Merrill Ch 7

The pelvis contains how many bones?

4 bones:
2 hip
sacrum
coccyx

The hip bone is often referred to as

os coxae or innominate bone

These colums are used to identify fractures around the acetabulum

iliopubic column
ilioishial column

The body of the ilium forms approximately what percentage of the acetabulum superiorly

two-fifths

The body of the pubis forms approximately what percentage of the acetabulum anteriorly

one-fifth

The body of the ischium forms approximately what percentage of the acetabulum anteriorly

two-fifths

The greater pelvis is also called the

False Pelvis

This indintation is just below the ischial spine

lesser sciatic notch

The pubis consists of

body
superior ramus
inferior ramus

The ischium consists of

body
ischial ramus

The ala has three borders

anterior, posterior, and superior

The anterior and posterior borders of the ala present four prominent projections

Anterior superior iliac spine
Anterior inferior iliac spine
Posterior superior iliac spine
Posterior inferior iliac spine

the hip joint is this type of synovial joint

synovial ball-and-socket

Characteristics of the female pelvis

wide, shallow
light
oval

What boney structure can not be palpated

Ischial spine

Characteristics of the male pelvis

Narrow, deep
Heavy
Round

What is used as an important and frequently used radiiographic referencing point

ASIS

How many degrees should the feer and lower limbs be internally rotated for an AP pelvis radiograph

15-20 degrees

The strongest bone in the body

femur

How many degrees is the lower limb and foot rotated for an AP Hip

15-20 degrees

The ilia articulate with the sacrum posteriorly at the

scaroilliac jpint

This is the largest foreman in the skeletal system

Orburator foreman

What is parallel to the IR in a properly positioned AP Hip projection

the femoral neck

The two large processes on the femur

greater trochanter
lesser trochanter

The longitudinal plane of the femur is angled how many degrees from vertical

10 degrees

Gonadal shielding of the male patient for AP Pelvis radiography requires that the shield not extend above the level of the

inferior margin of the pubis

The central ray for an AP Pelvis enters

2 inches superior to the pubic symphysis

The central ray for an AP hip enters

Perpendicular to the femoral neck
2 1/2 inches distal on a line drawn perpendicular to the midpoint of a line between ASIS and pubic symphysis

The feet are placed this face apart for an AP Pelvis

8-10 inches

The central ray for a modified Cleaves method enters

Perpendicular to enter the patient's midsagittal plane at the level 1 inch superior to the pubic symphysis

The neck of the femur projects anteriorly at approximately this angle

15-20 degrees

The sacroilliac joint is this type of joint

Synovial, irregular gliding (synovial fibrous joint)

The Pubic symphysis is this type of joint

Cartiliaginious, Symphysis

Ankylosing spondylitis

Rheumatoid arthritis variant involving the SI joints and spine

Congential hip dysplasia

Malformation of the acetabulum causing displacement of the femoral head

Dislocation

Displacement of a bone from the joint space

Fracture

Disruption in the continuity of bone

Legg-Calve-Perthes disease

Flattening of the femoral head owing to vascular interruption

Metastases

Transfer of a cancerous lesion from one area to another

Osteoarthritis or degenerative joint disease

Form of arthritis marked by progressive cartiliage deterioration in synovial joints and vertebrae

Osteopetrosis

Increased density of atypically soft bone

Osteoporosis

Loss of bone density

Paget disease

Thick, soft bone marked by bowing and fractures

Slipped epiphysis

Proximal portion of the femur is dislocated from the distal portion at the proximal epiphysis

Tumor

New tissue growth where cell proliferation is uncontrolled

Chondrosarcoma

Malignant tumor arising from cartilage cells

Multiple myeloma

Malignant neoplasm of plasm cells involving the bone marrow and causing destruction of the bone

This size of IR is used in an AP Pelvis projection

14x17 crosswise

Danelius-Miller method

Acetabulum: AP Oblique Projection-
Judet Method

A. Iliac crest
B. Anterior superior iliac spine
C. Anterior inferior iliac spine
D. Acetabulum
E. Ischium
F. Obturator foramen
G. Ilium (or the ala of the ilium)
H. Auricular surface
I. Posterior superior iliac spine
J. Posterior inferior iliac spine
K. I

A. Posterior superior iliac spine
B. Posterior inferior iliac spine
C. Greater sciatic notch
D. Ischial tuberosity
E. Lesser sciatic notch
F. Ischial tuberosity
G. Ischium
H. Ischial ramus
I. Ilium (or the ala of the ilium)
J. Iliac crest
K. Anterior supe

A. Greater Trochanter
B. Neck
C. Head
D. Lesser trochanter
E. Body
F. Fovea capitis
G. Intertrochanteric crest

A. Iliac crest
B. Anterior superior iliac spine (ASIS)
C. Ischial spine
D. Greater trochanter
E. Lesser trochanter
F. Inferior ramus of pubis
G. Pubic symphysis
H. Oburator foramen
I. Ischium
J. Acetabulum
K. Sacrum
L. Sacroiliac (SI) joints
M. Ala

AP Pelvis

AP Hip

Hip: Axiolateral Projection-
Danelius-Miller Method

IR is parallel with femoral neck
Medially rotate the foot and limb of the affected side about 15 or 20 degrees.
Elevate the pelvis to center of IR, use sandbags for immobilization of the limb or firm pillows to raise the unaffected side. Use a vertical IR

AP Oblique - Modified Cleaves Method

Unilateral AP Oblique Femoral Neck-
Modified Cleaves Method

A. Greater Trochanter
B. Neck
C. Head
D. Lesser trochanter
E. Body
F. Fovea capitis
G. Intertrochanteric crest

A. Greater Trochanter
B. Neck
C. Head
D. Lesser trochanter
E. Body
F. Fovea capitis
G. Intertrochanteric crest

Hip: Lateral Projection- mediolateral Lauenstein and Hickey Methods

Which bones form the acetabulum

Ischium, pubis, and ilium

The proper name of the method used for the unilateral frog-leg projection is the

Modified Cleaves

The amount of abduction of the femurs recommended for an AP bilateral frog-leg projection

45 degrees