Chapter 8
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| show | The femur bone. This bone and the associated joints are a frequent source of pathology when trauma occurs.
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| The proximal femur consists of four essential parts, what are they? | show 🗑
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| The head of the femur is rounded and smooth for articulation with the hip bones. Near the center is a depression or pit called? | show 🗑
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| show | Body and ramus
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| The greater trochanter is located? | show 🗑
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| What is the intertrochanteric crest? | show 🗑
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| show | 125 degrees with a + or - variance of 15 degrees
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| show | 110 - 115 degrees
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| show | 10 degrees
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| show | 15 - 20 degrees
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| show | A 15 - 20 degree internal rotation of the femur and leg.
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| show | Two hip bones (ossa coxae, also called innominate bones) one sacrum, and one coccyx.
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| How many bones does the pelvic girdle contain? What are they? | show 🗑
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| Each hip bone is composed of three divisions. What are they? | show 🗑
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| The ilium, ischium and pubis are seperate bones in children but fuse together during middle teens. This are of fusion is called? | show 🗑
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| show | The hip bones
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| show | The iliac crest, the ala or wings, the Anterior Superior Iliac Spine (ASIS), the Posterior Superior Iliac Spine (PSIS), the anterior inferior iliac spine, the posterior inferior iliac spine, the greater sciatic notch and about 2/5 of the acetabulum.
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| The ischium consists of? | show 🗑
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| The pubis consists of? | show 🗑
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| A plane through the brim of the pelvis divides the pelvic area into how many cavities? | show 🗑
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| show | The false or greater pelvis.
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| The lesser or true pelvis forms what? | show 🗑
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| show | Through the inlet to midcavity to outlet.
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| Cephalopelvimetry exams were used in the past to measure baby's head and mother's pelvis. This exam has been replaced by? | show 🗑
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| What are the characteristics of the male pelvis? | show 🗑
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| What are the characteristics of the female pelvis? | show 🗑
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| show | Synovial; amphiarthrodial
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| show | Cartligenous; amphiarthrodial
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| show | Cartligenous; synarthrodial (in adults)
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| What classification, mobility type and movement type is the hip joint? | show 🗑
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| show | Ankylosing spondylitis
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| A malignant tumor of cartilage, usually affecting men over 45 is called? | show 🗑
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| DDH stands for? | show 🗑
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| show | at birth
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| Avusion fractures occur? | show 🗑
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| show | Legg-Calve-Perths disease
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| Maligancy spread through circulatory or lymphatic systems. Common metastatic sites are the skull, spine, ribs, pelvis. | show 🗑
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| show | Slipped capital femoral epiphysis.
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| show | 10 - 16 year olds during rapid growth period.
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| show | Shorter; wider with smaller margins.
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| show | To place femoral neck parallel to the film.
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| show | The ilium, ischium and pubis
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| show | The ischial spine
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| Which bone of the pelvic girdle forms the anterior inferior aspect? | show 🗑
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| The symphysis pubis provides limited movement only? | show 🗑
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| The two bony landmarks that are palpated for hip localization are? | show 🗑
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| Using the ASIS and symphysis pubis landmarks, the femoral head can be located? | show 🗑
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| show | Inferior border of the pubis.
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| A common condition of the femur that elderly patients develop that leads to frequent fractures of the hip is? | show 🗑
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| The use of 80kVp rather than 90 for an AP pelvis will have what affect on the patient dose? | show 🗑
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| Which ionization chamber in an AEC system should be selected for an AP projection of the hip? | show 🗑
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| Where is the CR placed for an AP projection of the pelvis? | show 🗑
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| What is the amount of abduction of the femurs recommended for an AP bilateral frog-leg projection? | show 🗑
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| AP Bilateral "Frog-Leg" Projection is also known as? | show 🗑
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| show | Anterior oblique (Teufel method)
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| show | Axiolateral/inferosuperior projection (Danelius-Miller Method)
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| AP Axial "Outlet Projection" is also known as? | show 🗑
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| Posterior Oblique Pelvis - Acetabulum is also known as? | show 🗑
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| PA Axial Obique Projection - Acetabulum is also known as? | show 🗑
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| show | Danelius Miller Method
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| Modified Axiolateral - Possible Trauma Projection is also called? | show 🗑
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| What CR angle should be used for an AP axial (Taylor Method) projection for a male patient? | show 🗑
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| show | 25 to 30 degrees
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| Ture or False: The RAO position for the SI joint will demonstrate the right joint? | show 🗑
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| show | False. Requires 34 to 40 degree obliquity.
