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Pelvis and Upper Femora Flashcards

1
Q

Rotate feet and lower limb 15-20deg medially to place femoral neck parallel to plane

A

AP Recumbent of Pelvis
AP Hips
Axiolat Hips (Danelius Miller)

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2
Q

RP: MP of cxt 2” below ASIS and 2” above SP/ upper edge of cxt

A

AP Rec of pelvis

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3
Q

Demo frontal view of pelvic head, neck, trochanters, prox one third and one fourth shaft of femora

A

AP Rec pelvis

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4
Q

Recommended 2 AP proj to demo relationship of femoral head and acetabulum

A

Martz and Taylor (Pelvis)

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5
Q

Martz and Taylor CRD and Objective

A

1st proj- CR perp SP to demo lat and superior displacement of femoral head

2nd proj- CR 45 cranial: SP to demo anterior displaced femoral head above acetabulum and posteriorly displaced head below acetabulum

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6
Q

Why should LE be extended in lateral recumbent proj of pelvis?

A

To prevent femora to superimpose with pubic arch

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7
Q

CRD: (v)- 36-40”- MCP 2” above greater trochanter- MP- CXT

A

Lateral recumbent proj (Upright) of Pelvis

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8
Q

Demo lat lumbosacral jt, sacrum, coccyx, upper femora, and superimposed hip jt

A

Lateral recumbent proj (Upright) of Pelvis

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9
Q

Recommended dorsal decubitus (pelvis) to demo gull wing sign

A

Berkebile, Fischer, Albrecht

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10
Q

Vertical axis of pelvis 45deg forward

A

Chassard-Lapine Method (Axial Proj)

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11
Q

14x17- BD/ top RT- CW- MP- level- both greater trochanters

A

Chassard-Lapine Method (Axial Proj)

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12
Q

Perp- 36-40”- lumbosacral region- level GT

A

Chassard-Lapine Method (Axial Proj) of Femoral Neck

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13
Q

Demo axial img- pelvis, relationship bn femoral heads and acetabulum and pelvic bones

A

Chassard-Lapine Method (Axial Proj)

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14
Q

Est. draw a line bn ASIS and PS, and est 2 1/2 distal

A

AP Hips

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15
Q

Demo head, neck, trochanter, and prox 1/3 of body of femur

A

AP Hips

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16
Q

AP Hips
For trauma pts, perform —

A

bedside radphy

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17
Q

Abduct thighs approx 25-45 deg from vertical to place LA of femoral neck // to IR

A

APO Proj of Femoral Neck
Modified Cleaves Method (Bilat Frog Leg Position)

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18
Q

RP: 1” above SP

A

APO Proj of Femoral Neck
Modified Cleaves Method (Bilat Frog Leg Position)

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19
Q

Abduct thigh approx 45deg from lat

A

APO Proj of Femoral Neck
Modified Cleaves Method (Unilateral)

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20
Q

RP: Affected femoral neck

A

APO Proj of Femoral Neck
Modified Cleaves Method (Unilateral)

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20
Q

Demo bilat oblique image of femoral head, neck, and trochanters

A

APO Proj of Femoral Neck
Modified Cleaves Method (Bilat Frog Leg Position)

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21
Q

CRD // with femoral shafts (25-45dg angulation)

A

Axiolateral Proj of Femoral neck (Original Cleaves Method)

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22
Q

Reco taking a bilateral hip proj with both legs forcibly abducted to at least 45deg with inward rotation of the femora

A

Andren and von Rosen

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23
Q

Described the construction of a device that controlled the degree of abduction and rotation of both limbs.

