HIPS NORMAL XRAY SERIES

The patient’s legs should be internally rotated to maximize visualization of the femur anatomy.The AP radiograph of the pelvis should include the whole pelvis, proximal 3rd of the femur, and the lumbar spinous processes, coccyx, and pubic symphysis in a straight line.Require minimal movement of the affected painful hip.For trauma: “Cross Table Lateral” or “Horizontal Beam Lateral” has these views.There are multiple ways to perform the “lateral view”.A standard “hip series” consists of the AP view of the pelvis and a lateral view of the affected extremity.2 visits: Bring patient back for repeat filmsĪn approach to the traumatic adult hip x-ray.2 occasions: Always compare with old x-rays if available.2 sides: If unsure regarding a potential pathologic finding, compare to another side.2 joints: Image above and below the injury.2 abnormalities: If you see one abnormality, look for another.

MRI hip protocols can be done in as little as 5-15 minutes.īefore we begin: Make sure to employ the rule of 2’s Consider MRI for patients with significant hip pain and negative x-rays.

2% of occult hip fractures will be missed by CT.

Compared with CT, pelvic radiographs have a sensitivity of 64% to 78% for the identification of pelvic fractures in blunt trauma.

Hip fractures have a very high one-year mortality.

Hip and thigh pain are common complaints in the ED.

Why the hip matters and the radiology rule of 2’s The Hip

Identify clinical scenarios in which an additional view might improve pathology diagnosis.

Interpret traumatic hip x-rays using a standard approach.

When applicable, it will provide pertinent measurements specific to management, and offer a framework for when to get an additional view, if appropriate.

HIPS NORMAL XRAY SERIES

This is EMRad, a series aimed at providing “just in time” approaches to commonly ordered radiology studies in the emergency department.

Hips normal xray