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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