RADIOGRAPHIC POSITIONING OF THE PELVIS AND UPPER FEMORA

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94 Terms

1

Hip Bone

Also known as os coxae, consists of ilium, pubis, and ischium; forms the acetabulum.

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Acetabulum

The cup-shaped socket that receives the head of the femur.

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Ilium

The uppermost and largest part of the hip bone, consisting of a body and the ala.

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Ilium

Broad andcirve

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2/5 of acetabulum superiorly

Body of ilium forms approximately???

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Anterior, posterior, superior

Three borders of ala

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Anterior superior iliac spine (ASIS), Anterior inferior iliac spine (AIIS), Posterior superior iliac spine(PSIS), Posterior Inferior Iliac spine (PIIS)

4 prominent projection of anterior and posterior borders

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1/5 of acetabulum anteriorly

Body of pubis forms approximately???

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Superior Ramus

It projectz inferiorly and medially from acetabulum to mid.ine of body

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Inferior ramus

Lower portion f pubis is the

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11

Pubis

A part of the hip bone consisting of a body, superior ramus, and inferior ramus.

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2/5 of acetabulum posteriorly

Body of ischium forms approximately???

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Ischium

The lower part of the hip bone, consisting of a body and ischial ramus.

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Ischial tuberosity

An expanded portion where it projects posteriorly and inferiorly from the acetabulum

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Femur

Longetz, strongest, and largest bone in body

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Trochanters

Large processes on the upper end of the femur, including greater and lesser trochanters.

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Femoral head

Is connected to femoral body and is smooth and rounded

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Proximal Femur

The upper end of the femur, consisting of the head, neck, and trochanters.

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Femoral neck

Pyramid-shaped bone that is received into acetabular cavity of hip bone

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Pelvis

The structure formed by the hip bones that supports the spine and houses organs.

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Femoral Body

Connected to femoral head by pyramid shaped neck

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Synovial ball and socket joint

Articulation bw acetabulum and head of femur that permits free movement in all directions

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Female Pelvis

Characterized by being lighter, wider, shallower, and shaped for childbearing.

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Cartilaginous, symphysis, slightly movable

Pubic symphysis tissue, type, and movement structural classification

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Synovial, irregular gliding, slightly movable

Sacroiliac joint tissue, type, and movement structural classification

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Narrow and deep, heavy, round and narrow

Male pelvis characteristics

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Stature and gender

The width and depth pelvis may vary with???

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28

Greater trochanter of femur, iliac crest, pubic symphysis, ASIS, ischial tuberosity, tip of coccyx

Localizing anatomic structures and bony landmark

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Anykolising spondylitis

Rheumatoid arthritis variant involving SI Joint and spine

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Congenital hip dysplasia

Malformation of acetabulum causing displacement of femoral head

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Dislocation

Displacement of bone from jt space

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Hip Joint

A synovial ball-and-socket joint formed by the acetabulum and femoral head.

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Fracture

Disruption in continuity of bone

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Legg-calvé-perthes disease

Flattening of femoral head due to vascular interruption

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Metastases

Transfer of cancerous lesion fr one area to another

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Osteoarthritis or degenerative joint disease

Form of arthritis marked by progressive cartilagedeterioration in synovial joint vertebrae

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Osteoporosis

Loss of bone density

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Osteopetrosis

Increased density of atypical soft bone

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Paget’s disease

Thick,soft bone marked by bowing and fractures

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Slipped epiphysis

Prox portion of femur dislocated from distal portion at the proximal epiphysis

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Tumor

New tissue growth where cell proliferation is uncontrolled

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Chondrosarcoma

Malignant tumor arising from cartilage cells

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Multiple myeloma

Malignant neoplasm of plasma cells involving the bone marrow and causing destruction of bone

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ASIS

Anterior Superior Iliac Spine, a prominent bony projection of the ilium.

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Ischial Tuberosity

The expanded portion of the ischium that bears weight when seated.

