Pelvic Flashcards
This projections is performed when both routine
lateral and axiolateral are contra-indicated when
patients has bilateral hip arthroplasty.
Axiolateral Projection
(Clements-Nakayama Modification)
Axiolateral: clements nakayama CR
CR 15° posteriorly and perpendicular to femoral
neck.
Friedman CR
35 deg cephalad to femoral neck
demonstrates posterior dislocation of the femoral
head in cases other than acute fracture dislocation
Projection and method
PA Oblique Projection (Hsieh Method)
Projection that is Commonly indicated for congenital hip disease
• Contraindicated in patients with suspected hip fractures
Frog leg bilateral
Ap oblique- modified cleaves
Best demonstrate fovea capitis particularly
superoposterior wall of the acetabulum
Teufel
Projection best demonstrate acetabulum
AP OBLIQUE - JUDET APPROACH
JUDET APPROACH
internal oblique (affected side-up)
• suspected fracture in __ column and posterior rim of __
iliopubic,acetabulum
external oblique (affected side-down)
• fracture in __ and ___ rim of acetabulum
ilioischial column
anterior
Teufel method CR
° cephalad through __ enters at
inferior level of coccyx at 2 inches lateral to msp
towards side being examined.
12 acetabulum
AP Oblique Projection / Modified Cleaves
Frog-leg Bilateral Projection
CR
MODIFIED:
Cr: Perpendicular to 1 inch superior to symphysis
pubis.
Modified:40 cepahalad
Should not be attempted with patients who have
acute hip injury because of the danger of fragment
displacement.
Lilienfeld
Projection of lilienfeld and collona
Mediolateral oblique
LilienfELd CR
CR – perpendicular to the midpoint of IR
CR – perpendicular midway between posterior
surface of iliac and dislocated femoral head
PA Oblique Projection (Hsieh Method)
RAO/LAO