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Chapter 8

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
The longest and strongest bone in the entire body is?   show
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The proximal femur consists of four essential parts, what are they?   show
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The head of the femur is rounded and smooth for articulation with the hip bones. Near the center is a depression or pit called?   show
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show Body and ramus  
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The greater trochanter is located?   show
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show The junction where trochanters are joined posteriorly.  
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show 125 degrees with a + or - variance of 15 degrees  
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show 110 - 115 degrees  
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show 10 degrees  
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the head and neck of the femure is angled how many degrees anteriorly in relation to the shaft?   show
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show A 15 - 20 degree internal rotation of the femur and leg.  
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PELVIS: The pelvis consists of four bones, what are they?   show
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show Two. The right and the left hip bone.  
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show Ilium, ischium and pubis.  
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The ilium, ischium and pubis are seperate bones in children but fuse together during middle teens. This are of fusion is called?   show
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The acetabulum is a deep, cup-shaped cavity that accepts the head of the femur to form what?   show
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show The iliac crest, the ala or wings, the Anterior Superior Iliac Spine (ASIS), the Posterior Superior Iliac Spine (PSIS), the anterior inferior iliac spine, the posterior inferior iliac spine, the greater sciatic notch and about 2/5 of the acetabulum.  
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show The body, the ischial tuberosity, the ischial spine, the lesser sciatic notch and the ramus of the ischium.  
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The pubis consists of?   show
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A plane through the brim of the pelvis divides the pelvic area into how many cavities?   show
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The lower abdominal organs as well as the fetus rest on the floor of?   show
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The lesser or true pelvis forms what?   show
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During delivery the baby's head first travels?   show
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show Ultrasound, sonography  
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show Narrower, deeper, less flared. Acute angle (<90) is more oval or heart-shaped  
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show Wider, more shallow, more flared obtuse angle (>90) more round, larger  
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What classification and mobility type is the sacroiliac joint?   show
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show Cartligenous; amphiarthrodial  
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What classification and mobility type is the union of acetabulum?   show
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What classification, mobility type and movement type is the hip joint?   show
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Calcification of anterior longitudinal ligament of the spinal column. Also known as "bamboo spine" is?   show
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show Chondrosarcoma  
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show Developmental Dysplasia of the Hip.  
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show at birth  
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Avusion fractures occur?   show
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Common aseptic or ischemic necrosis. Legions usually involve only one hip. Predominately occurs in boys 10 -15 years of age.   show
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Maligancy spread through circulatory or lymphatic systems. Common metastatic sites are the skull, spine, ribs, pelvis.   show
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SCFE stands for?   show
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show 10 - 16 year olds during rapid growth period.  
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With SCFE the epiphysis appears ? and the epiphyseal plate appears ?   show
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show To place femoral neck parallel to the film.  
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show The ilium, ischium and pubis  
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show The ischial spine  
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Which bone of the pelvic girdle forms the anterior inferior aspect?   show
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The symphysis pubis provides limited movement only?   show
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The two bony landmarks that are palpated for hip localization are?   show
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Using the ASIS and symphysis pubis landmarks, the femoral head can be located?   show
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show Inferior border of the pubis.  
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show Avascular necrosis or proximal femur hip fractures.  
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show Will increase the dose by about 30%  
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Which ionization chamber in an AEC system should be selected for an AP projection of the hip?   show
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show Midway between ASISs and symphysis pubis  
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show 40 to 45 degrees.  
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AP Bilateral "Frog-Leg" Projection is also known as?   show
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What position best demonstrates the superior and posterior rim of the acetabulum?   show
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show Axiolateral/inferosuperior projection (Danelius-Miller Method)  
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show The Taylor Method  
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show The Judet Method  
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show Teufel Method  
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show Danelius Miller Method  
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show Clements - Nakayama Method. ( Katie's NACHO MAMA Method)  
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show 20 to 35 degree cephalad  
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show 25 to 30 degrees  
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Ture or False: The RAO position for the SI joint will demonstrate the right joint?   show
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show False. Requires 34 to 40 degree obliquity.  
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Only a small part, if any, of the lesser trochanter will be visible on a well postitioned axiolateral (inferosuperior) lateral hip.   show
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show Modified axiolateral (Clements-Nakayama Method)  
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The proper name method for the unilateral frog - leg projection is the?   show
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True or False: the male pelvis is more round than a female   show
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True or False: The pubic arch of the female is usually less than 90 degrees?   show
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show Nothing. Accept the radiograph and do not repeat.  
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show left rotation  
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show angle CR 20 to 25 degree cephalad  
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A radiograph of axiolateral projection of the hip reveals soft tissue seen across the affected hip. Artifact prevents clear view of femoral head and neck. What must the tech do to eliminate this artifact?   show
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A radiograph of an LPO projection for SI joints reveals that the ilium is superimposed over the involved SI joint. What type of positioning error is present?   show
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show Keep cassette perpendicular to CR.  
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show AP Pelvis  
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A non-trauma patient comes to radiology with history of chronic pain of the right hip. The patient is ambulatory and hasn't had previous radiographs taken. What routine would be best suited for this patient?   show
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True or False: Generally gonadal shielding for females cannot be used for either an AP hip or an AP pelvis due to the probability of covering pertinent anatomy.   show
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show True  
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show True  
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show Rotation of pelvis  
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A patient enters ER with a possible separation of the symphysis pubis due to trauma. The AP pelvis is inconclusive for determining the extent of the injury. What other projection can be taken to evalate this region?   show
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Request for right hip study. the patient is from extended care facility confused about cause of injury. An AP pelvis is taken, the lateral frog-leg causes severe pain. What other projection can be preformed instead of lateral frog-leg?   show
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show AP Pelvis and the modified axiolateral inferosuperior projection for both hips. Also known as the Clements-Nakayama Method.  
