Hips
AP
IR Size: 10x12 Bucky (longer for appliances)
SID: 40''
Page #'s: 1:346,128

Positioning:
  • =Pt supine
  • (If no suspected Fx) Medially rotate limb 15°-20°

CR Entrance & Angle:
  • _|_ femoral neck (2.5'' distal from line of ASIS & pubic sym.)
  •

Collimation:
  •

Eval Criteria:
  • Femoral neck & greater trochanter in profile
  • SI of Less Trochanter over Proximal 1/3 of Femur
  • Femoral head, penetrated & seen through the acetabulum
  • Regions of the ilium & pubic bones adjoining the pubic symphysis
  • Entire long axis of the femoral neck not foreshortened
  • Proximal one third of the femur
  • Any orthopedic appliance in its entirety

Lateral (ML) (Lauenstein & Hickey) ((Frog))
IR Size: 10x12 Bucky CW (longer for appliances)
SID: 40''
Page #'s: 1:348,130

Positioning:
  • =Pt supine
  • Hip & knee Flexed, foot rest against opposite extended knee
  • Slightly oblique pt to get knee || to table

CR Entrance & Angle:
  • Lauenstein _|_ hip joint (1/2 way ASIS&pubic sym.); Hickey 20°-25° cephalad to hip joint
  •

Collimation:
  •

Best to Determine:
  • Hip joint & relation of femoral head to acetabulum

Eval Criteria:
  • Lauenstein-femoral neck SI greater notch
  • Hickey-fem neck free of SI
  • Hip joint centered
  • Femoral neck overlapped by the greater trochanter in the Lauenstein method

Axiolateral Projection (Danelius-Miller) (Cross-table hip)
IR Size: 10x12 _|_ with table
SID: 40''
Page #'s: 1:350,132

Positioning:
  • Commonly used if possible hip Fx
  • =Pt supine
  • Flex unaffected hip and knee & place on support
  • IR upper border in crease of iliac crest.

CR Entrance & Angle:
  • _|_ long axis of femoral neck
  •

Collimation:
  •

Eval Criteria:
  • Hip joint with acetabulum
  • Ischial tuberosity below femoral head
  • NO SI of Femoral neck with the greater trochanter
  • Small amount of the lesser trochanter on the posterior surface of the femur
  • Small amount of greater trochanter on anterior & posterior surfaces of proximal femur when the femur is properly inverted
  • ST shadow of unaffected thigh not SI over hip joint or proximal femur