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| show | True
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| show | Modified axiolateral (Clements-Nakayama Method)
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| The proper name method for the unilateral frog - leg projection is the? | show 🗑
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| True or False: the male pelvis is more round than a female | show 🗑
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| show | False. It is usually greater than 90 degrees.
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| A radiograph of an AP pelvis reveals the lesser trochanters are not visualized. this pelvis was performed for non-traumatic reason. what should be done to correct this problem on repeat? | show 🗑
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| show | left rotation
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| show | angle CR 20 to 25 degree cephalad
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| show | Increase the elevation and flexion of unaffected leg.
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| show | Excessive rotation or obliquity.
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| A radiograph of an axiolateral (inferosuperior) projection reveals there is excessive amount of grid lines present. What will correct this problem? | show 🗑
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| A patient enters the ER with trauma to the pelvis. The patients main concern is about her left hip. What projection should be taken first to rule out fracture? | show 🗑
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| show | AP pelvis and lateral frog-leg projections of the right hip.
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| True or False: Generally gonadal shielding for females cannot be used for either an AP hip or an AP pelvis due to the probability of covering pertinent anatomy. | show 🗑
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| True or Fase: The gonadal dose for an AP hip with good collimation and correctly placed shielding is 3 to 5 times greater for the male than the female. | show 🗑
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| show | True
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| show | Rotation of pelvis
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| A patient enters ER with a possible separation of the symphysis pubis due to trauma. The AP pelvis is inconclusive for determining the extent of the injury. What other projection can be taken to evalate this region? | show 🗑
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| Request for right hip study. the patient is from extended care facility confused about cause of injury. An AP pelvis is taken, the lateral frog-leg causes severe pain. What other projection can be preformed instead of lateral frog-leg? | show 🗑
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| show | AP Pelvis and the modified axiolateral inferosuperior projection for both hips. Also known as the Clements-Nakayama Method.
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| what is the name of the joint found between the superior rami of the pubic bones? | show 🗑
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| What are two additional terms for the hip bones? | show 🗑
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| show | Ischial tuberosity
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| show | approximately 1 inch above
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| show | 1 1/2 to 2 inches below
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| An imaginary plane that divides the pelvic region into the greater and lesser pelvis is called? | show 🗑
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| Which imaging modality is most sensitive in diagnosing early signs of metastatic carcinoma of the pelvis? | show 🗑
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| show | congenital dislocation
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| a fracture resulting from a severe blow to the pelvis | show 🗑
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| show | Compensating filter
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| show | A CT Scan
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| True or False: Both joints must be included in an AP and lateral projection of the femur even if a fracture of the proximal femure is suspected? | show 🗑
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| show | Upper right and left chambers
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| show | rotation toward the left side.
