Tag Archives: acetabulum

Hip AP
4
Feb

Overview

The AP hip radiograph focuses on the proximal femur and acetabulum to assess fractures and degenerative change. The patient lies supine with the leg internally rotated to profile the femoral neck. This view is essential for hip pain and preoperative planning.

Technique

Center the detector to the hip joint and internally rotate the leg approximately 15 degrees. Include the acetabulum and proximal femur in the field and use appropriate exposure. Immobilize the limb to reduce motion artifact.

Clinical Indications

AP hip is indicated for trauma suspected fracture and osteoarthritis assessment. It helps detect femoral neck fractures and joint space narrowing. Additional lateral or cross table views may be required for occult injuries.

Image Assessment

Assess cortical continuity femoral head sphericity and joint space. Look for subcapital fractures and osteophyte formation. Report findings relevant to orthopedic management and surgical planning.

Pelvis Judet Views
4
Feb

Overview

Judet views are oblique pelvic radiographs that profile the anterior and posterior acetabular columns. They are obtained in two oblique positions to assess column integrity and fracture patterns. These views aid in initial assessment of acetabular trauma.

Technique

Rotate the patient 45 degrees to obtain iliac oblique and obturator oblique projections. Center the detector to the acetabulum and use appropriate exposure. Immobilize the patient and document positioning for comparison.

Clinical Indications

Judet views are indicated for suspected acetabular fractures and complex pelvic trauma. They help differentiate column involvement and guide surgical planning. CT is often used for definitive fracture mapping.

Image Assessment

Assess anterior and posterior column continuity acetabular roof and joint congruity. Look for intra articular fragments and displacement. Report findings to inform orthopedic management and operative approach.