Until puberty each hip bone consists of three separate bones yet to be fused. The series is used most in emergency departments during the evaluation of multi trauma patients due to the complex anatomy the ap projection covers.
The ap pelvis view is part of a pelvic series examining the iliac crest sacrum proximal femur pubis ischium and the great pelvic ring.
Pelvic xray anatomy. It is of considerable importance in the management of severely injured patients presenting to emergency departments 1. If either joint space is widened think main pelvic ring fracture. Symptoms from fractures of the hip acetabulum and pelvis may be quite similar thus a full ap pelvis radiograph including the hip must be obtained if any of the above fractures are expected.
Your pelvis is made up of three bones the ilium ischium and. Each hemi pelvis bone comprises 3 bones the ilium white pubis orange and ischium blue the 3 bones fuse to form the acetabulum the pelvic portion of the hip joint. The pelvis series examines the main pelvic ring obturator foramina sacroiliac joints symphysis pubis acetabulum sacral foramina and the proximal femur.
Pelvic xrays are a key component of trauma fractures and dislocations seen every day in the ed but when is the last time you went back over the anatomy and radiographic tips and tricks of the pelvic radiograph. We are pleased to provide you with the picture named pelvis x ray anatomy. The symphysis pubis joint space should be 5 mm.
Ct of the pelvis is the technique of choice for evaluating complex fracture patterns degree of displacement and soft tissue injury. Mands thorough break down of this commonly used ed diagnostic the pelvic xr. Pelvis x ray anatomy in this image you will find the sacroiliac joint acetabular obturator foramina greater trochanter pubic symphysis femoral heads lesser trochanters in it.
Hemi pelvis anatomy normal ap. The sacroiliac joints should be symmetrical joint space range 2 4 mm. Asis anterior superior iliac spine attachment site for sartorius muscle.
An x ray of the pelvis focuses specifically on the area between your hips that holds many of your reproductive and digestive organs. Ilium ischium and pubis connected by the triradiate cartilage. Its primary function is the transmission of forces from the axial skeleton to the lower limbs as well as supporting the pelvic viscera.
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