![]() axiolateral (inferosuperior) projection.the flexed leg is placed on a dedicated stand this is incredibly uncomfortable for the patient the leg should only be up for a limited amount of time.the patient's unaffected hip can now be flexed and abducted.elevate the bed/trolley until the central ray is at the level of mid-thigh of the unaffected leg.This will ensure adequate centering in the superior-inferior aspect of the projection place a finger on the anterior superior iliac spine of the affected side, ensure it is projected onto the superior third of the image receptor.the image receptor should be placed in a landscape orientation superior to the iliac crest, allowing for adequate imaging of the femoral neck.the image receptor is angled approximately 20-45° to match the angle of the neck of femur (observed on the AP pelvis/hip) this is done to prevent elongation or foreshortening of anatomy.the image receptor can be an upright detector or a portable detector in an upright stand.the patient is supine with both arms on the chest, the side in question is closest to the image receptor:.It requires minimal patient movement on the affected side while providing high-quality diagnostic images that can be replicated both intraoperatively and postoperatively 1, 3. The projection is used to assess the neck of the femur in profile during the investigation of a suspected neck of femur fracture 2.Īlthough technically demanding, it is the most versatile hip radiograph, utilized in trauma bays and general radiography rooms.
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