Radiographics (full text) - Pubmed citationĨ- Donnelly LF. Adult chronic hip pain: radiographic evaluation. doi:10.2106/JBJS.H.00756 - Free text at pubmed - Pubmed citationħ- Manaster BJ. A systematic approach to the plain radiographic evaluation of the young adult hip. Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Painful paediatric hip: frog-leg lateral view only!. (2019) Journal of medical imaging and radiation sciences.
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Keeping Children Still in Medical Imaging Examinations- Immobilisation or Restraint: A Literature Review. (2014) Journal of Medical Radiation Sciences. If the parent is accompanying the child by holding them in position, whilst the parent puts on a lead gown, it is the radiographer's responsibility to ensure the baby does not roll off the x-ray tableġ. This will require clear instructions for the parents to follow so that they do not allow rotation of the child's pelvis or motion artifact from kicking This is to avoid the child rotating their pelvis to look at their parent Ideally, if a parent/carer holding is required, the parent holds the child from the foot-end in order to be in the child's direct line of sight.
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Preparing the room beforehand (setting up the detector, exposure and preparing lead gowns) is extremely beneficial for pelvis imaging, as young children will often begin to cry the moment they are placed supine. Greater trochanters of the proximal femur are in profile The entirety of the bony pelvis is imaged from the superior of the iliac crest to the proximal shaft of the femur Grid: highly variable due to the view being a specialized pediatric projection Inferior to the proximal third of the femurĭetector size: 24 x 30 cm or will vary depending on the patient's size Centering point: midway between the anterior superior iliac spine and the pubic symphysis