Podcast
Questions and Answers
What is the angle between the neck and shaft of the femur?
What is the angle between the neck and shaft of the femur?
- 125 degrees (correct)
- 120 degrees
- 135 degrees
- 110 degrees
Which part of the hip bone is located inferior and posterior to the acetabulum?
Which part of the hip bone is located inferior and posterior to the acetabulum?
- Acetabulum
- Ilium
- Ischium (correct)
- Pubis
What defines the outlet or inferior aperture of the pelvis?
What defines the outlet or inferior aperture of the pelvis?
- Iliac crests
- Superior aperture
- Ischial tuberosities and coccyx (correct)
- Pelvic brim
What is the characteristic shape of a female pelvis compared to a male pelvis?
What is the characteristic shape of a female pelvis compared to a male pelvis?
Which joint type is the symphysis pubis classified as?
Which joint type is the symphysis pubis classified as?
What is the primary positioning characteristic for a true AP view of the femur?
What is the primary positioning characteristic for a true AP view of the femur?
In which pelvic region does the true pelvis form the birth canal?
In which pelvic region does the true pelvis form the birth canal?
Where is the lesser trochanter located in relation to the anatomical position?
Where is the lesser trochanter located in relation to the anatomical position?
What is the CR placement for the AP (mid- and distal) femur projection?
What is the CR placement for the AP (mid- and distal) femur projection?
What angle should the leg be internally rotated for the AP unilateral hip projection?
What angle should the leg be internally rotated for the AP unilateral hip projection?
In the lateral femur projection, how much should the knee be flexed?
In the lateral femur projection, how much should the knee be flexed?
For the AP pelvis projection, how much internal rotation should be applied to the limbs?
For the AP pelvis projection, how much internal rotation should be applied to the limbs?
What should be the orientation of the CR for the AP axial 'outlet' projection for females?
What should be the orientation of the CR for the AP axial 'outlet' projection for females?
What criteria is critical for the AP axial 'inlet' projection?
What criteria is critical for the AP axial 'inlet' projection?
In the axiolateral projection, what is the correct orientation of the CR?
In the axiolateral projection, what is the correct orientation of the CR?
For the unilateral 'frog leg' projection, how much should the femur be abducted from vertical?
For the unilateral 'frog leg' projection, how much should the femur be abducted from vertical?
Flashcards
AP Mid-and Distal Femur
AP Mid-and Distal Femur
A radiographic projection used for visualizing the mid- and distal portions of the femur; the leg is rotated internally, and the cassette is positioned.
Lateral Mid-and Distal Femur
Lateral Mid-and Distal Femur
A lateral radiographic projection of the mid-and distal femur where the knee is flexed and cassette is positioned correctly.
AP Pelvis
AP Pelvis
A radiographic projection visualizing the entire pelvis and proximal femurs. Internal rotation is crucial for accurate positioning.
AP Bilateral "Frog Leg"
AP Bilateral "Frog Leg"
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AP Axial "Outlet" (Taylor)
AP Axial "Outlet" (Taylor)
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AP Axial "Inlet"
AP Axial "Inlet"
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Hip & Proximal Femur (AP)
Hip & Proximal Femur (AP)
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Axiolateral (Inferosuperior)
Axiolateral (Inferosuperior)
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Unilateral "Frog Leg" (modified)
Unilateral "Frog Leg" (modified)
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Femur's Angle
Femur's Angle
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Hip Bone Structure
Hip Bone Structure
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Ilium
Ilium
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Ischium
Ischium
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Pubis
Pubis
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Pelvic Landmarks
Pelvic Landmarks
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Greater Trochanter
Greater Trochanter
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Greater/False Pelvis
Greater/False Pelvis
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Lesser/True Pelvis
Lesser/True Pelvis
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Female Pelvis
Female Pelvis
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Male Pelvis
Male Pelvis
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SI Joints
SI Joints
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Symphysis Pubis
Symphysis Pubis
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Interpubic Disk
Interpubic Disk
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Sacroiliac Joint Type
Sacroiliac Joint Type
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Hip Joint Type
Hip Joint Type
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Pelvic Joint Types (Overall)
Pelvic Joint Types (Overall)
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Radiographic Positioning
Radiographic Positioning
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Hip Fracture
Hip Fracture
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Gonadal Shielding
Gonadal Shielding
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Study Notes
Femur and Pelvis
- Neck to shaft: 125 degrees
- Longitudinal: 10 degrees
- Anterior angle: 15-20 degrees
Hip Bone Structure
- 3 parts: ilium, pubis, ischium
- 3 parts: separate bones that fuse during mid teens at the acetabulum
- Ilium: superior 2/5ths of acetabulum
- Ischium: inferior & posterior 2/5th of acetabulum
- Landmarks of the pelvis: iliac crest and ASIS
Pelvis (True and False)
- Greater or false pelvis: area superior to the plane through the pelvic brim
- Lesser or true pelvis: area inferior to a plane through the pelvic brim. True pelvis forms the birth canal
- Inlet/superior aperture: oblique plane defined by the brim of the coccyx
- Outlet/inferior aperture: 2 ischial tuberiosities and the tip of the coccyx
- Female pelvis: wider, more shallow, flared, obtuse angle greater than 90 degrees, round and larger
- Male pelvis: narrower, deeper, less flared, acute angle, more oval or heart shaped
- SI joints: wide, flat joints on each side obliquely between the sacrum and each ilium
Pelvic Structures
- Symphysis pubis: fibrocartilage
- Sacroiliac (2): synovial, amphiarthrodial
- Hip (2): synovial, diarthroidal, spheroid
- Symphysis Pubis: cartilaginous, synarthrodial
- Union of acetabulum (2):
- Method One: head- 1.5"
- Method Two: 1-2" over 3-4" down
- Anatomical Position: lesser trochanters partially visible, femoral necks partially foreshadowed
- External Rotation: true AP of proximal femur, lesser trochanters in profile internally, femora heads and necks in profile, lesser trochanters are NOT visible, femoral heads and necks are in profile.
Asymmetric Rotation (possible hip fracture)
- Affected limb with more shortened femoral neck
- Male (gonadal shielding): small contact shield, top border at inferior margin of symphysis pubis
- Female (gonadal shielding): ovarian shield for hips and proximal femora. May not be possible-check dept. protocol.
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