HIP

POSTERIOR OBLIQUE PELVIS-ACETABULUM:

JUDET METHOD

• Acetabular fracture or hip

dislocation
• Place patient in 45° posterior
oblique
RPO-downside (anterior rim
and posterior {ilioischial
column)
LPO-upside(posterior rim and
anterior {iliopubic column)
PA AXIAL OBLIQUE PROJECTION-ACETABULUM:
TEUFEL METHOD

• Acetabular fracture especially

the superoposterior wall of
the acetabulum
• Place patient in 35° to 40°
anterior oblique
• Angle CR 12° cephalad
AXIOLATERAL INFEROSUPERIOR PROJECTION-HIP
and PROXIMAL FEMUR-TRAUMA:
Danelius-Miller Method
• Common projection for
trauma, surgery and post-
surgery
• Flex and elevate unaffected
leg
• Place cassette parallel to
femoral neck and
pependicular to CR
• Rotate affected leg 15° to 20°
internally unless
contraindicated
MODIFIED AXIOLATERAL PROJECTION-HIP and
PROXIMAL FEMUR-TRAUMA:
Clements-Nakayama Modification

• Patient that has bilateral hip

fractures, bilateral hip
arthroplasty (plastic surgery
of hip joints

• 15° posterior angulation

aligned perpendicular to
femoral neck
MODIFIED AXIOLATERAL PROJECTION-HIP and
PROXIMAL FEMUR:
Leonard-George Method

• Demonstrates the head, neck,

and trochanteric area of the
femur
• Uses curved cassette between
the thighs
UNILATERAL “FROG-LEG” PROJECTION-
MEDIOLATERAL: HIP and PROXIMAL FEMUR-
Modified Cleaves Method

• Do not attempt this position

on patient with destructive
hip or potential hip fracture
or dislocation

• Abduct femur 45° from

vertical
• Flex affected knee and hip w/
sole of the foot against inside
of opposite leg near the knee
HIP and PROXIMAL FEMUR-
Friedman Method

• Patient in lateral recumbent

towards affected side
• CR 35° cephalad to femoral
neck
 AP Hip
Repeatable
error:
Centering

*Know
your positioning
Landmarks. If you
cannot feel them
due to body habitus,
ask the patient to
show you where
their crest is.
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 AP Hip

Repeatable
error:
Centering

*Feel for
patient’s crest
and/or ASIS

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 AP Hip

Repeatable
error:
Positioning

*Artifact-hand.
Pay attention to
where your patient’s
hands are!

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Hip

Pathology

Trauma
Fractured
femoral neck,
most common
after falls.
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Hip

Pathology

Trauma
Femoral head
dislocation

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 Frog Hip
Repeatable
error:
Centering

*Know
your positioning
Landmarks. If you
cannot feel them
due to body habitus,
ask the patient to
show you where
their crest is.
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 Frog Hip

Repeatable
error:
Centering

*Know
your positioning
landmarks.

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Axiolateral Inferosuperior Hip
Danelius-Miller Method

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 XTL Hip Place marker along this area

Repeatable
error:
Technical

*Careful of your
marker placement

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 XTL Hip
Repeatable
error:
Technical

*either the cassette

was not below the
table line, or the
imager did not
realize the anatomy
would sink into the
stretcher or bed.

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Modified Axiolateral Hip
Clements-Nakayama Method

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