Pelvic Girdle

1st year 1st quarter

Greater trochanter

Lesser trochanter

capitis

Pelvis

Standard views:

• AP

• AP Axial (Taylor Method)

Structures shown:AP Pelvis

• The entire pelvis and head, neck, trochanters and the proximal third or fourth of the shaft of the femurs.

Good Film:

• The entire pelvis should be included along with the proximal femurs.

• The lesser trochanters (if seen) on the medial border of the femurs.• The femoral necks should be demonstrated (** need medial

rotation of lower limbs)• The greater trochanters should be fully demonstrated• The femoral heads should be well demonstrated trough the

underlying acetabula.• Rotation: Look at the obturator foramen, crests, SI jnts and

sacrum/coccyx.• Is there equal distances from edge of film?• The lower spine should be centered to the middle of the film.

AP Pelvis

Rotation

AP Pelvis

Rotation

AP Pelvis

AP Pelvis

Total hip

Back surgery

Pain pump

AP Pelvis

Dislocation

AP Pelvis

Football injury avulsion of the inferior pubic ramus

AP Pelvis

AP Pelvis

AP Pelvis

What do you see?

AP Pelvis

Grid for leg length

AP Upright Pelvis

Peds AP Pelvis: No diaper on!

AP Ortho Pelvis

Structures Shown:AP Axial “outlet” pelvic bones(Taylor Method)

• An inferosuperior projection of the pubic and ischial rami is presented, free of superimposition.

• Pubic and Ischial Rami

AP Axial Pelvic bones

Good Film

• The pubic and ischial bones will be magnified

and superimposed over the sacrum and coccyx. (that is okay we are not looking there)

• Looking at the rami

• We use 30 degrees cephalad tube angle on all pts (male 20-35

female 30-45)

• Should have the pubic bone, hip jnts, and ischial tuberosity on the film

• Rotation: Look at the obturator foramen

AP Axial pelvic bones

AP Axial pelvic bones

AP Axial pelvic bones