1. Hip, Pelvis and Distal Femur

2. Things to know for Pelvis  Cassette Size 14 x 17 crosswise  One view AP  80 @ 12 or 90 @ 8  No shielding  No collimation  Marker

3. Positioning for AP Pelvis  Patient is supine on table, Arms at side  Align the midsagittal plane to the center of table  Make sure pelvis is not rotated  Separate feet slightly and internally rotate feet 15 to 20 degrees.

4. Central Ray is midway between pubis level of the ASIS and the Symphysis SID 40

5. Radiographic critique  Pelvic girdle, L5, sacrum and coccyx  Femoral heads, neck and greater trochanters  Pelvic Wings symmetrical

6. Hip  2 Views. AP and Lateral  10 x 12 cassette  Measures 17  80 @ 12  Shield  Mark

7. Positioning for AP Hip  10 x 12 lengthwise  Patient supine on table  Mid-line of femoral neck to mid-line of table  Rotate leg 15-20 degrees internally  make sure no rotation

8. Central ray- 3-4 inches below ASIS and 1-2 inches medially SID 40

9. Radiographic critique  1/3 of femur  Acetabulum and adjacent pubis, ischium, and ilium  Greater trochanter

10. Lateral Hip  10 x 12 crosswise  Patient supine  Flex knee of injured leg with the sole of foot against the knee of opposite leg  Abduct femur 45 degrees  Center mid-femoral neck to IR

11. Central ray mid-femoral neck SID 40

12. Critique  A lateral view of acetabulum, femoral neck  Lesser trachanter

13. Distal Femur  2 views AP and Lateral  14 x 17 cassette lengthwise  measures 13  75 @ 12  Shield  Mark

14. Positioning for AP  Patient supine  femur to mid-line of table  Rotate leg about 5 degrees internally to ensure true AP  Include knee joint

15. SID 40

16. Critique  Distal 2/3 of femur  Knee joint  Condyle should appear symmetrical

17. Lateral Distal Femur  Roll patient upon affected side so injury will be closer to IR  Flex knee 45 degrees  Move uninjured leg out of the way  Align femur with mid-line of table  Include knee joint

18. SID 40

19. Critique  Distal 2/3 of femur  Included knee joint  Condyles should be superimposed.