The Hip: Preservation, Replacement and Revision

Judet Views of the Pelvis

- See:
     - AP view
     - Radiology of the Pelvis:

- Internal (Obturator) Oblique View:
    - shows iliopectineal line anterior column of pelvis & posterior wall;
    - pt is supine w/ involved side of pelvis rotated anteriorly 45 deg & beam directed vertically toward affected hip;


- External (Iliac) Oblique View:
    - shows ilioischial line (posterior) column & anterior wall;
    - pt is supine w/ uninvolved side of pelvis rotated ant. 45 degrees;
    - central beam directed vertically toward the affected hip
    - intra-operative flourscopy: it may be difficult to achieve optimal flouroscopy views if the C-arm is placed on the same side as the fracture;
          - rotating the injured side to a lower position may improve the view;


- Diagrams:

Lateral and high-angle oblique radiographs of the pelvis aid in diagnosing pelvic discontinuity after total hip arthroplasty.

Radiographic evaluation of screw position in revision total hip arthroplasty.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Friday, December 2, 2011 12:35 pm