Overview
The cross table lateral hip view images the proximal femur and hip joint when the patient cannot abduct the leg. The detector is placed lateral to the hip and the beam directed horizontally. This projection is useful for trauma patients and postoperative assessment.
Technique
Keep the patient supine and place the detector parallel to the femoral neck on the unaffected side. Use a horizontal beam and ensure the contralateral limb is moved out of the field. Use appropriate exposure and immobilize the patient.
Clinical Indications
Cross table lateral is indicated for suspected femoral neck fractures in patients who cannot be positioned for frog leg views. It provides lateral visualization without moving the injured limb. CT may be used for occult fractures.
Image Assessment
Evaluate femoral head neck alignment cortical integrity and displacement. Assess for intra articular extension and joint congruity. Report findings relevant to urgent orthopedic management.