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show Symphysis pubis  
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show ossa coxae and innominate bones  
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show Ischial tuberosity  
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The upper margin of the greater trochanter is approximately how far above the level of the superior border of the symphysis pubis?   show
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show 1 1/2 to 2 inches below  
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show the brim of pelvis or pelvic rim  
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show nuclear medicine  
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show congenital dislocation  
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show pelvic ring fracture  
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show Compensating filter  
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show A CT Scan  
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show True  
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Which ionization chamber(+s) should be used when using AEC for an AP pelvis projection   show
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show rotation toward the left side.  
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show rotation of pelvis toward the right side  
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Is Danelius-Miller Method for Trauma or non-trauma?(axiolateral/inferosuperior hip)   show
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Is Unilateral frog-leg trauma or non trauma? (Lauenstein/Hickey Method or Modified Cleaves Method)   show
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show non-trauma  
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show trauma  
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show trauma  
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What projection is recommended to demonstrate the superoposterior wall of the acetabulum?   show
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How many degrees are the femurs abducted (from vertical plane) for the bilateral frog-leg (modified cleaves method)?   show
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show mid femoral neck  
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show 14 x 17 crosswise  
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Where is central ray placed for AP bilateral frog leg projection?   show
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What CR angle is required for the "outlet" projection (Taylor Method) for a female patient?   show
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show Acetabulum fracture  
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show 45 degrees  
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What type of CR angle is used for a PA axial oblique (Teufel) projection?   show
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show PA 35 to 40 degree toward affected side  
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show True  
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show Traumatic  
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How is the unaffected leg positioned for the axiolateral hip projection?   show
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do you use gonadal shielding on the male patient during an axiolateral (inferosuperior) projection of the hip?   show
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show True  
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The modified axiolateral requires the CR angle to be?   show
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show Judet Method, posterior oblique projections of acetabulum  
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What CR angle is used for the Judet method?   show
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show AP axial outlet projection, Taylor Method  
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Another name for Axiolateral (inferosuperior)   show
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show Clements-Nakayama Method  
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show Modified Cleaves Method Unilateral is also called Modified Lauenstein/Hickey Method  
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show Teufel Method  
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Another name for the AP axial "outlet" projection?   show
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Another name for the Posterior oblique for acetabulum?   show
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show 20 to 30 degrees from vertical  
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True or False: The Lauenstein/Hickey method for the unilateral frog-leg will produce distortion of the femoral neck?   show
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show 15 degree from vertical  
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True or False: Gonadal shielding can be used for males for the axiolateral/inferosuperior projection of the hip?   show
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An AP pelvis reveals the lesser trochanters are seen on the medial side of the femur. Which positioning modification needs to be made to prevent this positioning error?   show
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An axiolateral/inferosuperior projection reveals the posterior aspect of the acetabulum and femoral head were cut off. What needs to be done on the repeat exam to better define this region?   show
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show The CR angle for females is 30 to 45 degrees cephalad. 20 to 30 degrees is for a male patient  
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show PA Axial Oblique (Teufel Method) or the Posterior Oblique (Judet Method)  
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A radiograph from a modified axiolateral projection reveals excessive grid lineso n the image which also appears underexposed. What can be done to avoid this problem during the repeat exposure?   show
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A patient with hip pain from a fall enters ER. the physician orders a left hip study. When moved to the radiographic table, the patient complains very loudly about pain in hip. Which positioning routine should be used on this patient?   show
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A young patient comes to the radiology department with chronic pain near the ASIS. She is an active athlete who was injured running hurdles. Her physician suspects avulsion fracture. Which position may best diagnose this condition? Will kV change?   show
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A technologist notices that his AP pelvis projections often demonstrate a moderate degree of rotation. What positioning technique can he/she perform to eliminate rotation of the AP pelvis projections?   show
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show AP Pelvis and bilateral frog-leg (Modified Cleaves Method).  
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How many of the hip/pelvis projections require CR angle? Which ones?   show
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Teufel Method (PA Axial Oblique) CR angle is?   show
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show 20 to 35 degree cephalad for male, 30 to 45 degree cephalad for female  
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AP Axial "Inlet" CR angle is?   show
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show posteriorly 15 to 20 degrees from horizontal.  
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Body Angles: Unilateral Frog Leg (Modified Lauenstein/Hickey Method). Angle leg   show
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Body Angles: Teufel Method (PA Axial Oblique) body angle is?   show
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show 45 degree posterior oblique, affected side up.  
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Body Angles: Modified Cleaves Method (Bilateral Frog Leg) body angle is?   show
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Body Angles: AP Pelvis   show
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show Modified Cleaves Method  
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AP Axial "outlet" projection: Pelvis is also called?   show
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Posterior Oblique Pelvis-Acetabulum is also called?   show
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show The Teufel Method  
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Axiolateral Inferosuperior Projection: Hip and proximal femur-trauma is also called?   show
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show Modified Cleaves Method  
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Modified Axiolateral-Possible Trauma Projection: Hip and proximal femur is also called?   show
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Created by: Baker RAD 2012
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