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Pelvic Girdle
1st year 1st quarter
Greater trochanter
Lesser trochanter
capitis
Pelvis
Standard views:
• AP
• AP Axial (Taylor Method)
Structures shown:AP Pelvis
• The entire pelvis and head, neck, trochanters and the proximal third or fourth of the shaft of the femurs.
Good Film:
• The entire pelvis should be included along with the proximal femurs.
• The lesser trochanters (if seen) on the medial border of the femurs.• The femoral necks should be demonstrated (** need medial
rotation of lower limbs)• The greater trochanters should be fully demonstrated• The femoral heads should be well demonstrated trough the
underlying acetabula.• Rotation: Look at the obturator foramen, crests, SI jnts and
sacrum/coccyx.• Is there equal distances from edge of film?• The lower spine should be centered to the middle of the film.
AP Pelvis
Rotation
AP Pelvis
Rotation
AP Pelvis
AP Pelvis
Total hip
Back surgery
Pain pump
AP Pelvis
Dislocation
AP Pelvis
Football injury avulsion of the inferior pubic ramus
AP Pelvis
AP Pelvis
AP Pelvis
What do you see?
AP Pelvis
Grid for leg length
AP Upright Pelvis
Peds AP Pelvis: No diaper on!
AP Ortho Pelvis
Structures Shown:AP Axial “outlet” pelvic bones(Taylor Method)
• An inferosuperior projection of the pubic and ischial rami is presented, free of superimposition.
• Pubic and Ischial Rami
AP Axial Pelvic bones
Good Film
• The pubic and ischial bones will be magnified
and superimposed over the sacrum and coccyx. (that is okay we are not looking there)
• Looking at the rami
• We use 30 degrees cephalad tube angle on all pts (male 20-35
female 30-45)
• Should have the pubic bone, hip jnts, and ischial tuberosity on the film
• Rotation: Look at the obturator foramen
AP Axial pelvic bones
AP Axial pelvic bones
AP Axial pelvic bones