Pelvic Girdle Flashcards
_________ and ___________ recommended Two AP projections of the pelvis for demonstration of the relationship of the femoral head and the acetabulum
in patient with congenital hip dislocation
Martz and Taylor
Shows a lateral radiograph of the lumbosacral
junction, sacrum, coccyx, and superimposed hip bones and upper femora
lateral projection right or left position
This method was devised for the purpose of measuring the horizontal, or bi-ischial, diameter in pelvimetry.
Some radiographers use this method to determine the relationship of the femoral head to the acetabulum, and others employ it to demonstrate the opacified recto sigmoid portion of the colon
axial projection - chassard lapine method
shows an axial projection of the pelvis, demonstrating the relationship between the femoral heads and the acetabula, the pelvic bones, and any opacified structure within the pelvis
axial projection - chassard lapine method
shows an AP oblique projection of the femoral heads, necks, and trochanteric areas projected onto one radiograph for comparison
ap oblique projection - modified cleaves method
Shows an axiolateral projection of the femoral heads, necks, and trochanteric areas.
Contraindicated for patient with suspected fracture or pathologic condititon
axiolateral projection - original cleaves method
these methods are used to demonstrate the hip joint
and the relationship of the femoral head to the acetabulum
Show a lateral projection of the hip, including the
acetabulum, the proximal end of the femur, and the
relationship of the femoral head to the acetabulum
lateral projection mediolateral - Lauenstein and Hickey methods
When the patient has bilateral hip fractures, bilateral hip arthroplasty (plastic surgery of the hip joints), or limitation of movement of the unaffected leg, the Danelius-Miller method cannot be used.
axiolateral projection - clements nakayama modification
they described a modification using a 15 degree posterior angulation of central ray
clements and nakayama
This leg position demonstrates a lateral hip image because the central ray is angled 15 degrees posterior instead of the toes being medially rotated
This also shows the acetabulum and the proximal femur, inc. the head, neck, and trochanters in lateral profile
axiolateral projection - clements nakayama modification
Shows the fovea capitis and particularly the supero-posteriorb wall of the acetabulum
PA axial oblique projection - Teufel method RAO or LAO position
Described as two 45-degree posterior oblique positions that are useful in diagnosing fracture of the acetabulum: the internal oblique position (affected side up) and the external
oblique position (affected side down).
AP oblique projection acetabulum judet method - RPO or LPO position
Shows a PA projection of the pubic symphysis and
ischia, including the obturator foramina.
PA projection - anterior pelvic bone
shows the rami without the foreshortening seen in a PA or AP projection (due to the CR more perpendicular to the rami)
AP axial outlet projection - taylor method
Shows a PA axial projection of the pubic and ischial bones and the pubic symphysis.
The appearance of this radiograph will be nearly identical to the supero-inferior axial projection discussed previously.
PA axial inlet projection staunig method