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Chapter 7
Hip and Pelvis
Pelvis
• Consists of:
• 2 hip bones
• Ilium
• Pubis
• Ischium
• Sacrum
• Coccyx
• ______________
• 2 hip bones
• Acetabulum
Ilium
• Ala
• Body
• Superior acetabulum
• Iliac Crest
•
•
•
•
_______
AIIS
_______
PIIS
Ischium
• Body
• Posterioinferior acetabulum
• Ramus
• Ischial Tuberosity
• ____________
• _______________
• Lesser Sciatic Notch
Pubis
• Body
• Anterioinferior acetabulum
• Superior Ramus
• __________
• __________
True Pelvis
• _____________
•
•
•
•
Surrounded by bone
Sacrum
Ilium
Pubis
• _____________
• Tip of bilateral ischial tuberosities
• Tip of coccyx
Pelvis Joints
• Sacroiliac Joints (SI)
• Symphysis Pubis
• Acetabulum
• Hip Joint
Male and Female Pelvis
Male
Female
• __________
• Ala less flared
• ________ pubic arch
• Oval obturator foramen
• ___________
• Flared Ala
• _______ pubic arch
• Narrow obturator foramen
Imaging the Pelvis
• AP
• 40”SID
• 75 kV
AP Pelvis
• Supine
• _______________
• ____________should not be seen or barely seen
• CR
• Midsagittal plane
• Between ASIS and Symphysis Pubis
• Tip: Put top of ___at crest and center to the IR
• _____________________
Proximal Femur
• Head
• Fovea Capitis
• Neck
• Greater Trochanter
• Lesser Trochanter
• Intertrochanteric Crest
• Head and Neck = _____________
Imaging the Hip
• AP Pelvis
• AP Unilateral Hip
• Lateral
• Frog Leg
• Cross Table
• 40” SID
• 75 kV
AP Unilateral Hip
• Supine
• Leg extended
• Rotate leg _____________
• _____________is not seen or mostly not seen
• CR __________ to femoral neck
• 2” medial and 4” distal to ASIS
Frog Leg Lateral
• Supine
• Flex knee and __________
• CR to femoral neck
• _________to ASIS
Cross Table Hip
• Supine
• Do not move affected hip
• ____________unaffected leg
• X-table holder
• Grid and _________with femoral neck
• Superior to iliac crest
• CR perpendicular to IR
Sacroiliac Joint Imaging
• _________Posterior Oblique
• The joint of interest is _______
• ________ for left SI joint
• Direct CR 1” medial to upside ASIS