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Hip Xray

A/P pelvis xray   A/P Pelvis
  • Helpful for: Hip arthritis, Pelvic fracture, acetabular fracture, femoral neck fracture, IT Fx, AVN, Adult DDH, etc
  • Evaluate: joint space narrowing, osteophytes, cysts, asses leg lengths based on lesser troch levels. Pubic symphysis should line up with sacrum if pt and film are properly oriented.
  • Lateral Center-edge angle of Wiberg

 

Position: supine with both legs internally rotated 15°.
Beam: aimed perpendicular to table/plate, centered 1" distal to ASIS.

A/P xray view of the hip

A/P Hip

  • Helpful for: Hip arthritis, Pelvic fracture, acetabular fracture, femoral neck fracture, IT Fx, AVN, etc
  • Evaluate: joint space narrowing, osteophytes, cysts,

 

Position: supine with both legs internally rotated 15°.
Beam: aimed perpendicular to table/plate, centered on femoral neck.

 

Cross Table Lateral Hip

  • Helpful for: Hip arthritis, Pelvic fracture, acetabular fracture, femoral neck fracture, IT Fx, AVN, etc
  • Evaluate: joint space narrowing, osteophytes, cysts, fracture

 

Position: supine with unaffected hip and knee flexed 90° out of the way.
Beam: aimed perpendicular to long axis of femoral neck, centered on femoral neck.

 

Frogleg Lateral Hip

  • Helpful for: Hip arthritis, DDH, SCFE, AVN, etc
  • Evaluate: joint space narrowing, osteophytes, cysts, fracture, femoral head coverage, hip joint congruity

 

Position: supine with hips flexed and abducted, knees flexed with soles of feet touching.
Beam: aimed perpendicular to table/plate, centered on pubic symphysis.

Lateral xray view of the hip

Lateral Hip

  • Helpful for: Hip arthritis, DDH, SCFE, AVN, femoral neck fracture,etc
  • Evaluate: joint space narrowing, osteophytes, cysts, fracture, femoral head coverage, hip joint congruity

 

Position: supine rotated posteriorly toward affected side. Hip is flexed 45° and abducted 45°.
Beam: aimed perpendicular to table/plate, centered on femoral neck.

False Profile view of the hip False Profile View

Lequesne and de Seze view

  • Helpful for: DDH,
  • Evaluate: anterior coverage of the femoral head
  • Measeure ventral inclination angle. Normal >25º.

 

Position: Patient standing with the affected hip on the cassette, the ipsilateral foot parallel to the cassette and the pelvis rotated 65° from the plane of the cassette.
Beam: centered on the femoral head perpendicular to the cassette

Reference: Garbuz DS, CORR 2004;418:18, Lequense M, Rev Rhum Mal Osteoartic 1961;28:643