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POSITIONING > FEMUR & PELVIC GIRDLE > Flashcards

FEMUR & PELVIC GIRDLE Flashcards

1
Q

The angle of the neck to the shaft of the proximal femur on an average adult is approximately ____-

A

125 degrees

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2
Q

The angle of the neck to the shaft of the proximal femur on an average adult is approximately ____-

A

125 degrees

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3
Q

Another word for innominate bones

A

oss coxae

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4
Q

The two important positioning landmarks of the femur & pelvic girdle are

A

iliac crest & ASIS

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5
Q

_____ pelvis is more Narrower, deeper,
less flared

A

male

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6
Q

_____ pelvis is more Narrower, deeper,
less flared

A

female

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7
Q

What is the angle of the pubic arch of the male pelvis

A

Acute angle (<90°)

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8
Q

What is the angle of the pubic arch of the female pelvis

A

Obtuse angle (>90°)

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9
Q

What is the shape of the inlet of the male pelvis

A

More oval or heart-shaped

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10
Q

what is the shape of the inlet of the female pelvis?

A

Rounder, larger

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11
Q

What is the desired position to visualize pelvis & hips?

A

15° to 20° medial rotation

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12
Q

In this rotation:
- Long axes of feet and lower limbs equally rotated laterally
in a normal relaxed position
* Femoral necks greatly foreshortened
* Lesser trochanters visible in profile internally

A

External rotation

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13
Q

This is for detection and evaluation of fractures and/or bone lesions.

A

AP PROJECTION: FEMUR—MID- AND DISTAL

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14
Q

Rotate leg internally about _____° for a true AP, as for an AP knee

A

5

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15
Q

What is the placement of the CR in AP projection of the femur-mid- and distal

A

CR is perpendicular to femur and IR.

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16
Q

This projection/position is for the Mid- and distal femur, including the knee joint for detection and evaluation of fractures and/or bone lesions.

A

LATERAL-MEDIOLATERAL OR LATEROMEDIAL PROJECTIONS:
FEMUR—MID- AND DISTAL

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17
Q

For the LATERAL-MEDIOLATERAL OR LATEROMEDIAL PROJECTIONS:
FEMUR—MID- AND DISTAL, you should not attempt this position if patient has severe trauma.

A

Lateral recumbent

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18
Q

For the lateral recumbent position in femur, what is the angle of degree for flexing the knee?

A

Flex knee approximately 45° with patient on affected side

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19
Q

What is the placement of the CR in Lateral femur?

A

CR perpendicular to femur and IR directed to midpoint of IR

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20
Q

Do not attempt this position for
patients with possible fracture of the hip or proximal femur

A

LATERAL-MEDIOLATERAL PROJECTION: FEMUR—MID- AND PROXIMAL

21
Q

This is for Fractures, joint dislocations, degenerative disease, and bone lesion

A

AP PELVIS PROJECTION (BILATERAL HIPS): PELVIS

22
Q

What is the rotation of the long axes of the feet in the AP pelvis projection (bilateral hips)

A

internally rotate long axes of feet
and lower limbs 15° to 20°

23
Q

What is the placement of the CR in AP pelvis projection?

A

CR is perpendicular to IR, directed midway between level of ASIS
and the symphysis pubis

24
Q

What is the other term forAP BILATERAL FROG-LEG PROJECTION: PELVIS?

A

Modified cleaves method

25
Q

What is the warning for trying the Modified cleaves method?

A

Do not attempt this position on a patient with destructive hip disease or with potential hip fracture or dislocation.

26
Q

Demonstration of a nontrauma hip
* Developmental dysplasia of hip (DDH),
also known as congenital hip dislocation
(CHD).

A

AP BILATERAL FROG-LEG PROJECTION: PELVIS

27
Q

What is the abduction degree in AP bilateral frog?

A

abduct both femora 40° to 45° from vertical

28
Q

What is the placement of the CR in AP bilateral frog-leg

A

CR is perpendicular to IR, directed to a point 3 inches (7.5 cm) below level of ASIS

29
Q

Another term for Taylor Method

A

AP AXIAL OUTLET PROJECTION*
(FOR ANTERIOR-INFERIOR PELVIC BONES): PELVIS

30
Q

What is the degree of the CR for the Taylor Method?

A

Angle CR cephalad 20° to 35° for males and 30° to 45° for females

31
Q

Assessment of pelvic trauma for posterior
displacement or inward or outward rotation of the anterior pelvis

A

AP AXIAL INLET PROJECTION*: PELVIS

32
Q

What is the degree of CR in the AP AXIAL INLET PROJECTION*: PELVIS

A

Angle CR caudad 40°

33
Q

Another term for PO Pelvis - acetabulum

A

Judet Method

34
Q

What is the degree of the part position in PO Pelvis - acetabulum?

A

Place patient in 45° posterior oblique, with both pelvis and
thorax 45° from tabletop

35
Q

When the anatomy is downside in PO pelvis acetabulum, what is the placement of the CR?

A

direct CR perpendicular and centered to 2 inches (5 cm) distal and 2 inches (5 cm)
medial to downside ASIS

36
Q

When the anatomy is upside in PO pelvis acetabulum, what is the placement of the CR?

A

direct perpendicular and centered to 2 inches (5 cm) directly distal to upside ASIS

37
Q

What is another term for PA AXIAL OBLIQUE PROJECTION–ACETABULUM

A

Teuful Method

38
Q

What is the degree of the patient in teuful method?

A

Place patient in 35° to 40° anterior oblique

39
Q

What is the degree of the CR in the Teuful method?

A

12 degree cephalad

40
Q

What is the placement of the CR in the Teuful Method

A

When anatomy of interest is downside, direct CR perpendicular and centered to 1 inch (2.5 cm) superior to the level of the greater trochanter, approximately 2 inches (5 cm) lateral to the midsagittal plane

41
Q

This is for:
Postoperative or follow-up examination to
demonstrate the acetabulum, femoral head,
neck, and greater trochanter.
* Evaluate condition and placement of any
existing orthopedic appliance.

A

AP UNILATERAL HIP PROJECTION: HIP AND PROXIMAL FEMUR

42
Q

What is the degree of rotation of the affected leg in AP UNILATERAL HIP PROJECTION: HIP AND PROXIMAL FEMUR?

A

rotate leg internally 15-20 degrees

43
Q

What is the placement of the CR in AP UNILATERAL HIP PROJECTION: HIP AND PROXIMAL FEMUR

A

CR is perpendicular to IR, directed to 1 to 2 inches (2.5 to 5 cm) distal to midfemoral neck (to include all orthopedic appliance of the hip, if present

44
Q

Another term for AXIOLATERAL INFEROSUPERIOR PROJECTION: HIP AND PROXIMAL FEMUR—TRAUMA

A

Danelius-Miller Method

45
Q

What is the warning for the Danelius-Miller Method?

A

Do not attempt to rotate leg internally on initial trauma examination

46
Q

What is the placement of the CR in the Danelius-Miller Method?

A

CR is perpendicular to femoral neck and to IR

47
Q

What is another term for the CR is perpendicular to femoral neck and to IR

A

CLEMENTS-NAKAYAMA METHOD

48
Q

What is the placement of the CR in CLEMENTS-NAKAYAMA METHOD?

A

Angle CR mediolaterally as needed so that it is perpendicular to
and centered to femoral neck. It should be angled posteriorly 15°
to 20° from horizontal.

POSITIONING (5 decks)

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