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Merrills Ch 7 pt 2
Pelvis & Upper Femora- pt 2
Question | Answer |
---|---|
IR for AP pelvis & upper femora | 35 x 43 (14 x 17") ↔ |
Location of IR for AP pelvis & upper femora | IR CTR halfway btwn pubic symphysis & ASIS @ 1- 1 1/2" (2.5- 3.8 cm) ↑ crest |
Patient position for AP pelvis & upper femora | supine |
CR for AP pelvis & upper femora | ⊥ to the midpt of the IR |
Respiration for AP pelvis & upper femora | Suspend |
Area of interest for AP pelvis & upper femora | Pelvis & upper 1/3- 1/4 of femur |
What is the modified cleaves method also known as? | Bilateral AP Frog; AP oblique projection of femoral necks |
Area of interest for AP oblique, femoral necks, modified Cleaves method | proximal femur; femoral necks |
IR for AP oblique femoral necks, modified Cleaves method | 35 x 43 cm (14 x 17") ↔ |
Location of IR for AP oblique femoral necks, modified Cleaves method | IR CTR 1" (2.5 cm) ↑ to pubic symphysis |
Patient position for AP oblique femoral necks, modified Cleaves method | supine w/ bilateral or unilateral thigh abducted as much as possible, 25- 45° |
Respiration for AP oblique femoral necks, modified Cleaves method | Suspend |
CR for AP oblique femoral necks, modified Cleaves method | ⊥ & 1" (2.5 cm) ↑ to the pubic symphysis; unilateral CR- femoral neck |
IR for AP Hip | 24 x 30 cm (10 x 12") ↕ |
Location of IR for AP Hip | CTR IR to CR |
Patient position for AP Hip | supine |
CR for AP Hip | ⊥ to femoral neck |
Respiration for AP Hip | Suspend |
Area of interest for AP Hip | proximal 1/3 of femur, hip joint |
IR for Axiolateral Hip, Danelius-Miller | 24 x 30 cm (10 x 12") ↕ or 10 x 12" (25 x 30 cm) grid cassette |
What is Axiolateral Hip also known as? | Danelius-Miller method; "Cross-table" or "Surgical-lateral" projection |
Location of IR for Axiolateral Hip, Danelius-Miller | IR vertical w/ top in crease above iliac crest |
Patient position for Axiolateral Hip, Danelius-Miller | supine |
CR for Axiolateral Hip, Danelius-Miller | ⊥ to femoral neck |
Respiration for Axiolateral Hip, Danelius-Miller | Suspend |
Area of interest for Axiolateral Hip, Danelius-Miller | acetabulum & proximal femur |
What is a lateral projection, mediolateral hip also called? | Lauenstein & Hickey methods |
IR for lateral hip, mediolateral, Lauenstein & Hickey method | 24 x 30 cm (10 x 12") ↔ |
Location of IR for lateral hip, mediolateral, Lauenstein & Hickey method | IR CTR to CR |
Patient position for lateral hip, mediolateral, Lauenstein & Hickey method | supine, slightly oblique toward affected side w/ knee at near ⦜ to hip bone |
CR for lateral hip, mediolateral, Lauenstein & Hickey method | 1) Lauenstein: ⊥ thru hip joint (midway btwn ASIS & pub symph); 2) Hickey: 20-25° cephalic |
Respiration for lateral hip, mediolateral, Lauenstein & Hickey method | Suspend |
Area of interest for lateral hip, mediolateral, Lauenstein & Hickey method | proximal femur- esp femoral head to acetabulum |
IR for Modified Axiolateral projection of hip, Clements-Nakayama modification | 24 x 30 cm (10 x 12") ↕ or 10x12" (25 x 30 cm) grid cassette |
Location of IR for Modified Axiolateral projection of hip, Clements-Nakayama modification | Bottom of IR below pt & grid lines ‖ w/ floor; ‖ w/ femoral neck but tilted back 15° |
Patient position for Modified Axiolateral projection of hip, Clements-Nakayama modification | supine, limbs neutral; affected side near edge of table |
CR for Modified Axiolateral projection of hip, Clements-Nakayama modification | 15° posteriorly; ⊥ to femoral neck & grid IR |
Respiration for Modified Axiolateral projection of hip, Clements-Nakayama modification | Suspend |
Area of interest for Modified Axiolateral projection of hip, Clements-Nakayama modification | acetabulum & proximal femur in lateral profile |
What is the Modified Axiolateral projection of the hip also known as? | Clements-Nakayama modification |
What is the AP oblique projection of the acetabulum also known as? | Judet method, or Modified Judet method |
IR for AP oblique acetabulum, RPO/LPO, Judet method | 24 x 30 cm ↕ |
Location of IR for AP oblique acetabulum, internal oblique, Judet method | center of hip @ mid-IR |
Location of IR for AP oblique acetabulum, external oblique, Judet method | center of hip @ mid-IR |
Patient position for AP oblique acetabulum, internal oblique, Judet method | 45° semisupine w/ affected hip ↑ |
