Position of part Recumbent position. When patient can be placed in lateral position, center the midcoronal plane of body to midline of grid. Extend thighs enough to prevent femur from obscuring pubic arch. Place support under lumbar spine, and adjust it to place vertebral column parallel with tabletop. Position of patient Place patient in lateral recumbent, dorsal decubitus, or upright position. Have patient suspend respiration for exposure. Purpose and Structures Shown Clear image of lateral pelvis. Lumbosacral junction, sacrum, coccyx, superimposed hip bones, and upper femur. Video Credit : TheXra圜hic Pelvis Lateral Left or Right If pelvis is deep, palpate for iliac crest and adjust position of IR so that its upper border will project 1 to 1.2 inches (2.5to3.8cm) above crest.Ĭentral ray Perpendicular at midline of patient about 2 inches (5cm) inferior to ASIS and 2 inches (5cm) superior to pubic symphysis in average-sized patients. Heels should be placed about 8- 10 inches (20 to24cm) apart. Immobilize legs with sandbag across ankles, if needed. Check distance from ASIS to table top on each side to be sure that pelvis is not rotated. Center IR midway between ASIS and pubic symphysis. Unless contraindicated due to trauma or pathologic factors, medially rotate feet and lower limbs about 15 -20 degrees to place femoral necks parallel with plane of the IR. Medial rotation is easier for patient to maintain if knees are supported. Position of patient Supine position. Have patient suspend respiration for exposure. Purpose and Structures Shown Clear image of entire pelvis. Also demonstrates head, neck, trochanters, and proximal one third or one fourth of shaft of femur. journal of orthopaedic & sports physical therapy, 41 (11), 861-872.This article discusses radiographic positioning to show the hip and pelvis for the Radiologic Technologist (X-Ray Tech). The pearls and pitfalls of magnetic resonance imaging of the upper extremity. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. American Journal of Roentgenology, 185 (4), 899-914. MRI of articular cartilage: revisiting current status and future directions. Archives of orthopaedic and trauma surgery, 132 (1), 105-112. Occult hip and pelvic fractures and accompanying muscle injuries around the hip. Ohishi, T., Ito, T., Suzuki, D., Banno, T., & Honda, Y.Magnetic Resonance Imaging (MRI) of the Brain and Spine: Basics. European journal of radiology, 62 (1), 16-26. Stress fractures in the lower extremity: the importance of increasing awareness amongst radiologists. Magnetic resonance imaging clinics of North America, 21 (1), 1–19. Hip pain in adults: MR imaging appearance of common causes. Magnetic resonance imaging of hip joint cartilage and labrum. Zilkens, C., Miese, F., Jäger, M., Bittersohl, B., & Krauspe, R.Role of MRI in the Diagnosis of Hip Joint Pain. B., Prakash, A., Jayaram, N., HM, C., & Muralidhar, A.

Normal hip joint anatomy xray