Download Lecture Outline 2: Hip (Continued)

Mercer County Community College
Math, Science and Health Professions Division
Radiography Program
RAD 128 RADIOGRAPHIC PROCEDURES II
RADIOGRAPHY OF THE HIPS AND PELVIS
I.
AP PROJECTION
A. PATIENT IS SUPINE
B. ALIGN PATIENT’S MSP TO THE MIDLINE OF THE TABLE
C. PLACE 14 X 17 HIGH-SPEED CASSETTE IN BUCKY TRAY CROSSWISE (SID = 40”)
D. INSTRUCT PATIENT TO SEPARATE LEGS AND FEET, INTERNALLY ROTATE LEGS
15 TO 20 DEGREES
E. ENSURE NO ROTATION OF THE PELVIS
F. CENTER THE TUBE AND CASSETTE MIDWAY BETWEEN THE ASIS AND THE
SYMPHYSIS PUBIS
G. SLIGHT COLLIMATION USED
H. INCLUDE CORRECT MARKER
I. SHIELD MALE PATIENTS
J. INSTRUCT PATIENT TO HOLD STILL AND SUSPEND RESPIRATION FOR
EXPOSURE
II. AP BILATERAL FROG LEG (MODIFIED CLEAVES METHOD)
A. PATIENT IS SUPINE
B. ALIGN PATIENT’S MSP TO MIDLINE OF THE TABLE
C. PLACE 14 X 17 HIGH-SPEED CASSETTE IN BUCKY TRAY CROSSWISE (SID = 40”)
D. FLEX BOTH LEGS AND HIPS AS FAR AS COMFORTABLE, PLANTAR SURFACES OF
FEET TOGETHER
E. ABDUCT THIGHS 40 DEGREES FROM VERTICAL
F. ENSURE NO ROTATION OF THE PELVIS
G. DIRECT THE CR 1 INCH SUPERIOR TO THE SYMPHYSIS PUBIS
H. SLIGHT COLLIMATION USED
I. INCLUDE CORRECT MARKER
J. SHIELD MALE PATIENTS AND ALL PEDIATRIC PATIENTS
K. INSTRUCT PATIENT TO HOLD STILL AND SUSPEND RESPIRATION FOR
EXPOSURE
III. AXIOLATERAL POSITION OF THE HIP (TRAUMA CROSSTABLE LATERAL)
A. PATIENT IS SUPINE
B. THIN PATIENTS SHOULD BE POSITIONED ON A RADIOLUCENT SPONGE
C. ENSURE NO ROTATION
D. ELEVATE AND SUPPORT THE UNAFFECTED LEG, PROVIDE SUITABLE SUPPORT
E. POSITION 8 X 10 OR 10 X 12 HIGH-SPEED CASSETTE (WITH GRID) IN CREASE
ABOVE ILIAC CREST PARALLEL TO THE FEMORAL NECK
F. DIRECT CR PERPENDICULAR TO THE FILM AND FEMORAL NECK
G. COLLIMATION ON ALL FOUR SIDES OF THE CASSETTE
H. PLACE CORRECT MARKER ON UPPERMOST PORTION OF THE CASSETTE
I. INSTRUCT PATIENT TO HOLD STILL AND SUSPEND RESPIRATION FOR
EXPOSURE
IV. ACETABULUM – JUDET METHOD: DOWNSIDE OBLIQUE)
A. PATIENT IS POSITIONED ON THE RADIOGRAPHIC TABLE
B. USE 10 X 12 HIGH-SPEED CASSETTE LENGTHWISE IN BUCKY TRAY
C. 45-DEGREE POSTERIOR OBLIQUE, AFFECTED SIDE CLOSEST TO IR
D. CR DIRECTED 2 INCHES INFERIOR AND MEDIAL TO DOWNSIDE ASIS
E. MARKER PLACED ON LOWER OUTER CORNER OF IR
F. FOUR-SIDED COLLIMATION
G. GONADAL SHIELDING SHOULD BE USED FOR MALES
H. PATIENT HOLDS STILL AND SUSPENDS RESPIRATION FOR EXPOSURE
I. KVP RANGE OF 75 TO 80
V. ACETABULUM – JUDET METHOD: UPSIDE OBLIQUE)
A. PATIENT IS POSITIONED ON THE RADIOGRAPHIC TABLE
B. USE 10 X 12 HIGH SPEED CASSETTE LENGTHWISE IN BUCKY TRAY
C. 45-DEGREE POSTERIOR OBLIQUE AFFECTED SIDE FARTHEST FROM IR
D. CR DIRECTED 2 INCHES INFERIOR TO ASIS
E. MARKER PLACED IN LOWER OUTER CORNER OF IR
F. FOUR-SIDED COLLIMATION
G. GONADAL SHIELDING SHOULD BE USED FOR MALES
H. PATIENT HOLDS STILL AND SUSPENDS RESPIRATION FOR EXPOSURE
I. KVP RANGE OF 75 TO 80