Patient position for AP oblique acetabulum, external oblique, Judet method | 45° semisupine w/ affected hip ↓ |
True or false? For the AP oblique acetabulum, Judet/ modified Judet method, internal oblique is positioned with affected side ↑ | True |
CR for AP oblique acetabulum, internal oblique, Judet method | ⊥ to IR @ 2" ↓ to ASIS of AFFECTED side |
CR for AP oblique acetabulum, external oblique, Judet method | ⊥ to IR @ pubic symphysis |
Respiration for AP oblique acetabulum, internal & external oblique, Judet method | Suspend |
Area of interest for AP oblique acetabulum, internal oblique, Judet method | iliopubic column & (affected) posterior rim |
Area of interest for AP oblique acetabulum, external oblique, Judet method | ilioischial column & anterior rim |
What is the AP axial "Outlet" projection of the anterior pelvic bones also known as? | Taylor method |
IR for AP axial Outlet of anterior pelvic bones, Taylor method | 24 x 30 cm ↔ |
Location of IR for AP axial Outlet of anterior pelvic bones, Taylor method | IR CTR to CR |
Patient position for AP axial Outlet of anterior pelvic bones, Taylor method | supine |
CR for AP axial Outlet of anterior pelvic bones, Taylor method | For ♂, 20-35 cephalad @ 2" (5 cm) distal to superior pubic symphysis. For ♀, 30-45 cephalad @ 2" (5 cm) distal to superior pubic symphysis. |
Respiration for AP axial Outlet of anterior pelvic bones, Taylor method | Suspend |
Area of interest for AP axial Outlet of anterior pelvic bones, Taylor method | superior & inferior rami w/o foreshortening |
What is the Superoinferior axial "Inlet" projection of anterior pelvic bones also known as? | Bridgeman method |
IR for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | 8 x 10" (18 x 24 cm) ↔ |
Location of IR for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | IR CTR @ level of greater trochanters |
Patient position for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | supine |
CR for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | 40° caudad @ level of ASISs |
Respiration for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | Suspend |
Area of interest for Superoinferior axial Inlet of anterior pelvic bones, Bridgeman method | pelvic ring, or inlet |
What is the AP or PA axial projection of the lumbosacral junction & SI joints also known as? | Ferguson method |
IR for AP or PA axial lumbosacral jct & SI joints, Ferguson method | 8 x 10" (18 x 24 cm) or 24 x 30 cm ↕ |
Location of IR for AP or PA axial lumbosacral jct & SI joints, Ferguson method | IR CTR to CR |
Patient position for AP axial lumbosacral jct & SI joints, Ferguson method | supine |
Patient position for PA axial lumbosacral jct & SI joints, Ferguson method | prone |
CR for AP axial lumbosacral jct & SI joints, Ferguson method | For ♂ 30° cephalad. For ♀, 35°. Enters 1 1/2" (3.8 cm) ↑ to pubic symphysis midsagittal |
CR for PA axial lumbosacral jct & SI joints, Ferguson method | 30° caudad @ L4; also ⊥ @ 2" distal to L5 |
Respiration for AP or PA axial lumbosacral jct & SI joints, Ferguson method | Suspend |
Area of interest for AP or PA axial lumbosacral jct & SI joints, Ferguson method | lumbosacral joint & both SI joints free of superimposition |
IR for AP oblique SI joints, RPO & LPO | 8 x 10" (18 x 24 cm) or 24 x 30 cm ↕ |
Location of IR for AP oblique SI joints, RPO & LPO | IR CTR @ level of ASIS w/ sagittal plane 1" (2.5 cm) medial to ↑ side @ grid midline |
Position of patient for AP oblique SI joints, RPO & LPO | From supine, ↑ affected side 25-30° |
Side of interest for AP oblique SI joints, RPO & LPO | Side FARTHEST from IR |
CR for AP oblique SI joints, RPO & LPO | ⊥ to IR CTR @ 1" (2.5 cm) medial to ↑ ASIS |
Respiration for AP oblique SI joints, RPO & LPO | Suspend |
Area of interest for AP oblique SI joints, RPO & LPO | SI joint of side FARTHEST from IR & oblique proj of adjacent structures |
IR for PA oblique SI joints, RAO & LAO | 8 x 10" (18 x 24 cm) or 24 x 30 cm ↕ |
Location of IR for PA oblique SI joints, RAO & LAO | IR CTR @ level of ASIS w/ a point 1" (2.5 cm) medial to ASIS closest to IR is CTR to grid |
Position of patient for PA oblique SI joints, RAO & LAO | 25-30° semiprone |
Side of interest for PA oblique SI joints, RAO & LAO | Side CLOSEST to IR |
CR for PA oblique SI joints, RAO & LAO | ⊥ to IR @ 1" (2.5 cm) medial to ASIS closest to IR; variation: 20-25° caudad @ L5 to ASIS |
Respiration for PA oblique SI joints, RAO & LAO | Suspend |
Area of interest for PA oblique SI joints, RAO & LAO | SI joint CLOSEST to IR |