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Hip & Femur

DHIP2V
DHIP1V

HIP

TEC PROTOCOL: If a patient presents with a history of falling, an AP of the pelvis and cross-table lateral of the hip are ordered. If a fracture isn’t seen and there is a strong suspicion of hip fracture, the TEC doctor will ask you to do a cone down AP of the hip and a cone down AP of hip with a 15-30° cephalic tube angle (2 additional views).

  • If a fracture is seen, ask the doctor if you should do an AP chest.

ROUTINE: AP and Lateral.

Peds Routine: For children under 14 years of age, an AP & Frogleg Pelvis is required.

DISTANCE: 40”

BUCKY: Yes

FOCAL SPOT: Large

IMAGING PLATE:

  • 10x12 CR cassettes
  • 14x17 AP in cases with hardware.

CENTRAL RAY:

  1. Perpendicular to femoral neck

ADDITIONAL COMMENTS:

  1. Post-Op-You must include all of the surgical hardware and glue on AP view.
  2. TEC or Urgent Care- The trauma hip protocol is a AP pelvis and lateral of the suspected hip. You must also ask the doctor if they want an AP Chest.
  3. Visualizing the Femoral Head- If you are unable to view the head on a cross-table lateral due to patient conditions, you may do a frog-leg lateral of affected hip.

Updated 8/5/2007


DFEMUR2V

FEMUR

ROUTINE: AP and Lateral Hip down AND AP & Lat Knee up to obtain overlap (four images).

DISTANCE: 40”

BUCKY: Yes

FOCAL SPOT: Large

IMAGING PLATE: CR cassette 14x17-- make sure to overlap.

CENTRAL RAY:

  1. Perpendicular to mid-shaft of the femur.

HELPFUL POSITIONING:

  • AP-14x17 film from hip down; 14x17 film from knee up.
  • Lateral-14x17 from knee up; cross-table lateral of affected hip.

ADDITIONAL COMMENTS:

  1. Cross table lateral may be used if on knee up if patient is unable to roll.
  2. Measure mid-femur to get a good technique for knee up view.

Updated 4/7/1986

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