![]() ![]() "Guidance on using shielding on patients for diagnostic radiology applications Joint report". "ASRT Statement on Fetal and Gonadal Shielding". "ASMIRT Position Statement Gonad Shielding". 13 – NCRP Recommendations For Ending Routine Gonadal Shielding During Abdominal And Pelvic Radiography (2021)". "Discontinuing Gonadal and Fetal Shielding in X-Ray". Read it at Google Books - Find it at Amazon Radiographics (full text) - Pubmed citation Adult chronic hip pain: radiographic evaluation. doi:10.2106/JBJS.H.00756 - Free text at pubmed - Pubmed citation A systematic approach to the plain radiographic evaluation of the young adult hip. 6- Clohisy JC, Carlisle JC, Beaulé PE et-al.Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Painful paediatric hip: frog-leg lateral view only!. (2019) Journal of medical imaging and radiation sciences. Keeping Children Still in Medical Imaging Examinations- Immobilisation or Restraint: A Literature Review. (2014) Journal of Medical Radiation Sciences. If the parent is accompanying the child by holding them in position, whilst the parent puts on a lead gown, it is the radiographer's responsibility to ensure the baby does not roll off the x-ray table This will require clear instructions for the parents to follow so that they do not allow rotation of the child's pelvis or motion artifact from kicking This is to avoid the child rotating their pelvis to look at their parent Ideally, if a parent/carer holding is required, the parent holds the child from the foot-end in order to be in the child's direct line of sight. Preparing the room beforehand (setting up the detector, exposure and preparing lead gowns) is extremely beneficial for pelvis imaging, as young children will often begin to cry the moment they are placed supine. Greater trochanters of the proximal femur are in profile The entirety of the bony pelvis is imaged from the superior of the iliac crest to the proximal shaft of the femur Grid: highly variable due to the view being a specialised paediatric projection Inferior to the proximal third of the femurĭetector size: 24 x 30 cm or will vary depending on the patient's size It is almost exclusively used in the pediatric population to assess for slipped upper femoral epiphysis (SUFE) and Perthes disease.Centring point: midway between the anterior superior iliac spine and the pubic symphysis bilateral examination allows for better visualization of the hip joints and femoral neck.lataral projection to aid and diagnose femoroacetabular impingement (FAI) due to its increased sensitivity for detecting femoral head-neck asphericity.the ideal projection for bilateral hip or femur trauma.lateral projection demonstrating the neck of the femur without movement of the either limb.can only be conducted on unilateral hip trauma.lateral projection demonstrating the neck of the femur without movement of the affected limb.standard rolled lateral view demonstrating the femoral neck and acetabular rim can only be performed on non-trauma patients.often only performed in follow up studies Objective Slipped capital femoral epiphysis (SCFE) is a hip disorder where the femoral head slips relative to the neck at the physis.demonstrates the hip joint in the AP plane, with the limb internally rotated so the neck of the femur is in profile.Hip radiographs are performed for a variety of indications including 1-3: The series is requested for a myriad of reasons from trauma to atraumatic hip pain. The hip series is comprised of an anteroposterior (AP) and lateral radiograph of the hip joint. ![]()
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