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Wheeless' Textbook of Orthopaedics
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Radiology of the Hip




- AP view:
    - patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck;
    - central beam is directed toward the femoral head;
    - X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an image at 20% magnification, corresponding
          to the magnification incorporated in the templates;
          - tape measure will allow accurate assessment of radiographic magnification;



- Lateral View:
    - surgical lateral view:
          - this view should be obtained on all patients suspected of having a hip fracture or dislocation;
          - do not order a frog leg lateral in any patient suspected of having a hip fracture or dislocation)
          - patient is supine; the opposite hip is flexed and abducted;
          - cassette is placed against the lateral aspect of the affected hip;
          - central beam is directed horizontally toward the groin with about 20 degree of cephalic tilt;
    - frogleg lateral view:
          - do not order a frog leg lateral in any patient suspected of having hip fracture or dislocation);
          - patient is supine w/ knees flexed, soles of feet together, and the thighs maximally abducted;
          - central beam is directed vertically or with a 10 to 15 deg cephalic tilt to a point slightly above pubic symphysis;

         




- Radiographic Evaluation for Hip Arthroplasty:
        - preop x-rays for THR:
        - post op x-rays for THR:

- Radiographic Evaluation of Femoral Neck Fractures:
- Radiographic Evaluation for Acetabular Fractures
        - judet views
        - roof arc measurements:
- Radiographic Evaluation for Pelvic Frx;





Determination of Acetabular Coverage of the Femoral Head with Use of a Single Anteroposterior Radiograph.   A New Computerized Technique.

The lateral trochlear sign. Femoral trochlear dysplasia as seen on a lateral view roentgenograph.







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