Normal radiographic anatomy of the hip. The hip joint is a ball and socket joint that represents the articulation of the bones of the lower limb and the axial skeleton spine and pelvis.
Notice that the bone in the area of the calcar is much thinner and the cortex of the femoral shaft is much thinner as well.
Hip xray anatomy. Hip anatomy function and common problems. In plain radiography x ray anteroposterior and lateral hip radiographs are usually taken. Fractures of the femoral neck do not always cause loss of shentons line.
She is post menopausal and has a borderline osteoporosis of the hips. Hip horizontal beam lateral view the projection is used to assess the neck of the femur in profile during the investigation of a suspected neck of femur fracture 2. Hip x ray anatomy normal ap.
The distance between the x ray tube and the film should be 12 m. The hip joint is one of the largest joints in the body and is a major weight bearing joint. The first xray is of a 35 year old male with no arthritis of the hip.
An anteroposterior hip radiograph includes images of both sides of the hip on the same film and projects towards the middle of the line connecting the upper symphysis pubis and anterior superior iliac spine. A standard hip x ray examination generally includes an anteroposterior pa image and a lateral image. The second xray is of the pelvis in a 53 year old female with osteopenia.
A healthy hip can support your weight and allow you to move without pain. Loss of contour of shentons line is a sign of a fractured neck of femur. The acetabulum is formed by the three bones of the pelvis the ischium ilium and pubis.
Normal radiographic anatomy of the hip. Weight bearing stresses on the hip during walking can be 5 times a persons body weight. Shentons line is formed by the medial edge of the femoral neck and the inferior edge of the superior pubic ramus.
Ideally the ap image shows both hip joints which strictly speaking makes it a pelvis x ray to allow comparison with the other hip. The rounded femoral head sits within the cup shaped acetabulum. Although technically demanding it is the most versatile hip radiograph utilised in trauma bays and general radiography rooms.
Normal radiographic anatomy of the hip.
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