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| show | rotation of pelvis toward the right side
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| show | Trauma
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| show | non-trauma
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| show | non-trauma
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| show | trauma
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| Is exam for Anterior pelvic bone? | show 🗑
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| What projection is recommended to demonstrate the superoposterior wall of the acetabulum? | show 🗑
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| show | 40 to 45 degrees
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| Where is the central ray placed for a unilateral frog leg projection? | show 🗑
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| what size cassette is used for adult frog leg projection? | show 🗑
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| Where is central ray placed for AP bilateral frog leg projection? | show 🗑
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| What CR angle is required for the "outlet" projection (Taylor Method) for a female patient? | show 🗑
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| show | Acetabulum fracture
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| show | 45 degrees
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| show | 12 degree cephalad
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| how is the pelvis (body) positioned for a PA axial oblique (Teufel) projection? | show 🗑
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| show | True
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| The axiolateral (inferosuperior) projection is designed for what kind of situations? | show 🗑
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| show | flexed and elevated to prevent superimpositon over the affected hip
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| do you use gonadal shielding on the male patient during an axiolateral (inferosuperior) projection of the hip? | show 🗑
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| True or False: During an axiolateral (inferosuperior) projection of the hip the male patient recieves more than 20 times the gonadal dose than a female. | show 🗑
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| The modified axiolateral requires the CR angle to be? | show 🗑
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| show | Judet Method, posterior oblique projections of acetabulum
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| What CR angle is used for the Judet method? | show 🗑
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| What is the name of the special AP axial projection of the pelvis used to assess trauma to pubic and ischial structures? | show 🗑
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| Another name for Axiolateral (inferosuperior) | show 🗑
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| Another name for the Modified axiolateral | show 🗑
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| Another name for Bilateral or Unilateral Frog-Leg | show 🗑
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| Another name for PA axial oblique for acetabulum? | show 🗑
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| Another name for the AP axial "outlet" projection? | show 🗑
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| show | Judet
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| show | 20 to 30 degrees from vertical
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| True or False: The Lauenstein/Hickey method for the unilateral frog-leg will produce distortion of the femoral neck? | show 🗑
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| How much is the cassette tilted for the modified axiolateral projection of the hip? | show 🗑
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| show | False
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| show | rotate limbs 15 to 20 degrees internally
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| An axiolateral/inferosuperior projection reveals the posterior aspect of the acetabulum and femoral head were cut off. What needs to be done on the repeat exam to better define this region? | show 🗑
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| An AP axial projection for anterior pelvic bones reveals that the pubic & ischial bones are not elongated. The tech used CR angle of 20 to 30 degrees cephalad for a female patient. What error was made? | show 🗑
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| A patient enters ER with a pelvis injury due to MVA. The AP pelvis demonstrates possible defect or fracture of the acetabulum. No other fractures and patient can move comfortably. What additional projections will demonstrate possible acetabular fractures? | show 🗑
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| A radiograph from a modified axiolateral projection reveals excessive grid lineso n the image which also appears underexposed. What can be done to avoid this problem during the repeat exposure? | show 🗑
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| A patient with hip pain from a fall enters ER. the physician orders a left hip study. When moved to the radiographic table, the patient complains very loudly about pain in hip. Which positioning routine should be used on this patient? | show 🗑
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| show | AP pelvis and possibly posterior oblique (Judet Method). Decrease kV to 65 or 70.
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| show | Palpate both ASISs and make sure they are equal distance to the tabletop.
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| A very young child comes to the radiology department with clinical history of DDH. What is the most common positioning routine for this condition? | show 🗑
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| show | 4 projections. The Taylor Method (AP Axial "outlet"), AP Axial "Inlet", Teufel Method (PA Axial Oblique), Clements-Nakayama (Modified Axiolateral).
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| Teufel Method (PA Axial Oblique) CR angle is? | show 🗑
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| show | 20 to 35 degree cephalad for male, 30 to 45 degree cephalad for female
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| show | 40 degrees caudad.
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| Clements-Nakayama (Modified Axiolateral) CR angle is? | show 🗑
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| Body Angles: Unilateral Frog Leg (Modified Lauenstein/Hickey Method). Angle leg | show 🗑
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| Body Angles: Teufel Method (PA Axial Oblique) body angle is? | show 🗑
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| show | 45 degree posterior oblique, affected side up.
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| show | abduct both femora 40 to 45 degree from vertical.
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| show | rotate both femora and lower leg internally 15 to 20 degrees.
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| show | Modified Cleaves Method
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| AP Axial "outlet" projection: Pelvis is also called? | show 🗑
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| Posterior Oblique Pelvis-Acetabulum is also called? | show 🗑
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| PA Axial Oblique Projeciton: Acetabulum | show 🗑
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| show | Danelius-Miller Method
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| Unilateral "frog-leg" Projection-Mediolateral: Hip and proximal Femur is also called? | show 🗑
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| Modified Axiolateral-Possible Trauma Projection: Hip and proximal femur is also called? | show 🗑
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Created by:
Baker RAD 2012
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