Patient was a 90 years old. She fell and was not able to move at all. The challenge was to take the lateral image of hip because both her hips were fractured so I cannot take cross-table hip. Patient was not responding well. She did not know how she fell. She was in unbearable pain. I started her procedures with the help of a technician. I was keep telling her aloud before doing steps so that she could know what was going on.
AnteroPosterior Unilateral Hip Projection:
Now I started with AP position for a hip, her both feet was external rotated, it was an indication of hip fracture. I cannot take proper AP image of hip with rotating affected leg 15-20 medially. I cannot touch or use sand bag or tape to support her both feet; it could result in significant displacement of fractured fragments, or may injure the blood supply and nerves that surround the injured area. I did not use marker, and my collimation was open. I took image as it was with CR perpendicular to direct to midfemoral neck which is about1-2 inches medial and 3-4 inches distal to ASIS. After the evaluation of AP pelvis image, I used AEC because the patient had …show more content…
The challenge was taking lateral position without abducting femur. I could not take cross-table hip, due to another hip fractured, and not recommended by the radiologist. I used a sponge and table sheet to rotate the upper body to the right side so that this image would be little different from the previous one but it could not be a perfect one. I centered the CR perpendicular to IR, 1-2 inches medial and 3-4 inches distal to ASIS. My collimation was open, and I did not use marker. I used AEC because the patient had no orthopedic device or hardware, and my EI value was in the range. Since patient was a trauma patient, both images were not like perfect routine images; however, those were little different compare to each other to diagnose and for the further