Module 8 Pelvis And Hips Flashcards
PELVIC GIRDLE
Composed of right and left hip bones AKA =
- Os coxae
- Innominate bones
A S I S
Anterior Superior Iliac Spine
A I I S
Anterior Inferior Iliac Spine
P S I S
Posterior Superior Iliac Spine
ARTICULATIONS RELATED TO THE PELVIS
- Hips
- Pubic symphysis
- Sacroilliac Joints
HIP JOINT CLASSIFICATION
- Synovial diarthrosis joint classification, ball and socket joint
PUBIC SYMPHYSIS CLASSIFICATION
Cartilaginous amphiarthosis classification
SACRO ILIAC JOINT CLASSIFICATION
Synarthroses or Amphiarthoses
MALE PELVIS FEATURE
Shape=. Narrow and deep
Body structure = Heavy
Pelvic inlet. =. Round
Pelvic outlet =. Narrow
Pubic Arch =. Less than 90 deg
FEMALE PELVIS FEATURE
Shape=. Wide , shallow
Bony Structure=. Light
Pelvic inlet=. Oval
Pelvic outlet = Wide
Pubic arch. = Greater than 90 deg
AP PELVIS PROJECTION
- Patient supine with MSP centred to midline of table
- Centre MSP with the centre f the grid
- Adjust shoulders to be in the same transverse plane
- Internally rotate feet15-20 deg
- CR. I’d point of IR
AP PELVIS STRUCTURES DEMONSTRATED
- Entire pelvis along with proximal femora
- Greater trochanter sin profile
- Lesser trochanters if seen must be demonstrated on the medial border of femora
AP PELVIC OUTLET PROJECTION
Demonstrates fractures of the pubis and ischium
- Patient supine with legs extended
- Align MSP to CR and to the midline of table
- Ensure No rotation of pelvis
- CR 20-35 deg cephalad for males and 30-45 for females 3-5 cm distal to the superior border of symphysis pubis
AP PELVIC OUTLET PROJECTION STRUCTURES DEMONSTRATED
Superior and inferior rami of pubes and body and ramus of ischium with minimal foreshortening or superimposition
AP AXIAL PELVIC INLET PROJECTION
= Provides assessment of pelvic trauma for posterior displacement or inward or outward rotation of the anterior pelvis
- Position patient supine with legs extended
- Align MSP to CR and to midline of the table with No rotation of pelvis
- CR 40 deg caudal at the level of ASIS