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93 Cards in this Set

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What is the strongest bone in the body?

Femur

Which joints are a frequent source for trauma?

Femurs


What are the four essential parts of the proximal femur?

Neck, greater, and lesser trochanters

What part of the femur articulates with the hip bones?

Head

What forms the sacroiliac joints?

The right and left iliac (hips) articulating with the sacrum

What forms the lumbosacral joint? As known as L5-S1 joint

Sacrum articulating superioly with the 5th lumbar vertebrae

What are the 3 divisions of the hip bone?

Ilium, iscium, and pubis

What deep shaped cavity accepts the head of the femur to form the hip joint?

Acetabulum

When a child’s hip divisions start to fuse where does it occur?

Acetabulum

Which of the 3 divisions of the hip bone is the largest?

Ilium

What consists of the ilium?

Body and an ala (wing)

Where does the crest of the ilium extend to?

ASIS AND PSIS

What is the peak of the crest of the ilium referred to as?

Iliac crest

What are the two important positioning landmarks on hip bone?

Iliac crest and ASIS

What is known as the ligament of the head of the femur?

Fovea capitis

Where is the anterior inferior iliac spine and the posterior inferior iliac spine?

Below the ASIS and below the PSIS

What does ASIS and PSIS stand for?

Anterior superior iliac spine and Posterior superior iliac spine

What lies inferior and posterior to the acetabulum?

Ischium

What is each ischium divided into?

A body/ramus

What bears most of the weight of the body when an individual sits?

Ischial tuberosities

What forms the symphysis pubis?

The two superior rami meeting in the midline

What is the largest foramen in the human skeletal system?

Obturator foramen

What forms the obturator foramen?

The ramus and body of each ischium

What divides the pelvic area into two cavities?

Brim

What is inferior to a plane through the pelvic brim?

The lesser, or true, pelvis

What is palpable and superior and lateral to the femoral shaft?

Greater trochanter

What forms he actual birth canal?

True pelvis

The brim of the pelvis is also known as ?

Inlet or superior aperture of the true pelvis

During the birth process the must travel through ?

The inlet, cavity and outlet of the true pelvis

The area between the inlet and the outlet of the true pelvis is termed?

The cavity

What is the delivery routine for a baby?

Head travels through the pelvic inlet then to mid cavity and finally through outlet before it exits forward

Is a male pelvis or female pelvis more deeper and less flared with a heart shaped pelvic inlet.

Male pelvis

What are the 3 differences from a male and female pelvis?

General shape, angle of public arch, and ischial spines

Which trochanter is smaller and projects medial and posterior?

Lesser trochanter

What thick ridge joins the trochanters?

Intertrochanteric crest

What is the average angle of the neck to the shaft on an average adult ?

125 degrees

How should you rotate the femur and lower leg in order to place femoral neck parallel to the IR?

15 to 20 degrees internally

For an AP projection of the proximal femur

What does the pelvis serve as?

Base of the trunk and forms the connection between the vertebral column and lower limbs.

What are the four bones the pelvis consists of?

Two hip bones, one sacrum, and one coccyx

What is another name for hip bones ?

Innominate bones

What is the angle of pubic arch in males?

Less than females 50 to 60 degrees

What is the angle of pubic arch in females?

More than males 80 to 85 degrees

What type of movement is the sacroiliac joint ?

Synovial-amphiarthrodial (limited movement)

What type of movement is the symphysis pubis and union of acetabulum?

Cartilaginous - amphiarthrodial

What can MRI be useful for?

Imaging lower limb or pelvis when soft tissues injuries or possible abnormalities

What is ultrasound useful for?

Evaluating newborns for hip dislocations and assessing joint stability during movement of the lower limb

What can nuclear medicine In bone scan be useful for?

Providing evidence of certain bony pathological processes

What is ankylosis spondylitis?

Extensive calcification of the anterior longitudinal ligament of the spinal column .

Define avulsion fractures of the pelvis.

Fractures that occur in adolescent athletes who experience sudden forceful or unbalanced contraction of the tendinous.

Define chondrosarcoma.

A malignant tumor of the cartilage that usually occurs in the pelvis and long bones of men older than 45 years.

What type of movement is the hip joint ?

Synovial- diarthrodial (ball and socket)

What position is the patient in if the femoral neck appears shortened and less trochanter is visible?

