Positioning- Proximal femur and pelvis

kkaitlyn96's version from 2017-01-24 22:41

Section 1

Question Answer
AP Pelvis- Patient positionSupine, Legs internally rotated 15-20 degrees
AP Pelvis- CR:Midway between ASIS and Symphysis
AP Pelvis- RotationForamen narrowed= rotation to that side; narrowed wing= rotation to opposite side
AP Pelvis- AnatomyLesser trochanters should not be seen

Section 2

Question Answer
AP Bilateral Frog Leg Pelvis- Another nameModified Cleaves Method
Modified Cleavess Method- Patient positionknees 90 degrees, femur abducted 40-45 degrees or 20-30 to see femoral neck
Modified Cleaves Method- CR3 in. below ASIS
Modified Cleaves Method- RotationLesser trochanters equal

Section 3

Question Answer
AP Axial "Outlet" Pelvis- Another nameTaylor Method
Outlet/ Taylor Method- used forPelvic bones, ischium and pubic bones
Outlet/ Taylor Method- CR male angle20-35 degrees cephalad
Outlet/ Taylor Method- CR female angle30-45 degrees cephalad
Outlet/ Taylor Method- CR midline 1-2 in distal to superior border of symphysis/ greater trochanters
Outlet/ Taylor Method- AnatomyElongated/ Magnified pubic and ischial bones
When both obturator foramen are foreshortened what do you do?Angle the CR more

Section 4

Question Answer
AP Axial "Inlet" Pelvis- used forPelvic ring/ brim
AP Axial "Inlet" Pelvis- CR40 degrees caudad at ASIS
AP Axial "Inlet" Pelvis- BreathingSuspend respiration
AP Axial "Inlet" Pelvis- RotationIschial spines equal

Section 5

Question Answer
Posterior Oblique- Acetabulum- Another nameJudet Method
Judet Method- used forpelvis injury
Judet Method- Patient position45 degree posterior oblique
Judet Method- UpsidePosterior rim and anterior ilioischial column
Judet Method- Upside CR2 in distal to upside ASIS
Judet Method- AnatomyObturator foramen visualized
Judet Method- DownsideAnterior rim and posterior ilioischial column
Judet Method- Downside CR2 in distal and 2 in medial to downside ASIS
Judet Method- Downside Anatomyiliac wing elongated

Section 6

Question Answer
PA Axial Oblique Acetabulum Bilateral- Another nameTeufel Method
PA Axial Oblique Acetabulum/ Teufel- Patient position35-40 degree anterior oblique
PA Axial Oblique Acetabulum/ Teufel- CR12 degree cephalad at 1 in superior to downside greater trochanter

Section 7

Question Answer
AP Unilateral hip- Patient positionlegs internally rotated 15-20 degrees
AP Unilateral hip- CR1-2 in distal to midfemoral neck
AP Unilateral hip- Anatomy1/3 fe,ur, greater trochanter, femoral head neck in profile

Section 8

Question Answer
Axiolateral Inferosuperior hip( trauma)- Another nameDanelius Miller Method
Axiolateral Inferosuperior/ Danelius Miller- IRIn crease above iliac crest, parallel to femoral neck
Axiolateral Inferosuperior/ Danelius Miller- CRPerp to femoral neck
Axiolateral Inferosuperior/ Danelius Miller- BreathingSuspend respiration

Section 9

Question Answer
Unilateral Frog leg- Mediolateral- Patient positionFemur abducted 45 degrees or 20-30 for femoral neck
Unilateral Frog leg- Mediolateral- CRmidfemoral neck

Section 10

Question Answer
Modified Axiolateral (trauma)- Another nameClements Nakayama
Clements Nakayama- used whenpatient cannot move either leg
Clements Nakayama- IRon bucky 2 in below tabletop, 15 degree tilt
Clements Nakayama- CRMediolaterally, perp to femoral neck 15- 20 degrees posteriorly