Pelvic Girdle Positioning

Front 1

In order to accurately position the patient for the hip radiographs, one must localize two bony points on the pelvis. These two reference points are:

Back 1

(1) Superior margin of the symphis(SMS)

(3)Anterior superior iliac spine(ASIS)

Front 2

How many degree should the feet and lower limb be internally rotated for an AP pelvis radiograph?

Back 2

15 to 20 degrees

Front 3

The central ray for an AP pelvis is directed perpendicular to the center of the IR. The central ray entrance point will be about?

Back 3

2 inches superior to the pubic symphysis

Front 4

Which of the following will be shown in "profile" if the lower limbs are in correct position for an AP pelvis?

Back 4

Greater trochanters

Front 5

Which of the following methods will demonstrate the femoral necks in the AP oblique projection?

Back 5

Modified Cleaves

Front 6

For the AP oblique femoral necks (modified cleaves method) the central ray is directed?

Back 6

0 degrees

Front 7

How much should the thighs be abducted for the AP oblique projections of the femoral necks( modified cleaves method)?

Back 7

45 degrees

Front 8

Where does the central ray enter the patient for the AP hip?

Back 8

2 1/2 inches(6.4 cm) distal on a line draw perpendicular to the midpoint of a line between ASIS and pubic symphysis

Front 9

How many degrees is the lower limb and footed rotated internally for an AP hip?

Back 9

15-20 degrees

Front 10

Which of the following methods will demonstrate the hip in a lateral projection?

Back 10

Lauenstein,Hickey

Front 11

Which of the following methods demonstrate the hip in an axiolateral

Back 11

Danelius-Miller

Front 12

Unless contradicted, the lower limb and leg should be internally rotated for an axiolateral projections of the hip(Danelius-Miller). How many degrees of rotation are required?

Back 12

15-20 degrees

Front 13

Which of the following devices are necessary to perform an axiolateral projection of the hip (Danelius-Miller)?

(1)sandbags(2)leg support device(3)vertical IR holder?

Back 13

1,2 and 3

Front 14

Which of the following describes the position of the IR for the axiolateral projection of the hip (Danelius-Miller)?

(1)parallel with the long axis of the femoral neck (2)its upper border in the crease above the iliac crest (3)perpendicular to the long axis of the femur?

Back 14

1 and 2

Front 15

Where is the IR centered for an AP pelvis?

Back 15

midway between the ASIS and the pubic symphysis

Front 16

Where is the central ray directed for the AP oblique projection (modified Cleaves) of the femoral necks?

Back 16

1inch superior to the pubic symphysis

Front 17

The angle of the SI joints is ____ degrees relative to the midsagittal plane

Back 17

25 to 30 degrees

Front 18

The body is placed at what angle for the AP oblique projection (Judet-method) of the acetabulum?

Back 18

45 degrees

Front 19

What is the central-ray entrance point for the AP oblique projection (Judet-method) of the acetabulum?

Back 19

2 inches inferior to the ASIS

Front 20

The internal oblique position of the AP oblique projection (Judet method) demonstrates the?

Back 20

iliopubic column and posterior rim of acetabulum

Front 21

The external oblique position of the AP oblique projection (Judet method) demonstrates the?

Back 21

ilioischialcolumn and anterior rim of acetabulum

Front 22

The AP axial projection Inlet (Bridgeman method) requires the central ray be directed:

Back 22

40 degrees caudad

Front 23

The hip bone is composed of which of the following:(1) ilium(2) pubis(3) ischium

Back 23

All the above

Front 24

The neck of the femur projects anteriorly at an approximate angle of ?

Back 24

15-20 degrees

Front 25

The hip joint is a ___ joint:

Back 25

synovial—ball-and-socket

Front 26

Which of the following best describes the female pelvis?(1) heavy bones(2) oval inlet(3) wide outlet

Back 26

(2) Oval inlet and (3) Wide outlet

Front 27

Flattening of the femoral head due to a vascular interruption is known as?

Back 27

Legg-Calvé-Perthes disease

Front 28

What percentage of each bone forms acetabulum?

Back 28

2/5 ilium, 2/5 ischium, 1/5 pubis

Front 29

The area of the proximal femur where the ligamentum fovea inserts is called?

