Fractures of the femoral neck do not always cause loss of shentons line. In plain radiography x ray anteroposterior and lateral hip radiographs are usually taken.
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Only an x ray was taken no mri.
Hip x ray anatomy. Front view of the hip joint bones. Xray anatomy of the hip xray anatomy of the hip here are a series of xrays that are illustrated and annotated to identify the anatomic landmarks and concepts that are used during total hip arthroplasty. I was told i had a l pelvic avulsion fracture n was sent home on crutches n told itll heal.
Please click on the thumbnail image to launch a full sized image that is annotated with the correct landmarks. The rounded femoral head sits within the cup shaped acetabulum. The distance between the x ray tube and the film should be 12 m.
Hip anatomy function and common problems. The lateral direction may be opted for in axiolateral images or a frog leg lateral image. 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.
Ideally the ap image shows both hip joints which strictly speaking makes it a pelvis x ray to allow comparison with the other 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. Hip x ray anatomy normal ap shentons line is formed by the medial edge of the femoral neck and the inferior edge of the superior pubic ramus loss of contour of shentons line is a sign of a fractured neck of femur important note.
The projection is used to assess the neck of the femur in profile during the investigation of a suspected neck of femur fracture 2. The acetabulum is formed by the three bones of the pelvis the ischium ilium and pubis. Before delving into the radiographic approach to pelvic and hip x rays let us first review some anatomy.
A standard hip x ray examination generally includes an anteroposterior pa image and a lateral image. Years went by as i complained of butt pain when i sat anywhere. Anatomy of the hip.
Pelvic and hip x rays are most frequently obtained when there is concern for fracture joint dislocation and effusion and several pediatric pathologies involving the pelvic girdle which are outlined below. The horizontal beam lateral hip radiograph or shoot through hip is the in the purist terms the orthogonal view of the neck of the femur to the ap projection 13.
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