Hip AP

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.

Knee AP Weightbearing

Overview

AP weightbearing knee radiographs evaluate joint space narrowing and alignment under physiologic load. The patient stands with equal weight on both legs and the detector centered to the knees. This view is important for osteoarthritis assessment and preoperative planning.

Technique

Position the patient standing with knees extended and center the detector to the joint line. Use consistent weightbearing technique and include both knees for comparison when indicated. Collimate to the knee and use appropriate exposure.

Clinical Indications

Weightbearing AP knee is indicated for osteoarthritis evaluation and symptomatic joint assessment. It reveals joint space narrowing and varus or valgus deformity under load. Non weightbearing views may underestimate degenerative change.

Image Assessment

Assess medial and lateral joint spaces alignment and presence of osteophytes. Evaluate subchondral sclerosis and cystic change. Report findings relevant to conservative or surgical management.