Monday, March 17, 2014

Pelvis



Pelvis
Indication:
Ø  Fractures
Ø  Trauma
Ø  Dislocation and subluxation
Ø  Congenital abnormalities
Basic View:
1)      Anteroposterior :
·         patient lies supine with the legs extended
·         legs are slightly internally rotated If possible
·         ASIS should be equidistant from the cassette
       Centre in the midline, 5 cm (2 inch) below the anterior superior iliac spines.
Supplementary views:
1)      Lateral:
·         From the AP position patient is placed laterally with the legs extended
·         A pad can placed between the knee to attend the actual lateral position
·         Can be done in standing position with horizontal beam
     Centre to the upper border of femoral head
Ilium
Posterior oblique:
·         If the condition of patient allows, he is rotated 35 degree towards the side being examined.
·         Knee of that side is flexed and the limb rotated outwards and supported.
      Centre to the iliac fossa
Symphysis pubis
1)       AP supine:
·         Position same as AP view of pelvis
2)        AP erect:  (to investigate subluxation following pregnancy)
·         Patient stands with her back against the Bucky
·         Two radiographs are taken with the weight on the alternate feet   
  Centre to symphysis pubis

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