray is angled to align perpendicular to the tibia central to 1.5 cm distal of the apex of the patella
  • collimation
    • superior to include the distal femur
    • inferior to include the proximal tibia/fibula
    • lateral to include the skin margin 
    • medial to include medial skin margin
  • orientation
    • portrait
  • detector size
    • 24 cm x 30 cm
  • exposure
    • 60-70 kVp
    • 7-10 mAs
  • SID
    • 100 cm
  • grid
    • no

Image technical evaluation

  • tibial plateau should be free from any superimposition
  • femoral condyles should be free from superimposition with the intercondylar fossa in profile, giving the appearance of a 'notch'

Practical points

  • ensure before carrying out x-ray the image receptor is superior enough to contain the image
  • -<strong>centring point</strong><ul><li>central ray is angled to align perpendicular to the tibia central to 1.5 cm distal of the apex of the patella </li></ul>
  • +<strong>centring point</strong><ul><li>central ray is angled to align perpendicular to the tibia central to 1.5 cm distal of the apex of the patella</li></ul>

References changed:

  • 1. John Lampignano, Leslie E. Kendrick. Bontrager's Textbook of Radiographic Positioning and Related Anatomy. (2017) <a href="https://books.google.co.uk/books?vid=ISBN9780323399661">ISBN: 9780323399661</a><span class="ref_v4"></span>

Sections changed:

  • Radiography
Images Changes:

Image 1 X-ray (Notch view) ( create )

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