pelvic outlet & inlet view, acetabulum

Question 1

• Pt in supine
• Provides an excellent view of the bilateral pubis and ischium to assess pelvic fractures and displacements.
• 30-45 cephalad to 2” distal to the upper border of the Symphysis Pubis
• Demonstrates the pubic and ischial rami elongated and magnified but free of superimposition

Answer 1

AP AXIAL PROJECTION
TAYLOR METHOD
Female

Question 2

• Pt in supine
• Provides an excellent view of the bilateral pubis and ischium to assess pelvic fractures and displacements.
• 20-35 cephalad to 2” distal to the upper border of the Symphysis Pubis
• Demonstrates the pubic and ischial rami elongated and magnified but free of superimposition

Answer 2

AP AXIAL PROJECTION
TAYLOR METHOD
Male

Question 3

• Pt in supine
• CR 40 deg caudad to ASIS
• demonstrates an axial projection of the pelvic ring in its entirety

Answer 3

BRIDGEMAN METHOD

Question 4

perpendicular

Answer 4

Lilienfield

Question 5

35 deg cephalad

Answer 5

Staunig

Question 6

• Pt in semi prone position on the affected side
• Elevate affected side, so that anterior surface of the body forms 38 degrees angle from table
• CR 12° cephalad, inferior level of coccyx at 2 inches lateral to MSP towards side being examined
• demonstrate fovea capitis particularly superoposterior wall of the acetabulum

Answer 6

PA AXIAL OBLIQUE PROJECTION
TEUFEL METHOD

Question 7

• Patient in semi supine position
• Anterior surface of the body forms a 45 Deg angle from the table.
• CR: ⊥to 2 inches inferior to ASIS

Answer 7

AP OBLIQUE PROJECTION
JUDET METHOD

Question 8

• Suspected fracture in iliopubic column and posterior rim of acetabulum.
• Obturator foramen visualized.

Answer 8

INTERNAL OBLIQUE (Affected Hip Up)

Question 9

• Fracture in ilioischial column and anterior rim of acetabulum.
• Iliac wing

Answer 9

EXTERNAL OBLIQUE (Affected Hip Down)