For a lateral hip image we have 2 primary views: frogleg lateral or x-table lateral. We perform x-table hips using a wall Bucky all the time by turning the patient at an angle. I am wondering if theoretically you could perform a lateral hip X-ray using a supine table detector but essentially your positioning and angling of the patient is would you are moving...
Therefore if we were x-raying the left hip, the patient would turn onto their left side with their right leg crossed over (positioning like a mediolateral left knee) and then because I cannot angle my table detector to become parallel to my X-ray tube (~45 degrees), I would have to raise the patient’s lower half of their body up to preferably ~45 degrees. So then technically the left femoral neck is now perpendicular to the beam. Downfall of that positioning using a sponge to raise their hips and legs seems that their upper body now would appear wedged at an awkward angle.. Would this work?
You may be asking why go through all this trouble? My answer would be because our hospital implemented many new presurgical x-ray views and this could be essentially easier and faster than performing a normal x-table hip image if you have a mobile patient, and then you don’t have to fuss with moving wall buckys or using free cassettes/detectors. Was looking through some special positioning and this may be similar to a Dunn view 45/90 but slightly different..
Thoughts welcome! 💀
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source https://www.reddit.com/r/Radiology/comments/o04ctk/lateral_hip_theory/
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