Hip - Axiolateral (Freidman)

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Radiographic Positioning

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Name of projection Hip - Axiolateral (Freidman)
Area Covered Hip and surrounding pelvis
Pathology shown Fractures, bone lesions, dislocation, arthritis
Radiographic Anatomy Hip Radiographic Anatomy
IR Size & Orientation 24x 30 cm
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 to femoral neck, angled 15° to 20° cephalad
Collimation Four sides of collimation
Closely collimate to area of interest
Markers Distal and Lateral
Marker orientation AP
Shielding Gonadal shielding is not possible without obscuring essential anatomy (check your department's policy guidelines)
Respiration Suspended
  • Patient supine on the table
  • 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 to femoral neck, angled 15° to 20° cephalad

Area Covered
Special Notes