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Pelvis & Cross-Table Lateral Hip for Trauma

DPL1-2LATH

ROUTINE: AP Pelvis and Cross-table Lateral of the affected hip.

DISTANCE:

  • 44” for the AP Pelvis
  • 40” for the Cross-table Lateral of the affected hip.

BUCKY OR GRID: YES

FOCAL SPOT: Large

IMAGING PLATE:

  • 14x17 CR cassette
  • 10x12 CR cassette with grid for Lateral

CENTRAL RAY:

  1. Perpendicular entering the midline 2” superior to the pubic symphysis for the AP pelvis.
  2. Perpendicular to the femoral neck and to the grid for the Cross-Table Lateral hip.

HELPFUL POSITIONING:

  1. Patient is supine with legs extended and internally rotated 15 degrees for the AP pelvis.
  2. Don’t shield on the AP pelvis.

ADDITIONAL COMMENTS:

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 a hip fracture, the TEC doctor will ask you to do a cone down AP of the hip and a cone down AP of the hip with a 15-30 deg. Cephalic tube tilt (2 additional views).

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

Updated 10/8/2009

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