Hip - Horizontal Ray Lateral Hip

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Hip - Lateral - Horizontal (shoot through hip)
Area Covered	Hip and proximal femur
Pathology shown	Fractures, dislocation
Radiographic Anatomy	Hip Radiographic Anatomy
IR Size & Orientation	24 x 30 cm Landscape
Film / Screen Combination	Regular (CR and DR as recommended by manufacturer)
Bucky / Grid	Moving or Stationary Grid
Filter	Decubitus filter may be used for film Not required with CR / DR
Exposure	80 kVp 40 mAs
FFD / SID	100cm
Central Ray	CR perpendicular to long axis of femoral neck
Collimation	Four sides of collimation Closely collimate to area of interest
Markers	Distal and Superior Marker orientation AP
Shielding	Gonadal shielding is not possible without obscuring essential anatomy (check your department's policy guidelines)
Respiration	Suspended
Positioning	Patient supine on the table, arms across upper chest Cushion for patients head Flex and elevate unaffected leg so that the thigh is as near vertical position as possible and outside of the collimation field. Support the leg in this position with (sponge, chair or on the collimator) Check to ensure no rotation of the pelvis Place IR in crease above iliac crest and adjust so that it is parrallel to femoral neck and perpendicular to CR (use a dedicated cassette holder) Internally rotate affected leg 15° to 20° (do not attempt to internally rotate if fracture or dislocation suspected), sandbags may be used to maintain this position CR perpendicular to long axis of femoral neck
Critique PACEMAN	Positioning Area Covered Collimation Exposure
Special Notes