Inferasuperior / Axiolateral hip projection (explanation)

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The following should be clearly shown:

_ Femoral neck without overlap from the greater trochanter

_ Small amount of the lesser trochanter on the posterior surface of the femur

_ Small amount of the greater trochanter on the anterior and posterior surfaces of the proximal femur when the femur is properly inverted

_ Soft tissue shadow of the unaffected thigh not overlapping the hip joint or proximal femur

_ Hip joint with the acetabulum

_ Any orthopedic appliance in its entirety

_ Ischial tuberosity below the femoral head

(Frank et al. Merrill’s Atlas of Radiographic Positioning and Procedures: 3-Volume Set, 12th Edition. Mosby, 022011. pp. vol1-351 – vol1-352).

Inferosuperior/Axiolateral Projection

•Patient position


•Part position

–Elevate pelvis for thin patients

–Flex knee and hip of unaffected limb to place thigh vertical

–Rest unaffected leg and foot on a support

–No rotation of pelvis

–Rotate affected limb 15 to 20 degrees medially


–Vertical with upper border in crease above iliac crest

–Angle lower border away from body until parallel with femoral neck

–Support IR in position


–Horizontal and perpendicular to long axis of femoral neck


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