Hip - Rolled Lateral Hip

Adult

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Name of projection	Hip - Lateral - Rolled
Area Covered	Hip and proximal femur
Pathology shown	Joint narowing
Radiographic Anatomy	Hip Radiographic Anatomy
IR Size & Orientation	24x 30 cm Portrait
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	70 kVp 20 mAs
FFD / SID	100cm
Central Ray	CR directed to midfemoral neck
Collimation	Collimate to four sides of interest
Markers	Distal and Lateral Marker orientation AP
Shielding	Shield gonads on all males,ovarian shielding on females is generally not possible without blocking essential anatomy (check your department's policy guidelines)
Respiration	Not applicable
Positioning	Patient supine on the table, arms at side or across upper chest Cushion for patients head Flex knee and hip on affected side Abduct femur 45° from vertical (to place femoral neck parrallel to IR) CR directed to midfemoral neck Lauenstein / Hickey modification: This method foreshortens the neck but demonstrates head and acetabulum well Patient supine on the table, arms at side or across upper chest Cushion for patients head Rotate patient onto affected side until femur is in contact with the tabletop Place support sponge under hip and knee of raised side Flex knee and hip on affected side CR directed to midfemoral neck
Critique PACEMAN	Positioning Area Covered Collimation Exposure
Special Notes

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