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Dorsal Decubitus Projection

A lateral projection of the pelvis recommended for demonstration of specific fractures.

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Contralateral

Opposite side; often used in reference to positioning during imaging.

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Axiolateral Projection

A radiographic projection used to visualize specific angles of the femoral neck.

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49

Cephalic Angulation

The upward angling direction of the X-ray beam.

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Internal Oblique Position

A positioning technique to visualize the anterior rim of the acetabulum.

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External Oblique Position

A positioning technique used for the posterior rim of the acetabulum.

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Superoinferior Axial Projection

An angled projection directing the X-ray beam from above downward.

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Pelvic Rim

The bony boundary that outlines the pelvic cavity.

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Judets Method

A two 45° posterior oblique position useful for diagnosing acetabular fractures.

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Congenital Dislocation of the Hip

A condition where the femoral head is improperly located in the acetabulum.

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Fracture Dislocation

An injury where a fracture occurs at a joint affecting its stability.

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PA Projection

Posteroanterior projection, used for various radiographic views of the pelvis.

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Outlet Projection

An angled projection of the pelvis emphasizing the pelvic rami.

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Inlet Projection

A projection that focuses on the superior aspect of the pelvic inlet.

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Lilienfeld Method

A positioning method requiring an upright seated position for pelvic imaging.

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Taylor Method

An axial projection for examining the pelvic rami.

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Teufel Method

A PA axial oblique projection of the acetabulum and femur.

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Fovea Capitis

The small pit on the head of the femur that’s important for hip joint stability.

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Ischial Ramus

The lower part of the pubis that connects to the ischium.

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Obturator Foramina

The large openings in the pelvis through which nerves and blood vessels pass.

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Sacral Promontory

The anterior projection of the sacrum.

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Lumbosacral Junction

The area where the lumbar spine meets the sacrum.

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Coccyx

The small bone at the base of the vertebral column.

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Symmetric Appearance

An indication that no rotation occurred during pelvis imaging.

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Medial-Lateral Rotation

Rotating the femur to visualize anatomical structures without overlap.

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Bilateral Projection

A projection that includes both sides of the pelvis for comparative analysis.

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Unilateral Projection

A projection focusing on one side of the pelvic structure.

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Greater Trochanter

A large bony projection on the femur, located laterally at the proximal end.

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Lumbosacral Region

The area of the spine that is between the lumbar vertebrae and the sacrum.

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Pelvic Bones

The bones that comprise the pelvis, including both the hip bones and the spine.

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Proximal Femora

The upper sections of both femurs that connect with the pelvis.

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Radiographic Positioning

The alignment and orientation of the body during X-ray imaging.

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78

Pelvic Projection

A radiographic image taken of the pelvic region.

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Axiolateral Hip Projection

A special imaging technique for detailed views of the hip joint.

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80

Valgus Deformity

An angling away from the midline of the body, often referring to the knees.

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Varus Deformity

An angling towards the midline of the body, often referring to the knees.

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82

Femoral Neck

The section of the femur located just below the head.

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83

Hickey Method

A specific technique for mediolateral projections of the hip.

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84

Berkebile, Fischer, Albrecht Recommendations

Suggested methodologies for imaging based on specific conditions.

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85

Infraischial Projection

An imaging technique focusing on the area below the ischium.

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86

Mediolateral Projection

The X-ray beam travels from the medial side to the lateral side of the body.

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Medial Compartment of the Hip

The area of the hip joint located towards the body's midline.

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Proximal Body of the Femur

The closest part of the femur that articulates with the hip.

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AP Projections

Anterior-posterior projections capturing the front and back of the body.

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Dorsal Decubitus Projection

Lateral positioning of a patient for specific imaging needs.

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91

Clements-Nakayama Modification

A modification for positioning patients with hip issues during imaging.

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92

Friedman Method

A technique utilizing a lateral recumbent position for hip imaging.

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93

Urist Reco Method

A specific positioning technique for hip projection that involves the oblique position.

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