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Pelvis and Hip (115)

Part 2

QuestionAnswer
The________ are AP Oblique Projections (Posterior Oblique Positions) of the hip Judet Views
The Judet Views are mostly for looking at the? Acetabulum
The Internal/Obturator Oblique is performed Affected side up
External/Iliac Oblique is performed Affected side down
Internal/Obturator Oblique Procedure The affected side is elevated 45°, CR is perpendicular, entering 2 inches inferior to the ASIS of the elevated side
External/Iliac Oblique Procedure The affected side is down, meaning the Unaffected side is elevated 45° CR is perpendicular, entering at the pubic symphysis
An Internal/Obturator Oblique image is identified by • the rounded open obturator foramen. • The elevated hip will be oblique, making it look thinner with many lines going through the ala of the ilium.
An External/Iliac Oblique image is identified by •the “squished” obturator foramen •the wide flat ala of the ilium
For a Hip X-Ray, use 10 x 12 IR running parallel to body part • Table/wall bucky or free detector with grid • 40 inch SID
Hip X-Ray Breathing Instructions Suspended respiration
AP Hip Patient Position Supine, Medially rotate the lower limb 15 – 20°
AP Hip Image Criteria • Femoral neck is demonstrated without foreshortening • Femoral head, penetrated and seen through the acetabulum
Which X-Ray shows the greater trochanter in profile laterally with the Lesser trochanter superimposed by the femoral neck? AP Hip
Lateral Hip Patient Position • Flex the hip and knee of the affected side and draw the foot up as much as possible. • Abduct the thigh laterally approximately 45 degrees
Lateral Hip Image Criteria • Femoral neck partially foreshortened • Greater trochanter superimposed with femoral neck
Which X-Ray is the lesser trochanter in profile medially? Lateral Hip
What Position replaces lateral hip when the patients hip cannot be abducted? Axiolateral Hip: Danelius-Miller
Axiolateral Hip: Danelius-Miller Patient Position Elevate the unaffected leg on a suitable support so that the thigh is vertical rotate the affected lower limb 15 – 20° medially
Axiolateral Hip: Danelius-Miller CR Placement • Horizontal beam, angled medially until perpendicular to the femoral neck • Enters the groin area midway between the anterior and posterior surfaces of the upper thigh
What CR placement would you use when performing a hip X-Ray? Perpendicular through femoral neck
Axiolateral Inferosuperior Clements-Nakayama Patient Position • 10 x 12 IR, vertical and crosswise, placed along the iliac crest, parallel to the femoral neck • IR tilted away from patient about 15-20° • Patient supine
Axiolateral Inferosuperior Clements-Nakayama CR Placement • Horizontal beam, angled medially until perpendicular to the femoral neck • Also angled posteriorly 15-20° (matching tilt of IR) • Enters the groin area midway between the anterior and posterior surfaces of the upper thigh
Axiolateral Inferosuperior Clements-Nakayama is used instead of a Axiolateral Hip: Danelius-Miller when? when neither hip can be abducted
Axiolateral Hip Image Criteria • Greater trochanter superimposed with femoral shaft • Lesser trochanter in profile medially • Ischial tuberosity medial to the femoral head & neck
Which X-Ray demonstrates Femoral neck without foreshortening? Axiolateral Hip
Which X-Ray shows the Greater Trochanters in profile? AP Pelvis
The Hip Joint is? Synovial, Ball and Socket, Freely Moveable
The Pubic Symphysis Joint is? Cartilaginous, Symphysis, Slightly Moveable
The Sacroiliac Joint is? Synovial, Irregular Gliding, Slightly Moveable
The pelvic inlet and outlet are? Oblique Planes
The SI Joint is formed by the? Auricular surfaces of the sacrum and ilium
_______ is an ear-shaped, articulating surface on the sacrum and ilium SI Joint
Created by: user-2016295
 

 



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