Hip - Horizontal Ray Lateral HipThis is a featured page

Radiographic Positioning


Adult
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Name of projection Hip - Lateral - Horizontal (shoot through hip)
Area Covered Hip and proximal femur
Pathology shown Fractures, dislocation
Radiographic Anatomy Hip Radiographic Anatomy
IR Size & Orientation 24 x 30 cm
Landscape
Film / Screen CombinationRegular
(CR and DR as recommended by manufacturer)
Bucky / Grid Moving or Stationary Grid
Filter Decubitus filter may be used for film
Not required with CR / DR
Exposure 80 kVp
40 mAs
FFD / SID 100cm
Central Ray CR perpendicular to long axis of femoral neck
Collimation Four sides of collimation
Closely collimate to area of interest
Markers Distal and Superior
Marker orientation AP
Shielding Gonadal shielding is not possible without obscuring essential anatomy (check your department's policy guidelines)
Respiration Suspended
Positioning
  • Patient supine on the table, arms across upper chest
  • Cushion for patients head
  • Flex and elevate unaffected leg so that the thigh is as near vertical position as possible and outside of the collimation field. Support the leg in this position with (sponge, chair or on the collimator)
  • Check to ensure no rotation of the pelvis
  • Place IR in crease above iliac crest and adjust so that it is parrallel to femoral neck and perpendicular to CR (use a dedicated cassette holder)
  • Internally rotate affected leg 15° to 20° (do not attempt to internally rotate if fracture or dislocation suspected), sandbags may be used to maintain this position
  • CR perpendicular to long axis of femoral neck
Critique

 Positioning

Area Covered

Collimation

Exposure

Special Notes



AndyC
AndyC 		Latest page update: made by AndyC , Jun 16 2011, 3:33 AM EDT (about this update About This Update AndyC Edited by AndyC

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Keyword tags: hip hip hori ray hip horizontal ray hip lateral hip lateral positioning hip lateral technique
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