4/19/2024 0 Comments Hip joint xray normal“Pelvic Ring Fractures: What the Orthopedic Surgeon Wants to Know.” RSNARadiographics. Khurana B, Sheehan SE, Sodickson AD, Weaver MJ.The Journal of Bone and Joint Surgery American volume. A Systematic Approach to the Plain Radiographic Evaluation of the Young Adult Hip. Clohisy JC, Carlisle JC, Beaulé PE, et al.“Imaging of the Hip: A Systematic Approach to the Young Adult Hip.” Muscles, Ligaments and Tendons Journal 6.3 (2016): 265–280. Chiamil, Sara Muñoz, and Claudia Astudillo Abarca.“Chapter 6: Basic Approach to Hip/Pelvis X-Ray.” Emergency Medicine Images for Practice: An Overview of X-Ray, Ultrasound, CT, and MRI Images, by Mari Baker.“Radiography of the hip: lines, signs and patterns of disease.” Seminars in Roentgenology. “Slipped Capital Femoral Epiphysis.” Orthobullets. Patterns that have been identified to be unstable are noted in the classification system below Often, if broken in multiple places in the structure, these fractures will be displaced and unstable, causing increased risk of damage to underlying structures. In the instance of high-speed motor vehicle collisions or other high-energy mechanisms, be concerned about pelvic injuries that involve two or more breaks in the pelvic ring. These fractures can usually be managed non-operatively. In this case, there is low likelihood of the bones dislocating abruptly and causing damage to underlying structures, in which case these are considered stable pelvic fractures. Usually low-energy fractures have only one break in the ring, and there is usually maintained alignment of the broken ends. Please note that the more views that are obtained of a bone or joint, the higher the sensivity and specificity of plain radiographic imaging becomes in detecting bony abnormalities.īecause the pelvis is a ring-like structure, be wary that a fracture in one part of the ring is often accompanied by damage to bone, ligament or tendon structures at some other point in the structure. However, there are other radiographic views that can provide a more holistic view of the patient’s anatomy, allowing physicians to better visualize occult fractures that are uniquely displaced and that may not appear on the AP or lateral views. Pelvic and hip anterior-posterior (AP) and lateral images are most commonly obtained when assessing for pelvic bony abnormalities as many physicians have greater familiarity with interpreting these particular views. Goel’s excellent post on Pelvic X-rays that provides an excellent review on anatomy and overview on basic radiographic approach. Pelvic and hip X-rays are most frequently obtained when there is concern for fracture, joint dislocation and effusion, and several pediatric pathologies involving the pelvic girdle which are outlined below.īefore delving into the radiographic approach to pelvic and hip X-rays, let us first review some anatomy. While it is vital to have a high suspicion for pelvic injuries in high mechanism traumas, continue to have high concern in low energy traumas as well, especially in patients prone to pelvic injury due to underlying pathophysiology, such as the elderly or bone composition deficiencies, as they can lead to high morbidity if not diagnosed early in the course of illness. Pelvic and hip X-rays are almost always obtained, and with good reason, in patients presenting after significant blunt trauma to rule out bony abnormalities and underlying structural injuries in patients that are unstable or altered, have an abnormal pelvic exam, or have significant distracting injuries. Plain radiographs are a widely available modality that confer benefits of cost effectiveness and promptness, proving them very useful as an initial diagnostic choice when approaching several musculoskeletal concerns, particularly pelvic and hip pathologies.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |