ie 6 pelvic girdle
DESCRIPTION
TRANSCRIPT
![Page 1: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/1.jpg)
DRMG2104IMAGE EVALUATION 1
LECTURE 6PELVIC GIRDLE
MOHD IMRAN BIN MOHDBachelor of Diagnostic Imaging & Radiotherapy ( UKM )
![Page 2: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/2.jpg)
RADIOGRAPH EVALUATION
P-PROJECTION/POSITION A-AREA C-COLLIMATION & CR E-EXPOSURE M-MARKER A-ALIGNMENT N-NAME(ID)
![Page 3: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/3.jpg)
SUB TOPIC
HIP PELVIS SI Joint
![Page 4: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/4.jpg)
PELVIS (AP)
![Page 5: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/5.jpg)
PELVIS (AP) Projection/position:-
True AP- ischial spine aligned-pelvic brim Sacrum-coccyx aligned-symphysis pubis Ilia & obturator foramen uniform in size and shape
Leg positioning (15-20° internally) Femoral neck not foreshortened Greater trochanter in profile laterally Lesser trochanter superimposed with femoral
neck
![Page 6: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/6.jpg)
Projection/position AP Hip Rotation detection :-
ischial spine not superimposed with pelvic brim
Sacrum/coccyx not aligned with symphysis pubis
-rotated away from side of rotation Ilium wider on side of rotation Obturator foramen narrower on side of
rotation
![Page 7: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/7.jpg)
AREA : pelvis SIJ , hip joint & symphysis pubis ( sp ) upper femur L5 and L4 Recognized the shielding area ( male /
female ) if necessary.
![Page 8: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/8.jpg)
FEMALE PELVIS-GONAD SHIELD
![Page 9: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/9.jpg)
MALE PELVIS-GONAD SHIELD
![Page 10: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/10.jpg)
FEMALE PELVIS
MALE PELVIS
![Page 11: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/11.jpg)
Collimation : Upper border include : iliac crest Lower border included : ischial tuberosity & upper
femur Lateral border : both rt & lt greater trochanters
Exposure : 75 – 85 kVp , 15 - 25 mAs Penetration : bony trabecular patterns & corticle
outlines of ischial spine, pubis, femoral head, ala Contrast & density : soft tissue & bony structures
seen.
![Page 12: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/12.jpg)
AP PELVIS ( frog leg )position
![Page 13: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/13.jpg)
AP PELVIS ( frog leg )position
![Page 14: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/14.jpg)
Pelvis in true APFemoral positioning:- Knee flexfemur 60-70° from table top
Lesser trochanter demonstrated in profile medially
Femoral neck superimpose the greater trochanter
Femoral abduction 45° from table topFemoral neck partially superimposedGreater trochanter at a transverse level
halfway between femoral head & lesser Tr.
AP PELVIS ( frog leg )position
![Page 15: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/15.jpg)
Effect of Distal Femur elevation Knee not flexed enough:-
Greater trochanter demonstrated laterally Knee flexed too much:-
Greater trochanter demonstrated mediallyEffect of leg abduction: Close to table top:-
Femoral shaft not foreshortened,femoral neck “on-end” 45° to table top
Femoral neck and femoral shaft partially foreshortened 70°to table top:
Femoral neck not foreshortened femoral shaft foreshotened
AP PELVIS ( frog leg )position
![Page 16: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/16.jpg)
HIP (AP)
True AP:- Ischial spine is aligned with pelvic brimSacrum & coccyx aligned with symphysis
pubisObturator foramen is open
![Page 17: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/17.jpg)
Femur positioning:-Leg 15-20° rotate internally:-Femoral neck without foreshortenedGreater trochanter in profile laterallyLesser trochanter superimposed by femoral
neck
HIP (AP)
![Page 18: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/18.jpg)
HIP (AP) Femoral head
Acetabulum
Fovea capitis
Greater trochanter
Lesser trochanter
Femoral neck
Intertrochentric line/crest
Obturator foramen
![Page 19: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/19.jpg)
Male & Female Hip
Femoral neck angulation for male greater than female
![Page 20: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/20.jpg)
HIP ( AXIOLATERAL)@ Inferosuperior Projection
![Page 21: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/21.jpg)
Position/projection:-Femoral neck without foreshortenedLesser & greater trochanter are demonstrated at
about same transverse level. Leg positioning(15-20 °internal rotation):
Lesser trochanter demonstrated in profile posteriorly
Greater trochanter superimposed by femoral neck
HIP ( AXIOLATERAL)@ Inferosuperior Projection
![Page 22: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/22.jpg)
Femoral neck at the center of collimated field
Acetabulum, femoral head & neck, greater & trochanters, ischial tuberosity included in collimated field.
Any orthopedic appliance should be included
HIP ( AXIOLATERAL)@ Inferosuperior Projection
![Page 23: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/23.jpg)
HIP (Rolled Lateral)
Position/projectionRolled to the affected sideLesser trochanter in profile mediallyGreater trochanter superimposed with femoral
neck Ischial spine in profileObturator foramen narrowed
![Page 24: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/24.jpg)
HIP (Rolled Lateral)
•Proximal femur
• femoral head
• ischial spine
• obturator foramen
• half ilium
• SI joint in
![Page 25: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/25.jpg)
SI JOINT (AP)
![Page 26: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/26.jpg)
SI JOINT (AP) Projection/position True AP:-
Median sacral crest aligned with symphysis pubis
Sacrum equal distance from lateral wall of the pelvic brim on either side
![Page 27: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/27.jpg)
Correct CR(25-30 cephalic)-SI joint not foreshortenedSacrum elongatedSymphysis pubis superimposing
inferior sacral segment.
SI JOINT (AP)
![Page 28: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/28.jpg)
Sufficient contrast & density to show bony structures and soft tissue of SI joint
Sufficient penetrationbtb & cto of SI joint and 1st -3rd sacral segments
Second sacral segment @ the center of collimated field
Long axis of median sacral crest is aligned with long axis of collimated field
SI JOINT (AP)
![Page 29: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/29.jpg)
SI JOINT (POSTERIOR OBLIQUE)
![Page 30: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/30.jpg)
Position/projectionSI joint is open (unaffected side midcoronal plane
25-30 to table-top and film). Ilium & sacrum demonstrated without
superimpositionSI joint @ the center of collimated fieldSI joint, sacral ala and ilium inculded in the fieldLong axis of SI joint is aligned with the long axis
of collimated field
SI JOINT (POSTERIOR OBLIQUE)
![Page 31: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/31.jpg)
![Page 32: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/32.jpg)
ABNORMALITIES
![Page 33: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/33.jpg)
![Page 34: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/34.jpg)
Hip fracture
![Page 35: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/35.jpg)
Hip prosthesis
![Page 36: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/36.jpg)
Total hip replacement
![Page 37: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/37.jpg)
The radiograph of total bilateral hip replacement.
# make sure tip of the hip prosthesis included in the radiograph.
![Page 38: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/38.jpg)
DHS
![Page 39: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/39.jpg)
![Page 40: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/40.jpg)
![Page 41: Ie 6 Pelvic Girdle](https://reader033.vdocuments.site/reader033/viewer/2022061115/54635648af795939028b73b5/html5/thumbnails/41.jpg)
Judet view