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Small Animal Pelvis Imaging
RVT: Chapter 21
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Objectives: Pelvis & Hind Limb
Know general considerations for pelvis/hind limb radiography Safely position patient for various views Show an understanding of: Where to measure & center of primary beam Radiographic margins Patient positioning Use of non-manual restraint Distinguish & identify normal pelvis/hind limb anatomy
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Skeletal Anatomy Review
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Review: Pelvic Anatomy
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Pelvis: General Considerations
Anatomy: Half of femoral head should be in the acetabulum Femoral heads should be rounded and smooth Femoral neck should be smooth with no remodeling Views: Dorsal recumbency for pelvis (V/D) and femur (CrCa) Lateral recumbency for lateral view
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Pelvis Positioning Dorsal recumbency: Used for proximal hind end
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The Pelvis: Standard Positions
Lateral Ventrodorsal Extended Ventrodorsal Frog-Leg
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Pelvis – Lateral View Positioning: Affected limb down
Slightly cranial Contralateral limb slightly ____________ Foam wedge/block under contralateral limb will help keep it parallel to IR Will have slight _________________ due to closer proximity to x-ray tube Superimposition! Forelimbs cranial
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Pelvis - Placement Measure at thickest part Central beam:
Usually greater trochanters Central beam: Coxofemoral joint Margins: Cranial to wings of __________ Should see at least one ______________ vertebrae Include 1/3 of femur
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What are we looking at?
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Pelvis – V/D Frog-Leg View
Used when extended-hip view is too painful/ will not be tolerated Suitable for pelvic trauma NOT for _______ _________________ Hind limbs flexed normally Usually degrees to spine Possible positioning technique Symmetry! If one ob. foramen is larger: that side is too high
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Pelvis – Ventrodorsal Extended-Hip
Standard for hip dysplasia evaluation Requires symmetry & precision Sedation is generally required (OFA certification). Positioning: Dorsal recumbency Rotate femurs medially Patellae are pointing upwards Tape together at the level of the ____________ Lower limbs until resistance is felt Whole body should be in straight line Other considerations: Keep cranial part of animal straight as well
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Pelvis: V/D Hip Extended
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Acetabular Fracture
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V/D Hip (Extended) Normal view to evaluate hip dysplasia Definition: Abnormal development of the femoral joint, resulting in a lack of conformity between the acetabulum & femoral head
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