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Advanced Procedures II (Sir Robert)

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  • Which bony structure cannot be palpated?
    ischial spine
  • What is another name for the PO Acetabulum projection?
    Judet
  • Which structure is centered most inferiorly or distal?
    lesser trochanter
  • Why are both sides done when Judet views are ordered?
    comparison
  • narrow and deep shape of pelvis M or F
    male
  • What is the patient angle for a Judet?
    45 degrees
  • What is the main evaluation criteria for an inlet projection?
    ischail spines are seen and equal
  • How many bones make up the Pelvis ? What are they?
    4 total, 2 hip bones, 1 sacrum and 1 coccyx
  • A radiograph of an AP pelvis demonstrates that the right obturator foramen is foreshortened, but the right one is open.What is the positioning error?
    right rotation
  • What is the projection name for the unilateral frog-leg projection?
    modified Cleaves
  • What is the evaluation criteria for an outlet projection?
    elongated pubic and ischial bones and no rotation of pelvis
  • What is another name for the axiolateral inferiosuperior projection of the hip?
    Danelius-Miller method
  • How much are the femora abducted from vertical?
    40- 45 degrees
  • Should you see the lesser trochanters on a pelvis image?
    no
  • What are the 2 bony landmarks that are palpated using the hip localization method?
    ASIS and symphysis pubis
  • How much do you abduct the leg for a modified Cleaves method?
    45 degrees from vertical
  • Where is the CR directed on an AP pelvis?
    2" below the level of the ASIS (between the level of the ASIS and the pubis symphysis
  • What are breathing instructions on an AP pelvis?
    hold your breath
  • Why must the lower limb be rotated 15-20 degrees internally on an AP pelvis?
    to place the femoral neck parallel to the image receptor
  • What is another name for the AP axial outlet projection?
    Taylor method
  • What three landmarks are seen on the upside acetabulum view?
    the posterior rim of the acetabulum, anterior iliopubic column and the obturator foramen
  • What are the four things you should see in an AP pelvis image?
    entire pelvis, proximal femurs, no rotation and lesser trochanters not visible
  • How can you tell if a pelvis is rotated?
    The obturator foramen are not equal
  • What is the CR angle of the AP axial inlet projection?
    40 degrees caudad
  • Where do you place the marker on an AP pelvis?
    Right marker on top of hip above the pelvis on the IR
  • Which modality can be performed on an infant when looking at joint stability?
    ultrasound
  • Where is the CR directed for a bilateral frog-leg projection of the pelvis?
    at the level of the femoral head with top of IR approximately at the level of the iliac crest
  • How should the CR be angled for a Clements-Nakayama?
    CR is angled mediolaterally and perpendicular and centered to the femoral neck ( 15-20 degrees)
  • What are the breathing instructions on an inlet/outlet projection?
    hold your breath
  • Oval and heart shaped pelvic inlet? M or F
    male
  • Where is the CR direction in an upside Judet projection?
    2 inches distal to upside
  • What is the kVp for an AP pelvis?
    80
  • What can be performed on an infant to test for joint stability?
    an ultrasound
  • If you want a right upside Judet projection, how is your patient positioned? What is you want a right downside?
    they are on their left side in an LPO, they are on their right side in an RPO
  • What is the name of the modified-axiolateral projection?
    Clements-Nakayama
  • Where is he CR positioned for an AP unilateral hip?
    perpendicular to femoral neck (1-2" medial and 3-4" distal to the ASIS)
  • Where is the CR centered on a Danelius-Miller method?
    perpendicular to the IR and centered to femoral neck
  • What three landmarks are seen on the downside acetabulum view?
    anterior rim of acetabulum, posterior illioischial column and iliac wing
  • What is the CR direction on a downside Judet projection?
    2 inches distal and medial to downside
  • What four parts of the pelvis are seen on the outlet projection?
    Rami of the pubis and and the body and ramus of the ischium
  • Where is the CR centered on a Taylor projection?
    1-2 inches distal to symphysis pubis
  • round and large pelvic inlet M or F
    male
  • Which landmark can't you palpate?
    ischial spine
  • Which position best demonstrates the posterior ilioischial column, anterior iliopubic colum of the pelvis?
    posterior oblique of the Judet method
  • What is seen on an inlet projection?
    entire pelvic ring
  • Where is the CR directed for the modified Cleaves method?
    perpendicular to the IR directed to the mid femoral neck
  • Which bones form the acetabulum?
    ischium, ilium, pubis
  • How much are the feet rotated on an AP pelvis?
    15-20 degrees inward
  • A radiograph of the AP pelvis reveals that the right iliac wing is foreshortened as compared to the left. What is the positioning problem ?
    right rotation
  • What is the kVp for an inlet/ outlet projection?
    85
  • Where is the CR directed on an AP axial inlet projection?
    at the level of the ASIS
  • Wider and more shallow pelvis M or F
    male
  • Ischial spines protrude more into the pelvic cavity? M or F
    male
  • do you have the patient touch the tips of their toes OR cross their toes on an AP pelvis?
    cross their toes
  • What is the CR angle and direction for an inlet projection?
    40 degree caudal
  • What is the CR angle and direction on an outlet projection for a male? Female?
    male- 20-35 degrees cephalad, female- 30-45 degrees cephalad
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