Procedures Pelvic Positioning Flashcards
4 step process to locate femoral head and neck
- Locate ASIS and pubic symphysis
- Draw an imaginary line between the 2 points
- Femoral head lies approx 1.5” below midpoint of the line
- Femoral neck lies 2.5” below midpoint of the line
Pelvis
PP
(3)
- Pt supine and true AP
- MSP contered to midline of table
- Internally rotate entire legs 15-20 degrees
AP PELVIS
CR
⊥ 1/2 way between ASIS and symphysis pubis and MSP
AP Pelvis
SS
(2)
Entire pelvis
hip joints
Frog Legs age limit
anyone under the age of 15
Another name for Frog Legs
Modified Cleaves
Modified Cleaves CR
⊥ 1” superior to symphysis pubis
Frog Legs
PP
(3)
MSP with long axis of table
Start supine then pt flexes knees and hips
Pt draws feet up as much as possible
Hip Routine Projections
No recent images
AP Pelvis
Axiolateral hip
Hip Routine Projections
Recent Images
AP Hip
Axiolateral hip
AP Hip IR
10X12 LW
if known pin 11x14LW
AP Hip CR
⊥ femoral neck
AP Hip PP
2
Pt supine
true AP
Internally rotate entire leg 15-20 degrees except trauma
3 Other names for Danny
Danelius Miller
Axiolateral hip
Cross table lateral
Danny IR
10X12 LW to pt with SOG
Cross table lateral hip CR
⊥ to femoral neck
IR placement Danny
Above crest and // to femoral neck
Danny
PP
(4)
Pt supine
Internally rotate entire affected leg 15-20
Flex and elevate unaffected leg up and out
No rotation of pelvis
Danny
SS
True lateral projection of hip joint
SI routine
AP sacrum
LPO
RPO
AP Sacrum IR & SID
10 x 12 LW
40”
AP Sacrum CR
Angle 15* cephalic to 1/2 way between ASIS and Pubic symph and MSP
AP Sacrum PP
3
Supine
True AP
Legs extended
AP Sacrum SS
3
Both SI joints
Sacrum
L5-s1 joint space
Obliques IR & SID
10 x 12 LW
40”
Obliques Sacrum CR
⊥ 1” medial to elevated ASIS
Obliques Sacrum PP
2
Pt supine
Oblique 25-30* both ways
Oblique sacrum SS
3
Open SI jt of side up
LPO visualizes rt SI jt open
RPO visualizes lt SI jt open
Sacrum coccyx routine
AP Sacrum
AP coccyx
Lateral Sacrum/coccyx
Coccyx IR & SID
8 X 10 LW
40”
Coccyx CR
Angle 10* CAUDAL to 2” above symphysis pubis and MSP
Coccyx PP
3
Supine
True AP
Legs extended
Coccyx SS (1)
AP projection of coccyx free of S/I of symph
Lateral S/C IR & SID
10 x 12 LW
40”
Lateral S/C CR
⊥ to 1” below ASIS and 3-4” posterior to ASIS
Lateral S/C PP
4
Recumbent
True lateral
Knees Flexed
Spine // to table
Lat S/C SS
2
True lateral projection of S/C
Demos any forward displacement
What needs to be asked of the pt before S/C exam is done?
Can you drop some kids off at the pool?
LOL
How to remember angles for CRS
SSSSacrum-SSSSephalic-Larger bone- 15*
CCCCoxyx-CCCCaudal–Smaller bone-10*
