Pelvis series
Updates to Article Attributes
Body
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The pelvis series is comprised of an anteroposterior (AP) with additional projections based on indications and pathology. The series is used most in emergency departments during the evaluation of multi-trauma patients due to the complex anatomy the AP projection covers.
The pelvis series examines the main pelvic ring, obturator foramina, sacroiliac joints, symphysis pubis, acetabulum, sacral foramina, and the proximal femur.
The AP pelvis has a diagnostic yield of ~94% in severely injured patients 2-3.
See an approach to the pelvic radiograph.
Indications
Pelvic radiographs are performed for a variety of indications including 1-4:
- blunt trauma
- generalised hip pain
- arthropathy
- post operative follow up after THR
- Paget's disease
- fall
Projections
Standard projections
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AP
- demonstrates the pelvis in the natural anatomical position
- arcuate, ilioischial, iliofemoral and Shenton lines (figure 7-10) are examined against this view
Modified trauma projections
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horizontal beam lateral hip
- utilised on patients with suspected hip fracture or dislocation
- demonstrates the neck of femur in the true lateral projection
- obtained with minimal patient movement
- Clements-Nakayama view 6
- modfied view that requires no lower limb movement and minimum discomfort
- used for patients that have suspected bilateral neck of femur fractures or significant bilateral lower limb injuries
- demonstrates the neck of femur in the true lateral projection
- utilised on patients with suspected hip fracture or dislocation
Additional projections
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inlet view
- caudal projection to best demonstrates the main pelvic ring and associated pathology
- the best view for evaluation of the posterior displacement of both the main pelvic ring and fractures of the pubic symphysis
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outlet view
- a cephalic projection for evaluation of suspected cephalad shift of the hemipelvis
- tangential view of the inlet view
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Judet view (oblique)
- for evaluation of the superior, medial, lateral, and posterior surfaces of the acetabulum 5
-<p> </p><p>The<strong> pelvis series </strong>is comprised of an anteroposterior (AP) with additional projections based on indications and pathology. The series is used most in emergency departments during the evaluation of multi-trauma patients due to the complex anatomy the AP projection covers.</p><p>The pelvis series examines the main pelvic ring, obturator foramina, <a href="/articles/sacroiliac-joint">sacroiliac joints</a>, <a href="/articles/symphysis-pubis">symphysis pubis</a>, <a href="/articles/acetabulum">acetabulum</a>, <a href="/articles/sacrum">sacral foramina</a>, and the <a href="/articles/femoral-neck-fracture">proximal femur</a>.</p><p>The AP pelvis has a diagnostic yield of ~94% in severely injured patients <sup>2-3</sup>.</p><p>See an approach to the <a href="/articles/pelvic-radiograph-an-approach">pelvic radiograph</a>.</p><h4>Indications</h4><p>Pelvic radiographs are performed for a variety of indications including <sup>1-4</sup>: </p><ul>- +<p>The<strong> pelvis series </strong>is comprised of an anteroposterior (AP) with additional projections based on indications and pathology. The series is used most in emergency departments during the evaluation of multi-trauma patients due to the complex anatomy the AP projection covers.</p><p>The pelvis series examines the main pelvic ring, obturator foramina, <a href="/articles/sacroiliac-joint">sacroiliac joints</a>, <a href="/articles/symphysis-pubis">symphysis pubis</a>, <a href="/articles/acetabulum">acetabulum</a>, <a href="/articles/sacrum">sacral foramina</a>, and the <a href="/articles/femoral-neck-fracture">proximal femur</a>.</p><p>The AP pelvis has a diagnostic yield of ~94% in severely injured patients <sup>2-3</sup>.</p><p>See an approach to the <a href="/articles/pelvic-radiograph-an-approach">pelvic radiograph</a>.</p><h4>Indications</h4><p>Pelvic radiographs are performed for a variety of indications including <sup>1-4</sup>: </p><ul>
Images Changes:
Image 5 X-ray (Inlet view) ( create )
Image 6 X-ray (Outlet view) ( create )
Image 7 ( update )
Caption
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Figure 57: labeled anterior pelvis
Image 8 ( update )
Caption
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Figure 68: labeled posterior pelvis
Image 9 X-ray (Frontal) ( update )
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Figure 79: iliofemoral line
Image 10 Annotated image (pelvic ring, obturator foramens) ( update )
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Figure 810: pelvic ring lines
Image 11 Annotated image (Shenton's line) ( update )
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Figure 911: Shenton's line
Image 12 Annotated image (sacral arcuate lines) ( update )
Caption
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Figure 1012: arcuate lines
Image 13 Annotated image (Obturator oblique view) ( update )
Caption
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Figure 1113: annotated obturator oblique view
Image 14 Annotated image (Iliac oblique view) ( update )
Caption
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Figure 1214: annotated iliac oblique view
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