PELVIS & HIPS with Judet views Week 5

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Presentation transcript:

PELVIS & HIPS with Judet views Week 5 RT 124 PELVIS & HIPS with Judet views Week 5 REV 2010

PELVIS & HIPS PELVIS – “AP” (Bilat hips) FROG PELVIS (LATERAL HIPS BILAT) HIP (Unilateral) PELVIS – FOR HIPS (FIRST EXAM) AP HIP LATERAL HIP AXIOLATERAL HIP CROSS TABLE LAT “TRASH CAN “ - “C” SHOT

“AP” PELVIS – Bilateral Hips & done for unilateral HIP if first exam

Assess patient before moving!

Best seen/ Positioning Criteria for “AP PELVIS” ?

“FROG” Pelvis For Bilateral Hips

Center CR slightly lower to include proximal hips

“AP” hip (unilateral study)

Pathology?

The area identified on the bone shown in is the:intertrochanteric crest the radiographic line is the:intertrochanteric line

2 Methods for “LATERAL” hip “modified CLEAVES “ pg 350

Place a sponge under leg for comfort & support

?

2 Methods for “LATERAL” hip

If fracture seen in AP - DO NOT MOVE THE LEG – do a cross table for the lateral - AKA: What is demonstrated in the Axiolateral VS the cross table ?

May need to place a pad on the table – before moving the patient - keep the pelvis level for pt comfort Notice position of cassette CR & tube collimator….

“JUDET” for Pelvis or HIP AP OBLIQUE RPO OR LPO 45 DEGREE ROTATION FX OF ACETABULUM 14 X 17 CROSSWISE (Pelvis) OR UNILAT (or side that is UP) CR ENTERS 2’ INFERIOR TO ASIS

Pelvis done (bilat) crest, etc

Unilat “side up” for acetabulum

HIPS & PELVIS Review for Anatomy IMAGE ANALYSIS & CRITIQUE Not rotated Positioning Criteria? Pathology REV 2010

Hands Note Inter trochanteric fx

Hip in OR (not until Surgery Lecture – wk 14)

End of Prosthesis Device Not seen

The end Of hips & pelvis