4/16/2024 0 Comments Normal right hip xray![]() Bony texture: including trabecular lines of the femur that may indicate joint disruption.Cortical outline: identifying any bony fragments or fractures.Bones General approachĪssess the following characteristics of both the femur and visible pelvis: Not all hip fractures are visible on initial X-ray and follow-up cross-sectional imaging may be required if there is ongoing clinical concern. ![]() AlignmentĮnsure that the coccyx tip and pubic symphysis are in the midline. It is important to apply a systematic approach to the interpretation of any X-ray a commonly used approach with musculoskeletal imaging is ABCS:Įnsure the appropriate anatomy is visible within the borders of the image: usually above iliac crests to one-third down the femoral shaft. This view is often used in paediatric patients for pathologies such as slipped upper femoral epiphysis (SUFE) and developmental dysplasia of the hip (DDH). The lateral view has the patient lying supine in a frog-leg position the patient’s knees are flexed, with their hip abducted and externally rotated. The patient is either standing or supine, and usually, have both legs internally rotated so as not to obscure the femoral neck length. The AP view obtains a view of the whole pelvis, usually from the femoral shaft to above the ilium. There are two standard projections produced when a hip X-ray is performed: You might also be interested in our premium collection of 1,000+ ready-made OSCE Stations, including a range of radiology interpretation stations ✨ Views If previous radiographs are available, these should also be reviewed to provide a point of reference.
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