Back 29

Fovea capitis

Front 30

On which bone would we find ASIS?

Back 30

Ilium

Front 31

On which bone would you find ala?

Back 31

Ilium

Front 32

Refer to the image. What projection(method) is demonstrated?

Back 32

Axiolateral( DaneliusMiller) Method

Front 33

Examine this AP oblique (Judet)image of the right hip obtained with the patient positioned for the internaloblique. What patient position isdepicted in this image?

Back 33

45 degrees LPO

Front 34

Examine this AP oblique (Judet)image of the right hip obtained with the patient positioned for the internaloblique. What is the anatomy ofinterest?

Back 34

posterioracetabular rim and iliopubiccolumn

Front 35

Back 35

Proximal Femur

Front 36

Back 36

Anterior and Posterior View of Femur

Front 37

Back 37

Joints of the Pelvis

Front 38

Sacroiliac(2)

Back 38

Class: Synovial

Mobility: Amphiarthrodial

Movement: Slight

Front 39

Hip(2)

Back 39

Class: Synovial

Mobility: Diarthrodial

Movement: Freely

Front 40

Symphysis Pubis

Back 40

Class: Cartilaginous

Mobility: Amphiarthrodial

Movement: Slight

Front 41

Unionof Acetabulum (2)

Back 41

Class: Cartilaginous

Mobility: Synarthrodial

Movement: None

Front 42

Back 42

Males Pelvic Girdle:

Heaver, narrow and deeper

Angel at pubic sympahsis is acute (90 degree)

Front 43

Back 43

Female Pelvic Girdle:

Wider, Shallow and light

Angle at pubic sympysis is OBTUSE

Front 44

Front 45

Back 45

Localizing Anatomy of Hip and Pelvic Girdle:

Bony Structures include:

–Iliac crest
–ASIS
–Pubic symphysis
–Greater trochanter
–Ischialtuberosity
–Tip of coccyx

Front 46

Projection of the Pelvis and Upper Femora:

Back 46

AP

MSP centered to midline

Lower limbs and feet medially rotated 15-20 degrees

IR 1-1 1/2 inch above crest

Front 47

Projection of Femoral Necks:

Back 47

AP Oblique( modified Cleaves- Bilateral/Uni)

IR 1 inch above public symphsis

CR perpendicular to MSP @ 1 inch above pubic symphsis

Front 48

Projections of the Hip: AP

Back 48

AP Hip

Lower limb and foot medially rotated 15-20 degree

Femoral necks parallel to IR

CR perpendicular to femoral necks

Front 49

Projections of the Hip: Lateral ( Lauenstein Method)

Back 49

Lateral(mediolaterial) Hip

Rotate towards AFFECTED SIDE

Affected hip to midline of grid

CR enters perpendicular through hip( midway between ASIS and Pubic Symphsis)

Front 50

Projections of the Hip: Lateral ( Hickey Method)

Back 50

Lateral(mediolateral) Hip

CR angled 20 degrees cephalic and enters hip joint

Front 51

Projections of the Hip: Axiolateral ( Danelius-Miller Method)

Back 51

Rotate AFFECTED limb 15-20 degrees medially

IR: Vertical with upper boarder in crease above iliac crest

CR: Horizontal( the tube) and perpendicular to along axis of femoral neck

Front 52

Projections of the Acetabulum: AP Oblique( Judet; modified Judet)

Back 52

AP Oblique( Judet;modified Judet) INTERNAL OBLIQUE

Recumbent 45 degrees with AFFECTED side up

CR: Perpendicular to IR and enters 2 inches INFERIOR to ASIS of affected side

Internal oblique used to show POSTERIOR RIM of acetabulum and iliopubic

Front 53

Projections of Acetabulum: AP oblique( Cont)

Back 53

AP Oblique( Judet-Method) EXTERNAL OBLIQUE

Recumbent 45 degrees with AFFECTED SIDE DOWN

CR: Perpendicular to IR and enters Pubis Symphysis

External oblique used to show ANTERIOR RIM of acetabulum

Front 54

Clements-Nakayama(Axiolateral) Projection

Back 54

Used for bilateral fractures when Daneilus-Miller cannot be used

IR: lower than femoral necks and tilt back 15 degrees

CR: Directed 15 degrees posteriorly and perpendicular to femoral necks