A

Knake and Kuhns

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24
Congenital dislocation of the hip
1. Andren and von Rosen 2. Knake and Kuhns
25
BO: 38deg
Teufel Method PAO Axial Proj (RAO/ LAO Posn) of Acetabulum
26
CRD: Cephalad 12deg- enter inferior- level of coccyx and 2" lat- MSP- dep hip jt
Teufel Method PAO Axial Proj (RAO/ LAO Posn) of Acetabulum
27
Reqt: 2 45deg posterior oblique posn to diagnose acetabular fx
Judet Method APO Proj (RPO/ LPO Posn) of Acetabulum
28
Judet Method APO Proj (RPO/ LPO Posn) of Acetabulum Internal Oblique vs External Oblique
IO: - affected part: elevated side - elevated hip- coincide- MP- IR - CRD perp- 36-40"- enter 2" inferior to ASIS of affected side EO: - affected part: dependent side - dep hip- coincide- MP- IR - CRD perp- 36-40"- enter pubic symphysis- MP- IR
29
Demo acetabular rim
Judet Method APO Proj (RPO/ LPO Posn) of Acetabulum
30
Pt- lat side- RT; limbs hanging; knees in contact- edge RT
Dunlap, Swanson, Penner Method Superoinferior Oblique Proj of Acetabulum
31
1st expo: MSP- coincide- 1st longit half- IR 2nd expo: MSP- coincide- 2nd longit half- IR
Dunlap, Swanson, Penner Method Superoinferior Oblique Proj of Acetabulum
32
CRD 30deg medial- 36-40"- iliac crest- MP of 1st/2nd half- IR
Dunlap, Swanson, Penner Method Superoinferior Oblique Proj of Acetabulum
33
Demo acetabula in profile projected at right angle to the relationship of femoral head and acetabulum
Dunlap, Swanson, Penner Method Superoinferior Oblique Proj of Acetabulum
34
Dunlap, Swanson, Penner Method Superoinferior Oblique Proj of Acetabulum Acetabula forms
35 deg with sagittal plane for adults 32deg for children
35
Unaffected side obliquity: 40deg
AP and PA Oblique Proj of Ilium
36
AP and PA Oblique Proj of Ilium Dependent side: Affected or elevated?
Affected side
37
Demo unobstructed image of ala, sciatic notch, profile image of acetabulum
AP and PA Oblique Proj of Ilium
38
CRD Perp through hip jt
Lauenstein Lauenstein and Hickey Method Lat Proj Hips (Mediolat)
39
CRD Perp through hip jt
Lauenstein Lauenstein and Hickey Method Lat Proj Hips (Mediolat)
40
CRD 20-25 cephalic
Hickey Lauenstein and Hickey Method Lat Proj Hips (Mediolat)
41
IR Upper border: crease above iliac crest IR Lower border: away from body, // w LA of femoral neck
Lauenstein and Hickey Method Lat Proj Hips (Mediolat)
42
CRD Perp to LA of femoral neck- enter midthigh- pass femoral neck 2 1/2" below intersection of localization lines
Lauenstein and Hickey Method Lat Proj Hips (Mediolat)
43
Pt- supine- affected side near edge of RT
Axiolateral of Hip Clements-Nakayama Modification
44
IR- //- femoral neck axis; top- 15deg titled back
Axiolateral of Hip Clements-Nakayama Modification
45
CRD 15deg posterior
Axiolateral of Hip Clements-Nakayama Modification
46
Bilat hip fx, bilat hip arthroplasty, limitation of movement of unaffected leg
Axiolateral of Hip Clements-Nakayama Modification
47
Pt- lat rec on affected side affected limb extended on true lat posn opp limb rolled approx 10deg posteriorly, knee supported
Axiolateral Hips Friedman Method
48
CRD 35deg cephalad- femoral neck
Axiolateral Hips Friedman Method
49
Demo moderately distorted femoral head, neck, and trochanters
Axiolateral Hips Friedman Method
50
15-20deg cephalad crd
Axiolateral Hips Kisch Recommendation
51
Demo posterior dislocation of femoral heads
PAO Hips Hsieh Method
52
Unaffected side 40-45 deg
PAO Hips Hsieh Method
53
Posterior surface of affected iliac bone over midline of IR
PAO Hips Hsieh Method
54
10x12 BD- level of superior border of GT- MP- IR
PAO Hips Hsieh Method
55
Demo posterior rim of acetabulum im acute fx-dislocatiom injuries of hip
PAO Hips Urist Recommendation (AP Proj, Pos Oblique Posn)
56
BO: 60deg
PAO Hips Urist Recommendation (AP Proj, Pos Oblique Posn)
57
PAO Hips Hsieh Method vs Urist Reco CRD
Hsieh: Perp- MP- IR- pass bn iliac blade posterior surface and dislocated femoral head Urist: Perp- midline- IR
58
BO: 15deg
Mediolat Oblique Hips Lilienfeld Method
59
Demo mediolat oblique proj of ilium, acetabulum, and prox femur
Mediolat Oblique Hips Lilienfeld Method
60
Lilienfeld vs Colonna Method
Lilienfeld - lat rec on affected side - upper side (unaffected): 15deg or just enough to separate two sides of pelvis Colonna - lat rec on unaffected side - uppermost hip coincide MLART - upper side (affected): 17deg anteriorly

223 (5 decks)

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