Pediatric Radiology and Hip Conditions

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Questions and Answers

What does external rotation of the fractured part indicate?

  • A sign of a knee dislocation
  • A sign of a hip fracture (correct)
  • A sign of a distal femur fracture
  • A sign of a pelvic ring fracture

Which imaging method is used for congenital hip dislocation in pediatric patients?

  • Teufel Method
  • AP Pelvis Radiograph
  • Modified Cleaves Method (correct)
  • Taylor Method

What is the CR angle for the Taylor Method when applying it to a male patient?

  • 50°–60° cephalad
  • 20°–35° cephalad (correct)
  • 30°–45° cephalad
  • 10°–15° cephalad

Which method demonstrates acetabulum distortion?

<p>Teufel Method (D)</p> Signup and view all the answers

In which condition is an AP pelvis bilateral modified radiograph performed?

<p>Slipped Capital Femoral Epiphysis (SCFE) (D)</p> Signup and view all the answers

What is indicated about the obturator foramen in the AP view of the pelvis?

<p>The left obturator foramen is narrowed. (A)</p> Signup and view all the answers

What observation indicates a possible issue with the proximal femur?

<p>Evidence of an artifact. (A)</p> Signup and view all the answers

Which view is described as showing the pelvic inlet?

<p>AP axial view. (C)</p> Signup and view all the answers

What is the observed position of the leg in the axiolateral image?

<p>Leg is raised. (D)</p> Signup and view all the answers

Which pelvic characteristic is typically associated with females?

<p>Larger and more rounded pelvic inlet (B)</p> Signup and view all the answers

What type of imaging technique is implied by the term 'AP Pelvis'?

<p>Anterior-Posterior radiography. (B)</p> Signup and view all the answers

What is a key characteristic of ankylosing spondylitis?

<p>Bamboo spine appearance (C)</p> Signup and view all the answers

What pathology is indicated by bilateral radiolucent lines across pelvic bones?

<p>Pelvic ring fracture (D)</p> Signup and view all the answers

Which condition is characterized by multiple small lytic lesions?

<p>Metastatic carcinoma (D)</p> Signup and view all the answers

What is a hallmark feature of osteoarthritis?

<p>Narrowing of joint space (D)</p> Signup and view all the answers

Which bones are included in the structure of the pelvis?

<p>Right/left hip, sacrum, and coccyx (D)</p> Signup and view all the answers

What is the largest foramen in the human body?

<p>Obturator foramen (B)</p> Signup and view all the answers

Which of the following statements about the pelvis is correct?

<p>The pelvic brim separates the true pelvis from the false pelvis. (A)</p> Signup and view all the answers

How does the pubic arch differ between male and female pelvises?

<p>It is an acute angle in males (less than 90°). (A)</p> Signup and view all the answers

Which of the following correctly describes the shape of the inlet of the male pelvis?

<p>Heart-shaped (oval) inlet (C)</p> Signup and view all the answers

Flashcards

What are the three parts of the hip bone?

The hip bone, also known as the innominate bone, is made up of three parts: the ilium, ischium, and pubis.

What is the largest foramen in the body?

The obturator foramen is the largest foramen in the human body, located in the hip bone.

What is the pelvic brim?

The pelvic brim, an imaginary plane, separates the false pelvis from the true pelvis. The true pelvis is below the brim, while the false pelvis is above it.

What is the true pelvis?

The true pelvis, also known as the lesser pelvis, supports the lower abdominal organs and forms the actual birth canal. It is found below the pelvic brim.

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What is the main difference between the male and female pelvis?

The male pelvis has an acute pubic arch, less than 90 degrees, and a heart-shaped (oval) inlet, compared to the wider, more rounded inlet and wider pubic arch of the female pelvis.

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Acetabulum

The area where the ilium, ischium, and pubis bones meet, forming the hip bone.

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Hip Joint

The joint formed by the acetabulum of the hip bone and the head of the femur. It allows for a wide range of motion.

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Ankylosing Spondylitis

A condition where the SI joints fuse together, causing stiffness and pain in the spine.

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Pelvic Ring Fracture

A fracture that involves both sides of the pelvis, often caused by trauma.

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Slipped Capital Femoral Epiphysis (SCFE)

A condition where the head of the femur slips off the epiphyseal plate, often seen in adolescents.

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AP True Projection

Position where the proximal femur is oriented for a true AP projection. Seen when the lesser trochanter is not visible in profile.

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Interior Aperture

The outlet of the true pelvis, which is one of the key anatomical structures of the pelvis.

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Taylor Method (Axial Oblique)

A radiographic method where the pelvis is rotated 35-40 degrees toward the affected side, specifically for viewing the outlet of the pelvis.

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Teufel Method (PA Axial Oblique)

An imaging method for the acetabulum that utilizes a cephalic tilt of the central ray (CR) and rotation for optimal visualization.

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PA Oblique (Teufel Method)

This method demonstrates possible distortion of the acetabulum. It involves a 12-degree cephalad tilt and 35-40 degree rotation toward the affected side.

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Rotation

The direction the body is turned while being imaged, in this case, the patient's pelvis is rotated towards their left side.

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AP Pelvis

A view of the pelvis from the front to the back, showing the left obturator foramen narrowed and the right one open, which is an unusual observation.

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Artifact

Non-anatomical features on an image that do not represent real structures. In this case, it may be on the upper part of the femur.

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Axiolateral Image

A view of the hip taken from an angle across the body, looking from below and up. This view shows the leg on the same side as the hip is being imaged is raised.

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AP Axial

A view of the pelvis looking down from above. This view of the pelvic opening includes the possible presence of fractures.

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