Tag Archives: femoral neck

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.

Hip Frog Leg Lateral
4
Feb

Overview

The frog leg lateral hip view positions the hip in flexion abduction and external rotation to profile the femoral head and neck. It is useful for detecting slipped capital femoral epiphysis and femoral neck fractures. This projection complements the AP hip for comprehensive assessment.

Technique

Flex the hip and knee and abduct the thigh with the sole of the foot against the opposite leg. Center the detector to the hip and use appropriate exposure for the proximal femur. Ensure patient comfort and avoid excessive rotation.

Clinical Indications

Frog leg lateral is indicated for pediatric hip disorders trauma and suspected femoral neck pathology. It provides a lateral perspective of the femoral head neck and greater trochanter. Alternative lateral techniques are used when positioning is limited.

Image Assessment

Evaluate the relationship of the femoral head to the neck and look for epiphyseal displacement. Assess cortical integrity and joint congruity. Document findings and recommend orthopedic referral when indicated.