Radiology of Hip Pathology in Children
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Questions and Answers

What is the main purpose of collimating to include the greater trochanters, lesser trochanters, and the iliac crests in an AP Pelvis Radiograph?

  • To achieve proper rotation of the proximal femora
  • To reduce the radiation dose to the patient
  • To ensure the entire pelvis and proximal femora are included in the image (correct)
  • To visualize the sacroiliac joint and the lower vertebral column
  • What is the correct alignment of the sacrum and coccyx in an AP Pelvis Radiograph?

  • Aligned with the obturator foramina
  • Aligned with the pubic symphysis (correct)
  • Aligned with the iliac crests
  • Aligned with the ischial spines
  • What is the purpose of including the iliac crest in an AP Pelvis Radiograph?

  • To achieve proper rotation of the proximal femora
  • To ensure the entire pelvis is included in the image (correct)
  • To visualize the sacroiliac joint
  • To reduce the radiation dose to the patient
  • What is the correct appearance of the obturator foramina in an AP Pelvis Radiograph?

    <p>Symmetric in shape</p> Signup and view all the answers

    What is the purpose of centering the lower vertebral column to the middle of the radiograph in an AP Pelvis Radiograph?

    <p>To ensure the entire pelvis and proximal femora are included in the image</p> Signup and view all the answers

    What is the correct position of the greater trochanter in an AP Pelvis Radiograph?

    <p>In profile</p> Signup and view all the answers

    What is the purpose of including the ASIS in an AP Pelvis Radiograph?

    <p>To determine the centering point of the radiograph</p> Signup and view all the answers

    What is the correct criterion for evaluating the rotation of the pelvis in an AP Pelvis Radiograph?

    <p>Symmetric ilia in shape</p> Signup and view all the answers

    What is the purpose of achieving proper rotation of the proximal femora in an AP Pelvis Radiograph?

    <p>To achieve a diagnostic image of the hip joint</p> Signup and view all the answers

    What is the correct position of the lesser trochanter in an AP Pelvis Radiograph?

    <p>In profile</p> Signup and view all the answers

    Study Notes

    Sacroiliac Joints Oblique Projection

    • Cassette: Portrait, Grid: Yes, SID: 100cm, kVp: **, mAs: **, Focal spot size: Large
    • Patient position: Supine, 15° to 25° posterior oblique (side of interest elevated), support patient's knees
    • CR: Centre 2.5 cm medial to the ASIS on the side being examined (raised side), central ray perpendicular to the cassette

    Image Evaluation Criteria for Sacroiliac Joints Oblique Projection

    • Proper degree of obliquity evident by an open and uniform SI joint space
    • Soft tissue and bony trabecular detail

    AP Pelvis Supine Projection

    • Cassette: Portrait, Grid: Yes, SID: 100cm, kVp: **, mAs: **, Focal spot size: Large
    • Positioning: Patient lies supine with midsagittal plane (MSP) centered to midline of table
    • Arms placed at patient's sides away from body, provide pillow for head, and ensure pelvis is not rotated
    • Internally rotate affected leg 15° to 20°

    Centering Point for AP Pelvis Supine Projection

    • Between the ASIS and a line joining the greater trochanters
    • Ensure iliac crest is included at the top of the image
    • Collimate to include the greater trochanters, lesser trochanters, and the iliac crests

    Image Evaluation Criteria for AP Pelvis Supine Projection

    • Entire pelvis and proximal femora included
    • Lower vertebral column centered to the middle of the radiograph
    • No rotation of pelvis (both ilia symmetric in shape, symmetric obturator foramina, ischial spines equally seen, sacrum and coccyx aligned with the pubic symphysis)
    • Proper rotation of proximal femora, greater trochanters in profile, lesser trochanters

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    Description

    A quiz about radiology techniques for identifying hip pathology in pediatric patients, including sacroiliac joints and oblique projection positioning.

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