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
|
|