Anatomical position - true AP leg

How do you position a patient to get the proximal femur and hip in a true AP?

Internally rotate the entire lower limb

If the patient’s leg is straight or externally rotated what should be visible?

The lesser trochanter

What is a common fracture site when an older patient has fallen?

Femoral neck

What is the typical rotation for a hip fracture?

Foot on the side of the fracture hip should be externally rotated and unaffected side’s foot in neutral position

What KV range would be used for hip and pelvic to reduce total radiation dose?

80 to 90kv

What could over exposure on an osteoporotic patient do?

Decrease visibility of the bony detail

What is CT useful for?

Evaluating soft tissue involvement of lesions or determining the extent of fractures

What type of movement is the symphysis pubis and union of acetabulum?

Cartilaginous - amphiarthrodial

What can MRI be useful for?

Imaging lower limb or pelvis when soft tissues injuries or possible abnormalities

What is ultrasound useful for?

Evaluating newborns for hip dislocations and assessing joint stability during movement of the lower limb

What can nuclear medicine In bone scan be useful for?

Providing evidence of certain bony pathological processes

What is ankylosis spondylitis?

Extensive calcification of the anterior longitudinal ligament of the spinal column .

Define avulsion fractures of the pelvis.

Fractures that occur in adolescent athletes who experience sudden forceful or unbalanced contraction of the tendinous.

Define chondrosarcoma.

A malignant tumor of the cartilage that usually occurs in the pelvis and long bones of men older than 45 years.

Define developmental dysplasia of the hip.

Hip dislocation caused by conditions present at birth

What type of movement is the hip joint ?

Synovial- diarthrodial (ball and socket)

What position is the patient in if the femoral neck appears shortened and less trochanter is visible?

Anatomical position - true AP leg

How do you position a patient to get the proximal femur and hip in a true AP?

Internally rotate the entire lower limb

If the patient’s leg is straight or externally rotated what should be visible?

The lesser trochanter

What is a common fracture site when an older patient has fallen?

Femoral neck

What is the typical rotation for a hip fracture?

Foot on the side of the fracture hip should be externally rotated and unaffected side’s foot in neutral position

What KV range would be used for hip and pelvic to reduce total radiation dose?

80 to 90kv

What could over exposure on an osteoporotic patient do?

Decrease visibility of the bony detail

What is CT useful for?

Evaluating soft tissue involvement of lesions or determining the extent of fractures

Define legg-calve-perthes disease.

Most common type of aseptic or ischemic necrosis and usually involve only one hip.

Define metastatic carcinoma.

The Malignancy spreads to the bone via circulatory system or lymphatic or by direct invasion. (Metastatic tumors of the bone)

Define osteoarthritis.

Also known as (degenerative joint disease) degeneration of joint cartilage and adjacent bone causing pain and stiffness.

Define osteoarthritis.

Also known as (degenerative joint disease) degeneration of joint cartilage and adjacent bone causing pain and stiffness.

Define pelvic ring fractures.

Because of the closed ring structure of the pelvis , a severe blow or trauma to one side of the pelvis may result in a fracture.

Define proximal femur (hip) fractures.

The most common fracture in older adults or geriatric patients with osteoporosis or avascular necrosis.

Define slipped capital femoral epiphysis.

A condition usually occurring in 10 to 16 year olds during rapid growth when even minor trauma can precipitate its development.

The AP bilateral frog leg projection for pelvis is also known as ?

Modified cleaves method

What position is the Taylor method?

Anterior - inferior pelvis


AP axial outlet projection

What is the posterior oblique projection : pelvis also known as ?

Judet method

What is an alternative name for PA axial oblique projection -acetabulum?

Teufel method

What is the axiolateral inferosuperior projection trauma also known as?

Danelius-miller method

The unilateral frog leg projection for hip and proximal femur is also known as ?

Modified cleaves method

The modified axiolateral projection -possible trauma for hip and proximal femur is also known as ?

Clements-nakayama method

Which position requires a CR angle cephalad 20 to 35 degrees for males and 30 to 45 degrees for females.

Taylor method

Which position requires a CR angle caudad 40 degrees?

AP axial inlet projection: pelvis

Which position requires a CR angle of 12 degrees?

Teufel method