presents
Wheeless' Textbook of Orthopaedics
www.wmt.com
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Inlet and Outlet Views




- Inlet View of the Pelvis: (cauded projection)  
      - caudad projection, also called inlet view, best demonstrates
              ring configuration of pelvis, & narrowing or widening
              of diameter of ring is immediately apparent.
      - evaluates for posterior displacement of pelvic ring or
              opening of pubic symphysis;
      - technique:
            - x-ray beam is parallel to plane of sacrum, & sacrum is seen on
                  end w/ vertebral body anteriorly & sacral lamina posteriorly;
            - pt is positioned as in AP view of pelvis w/ beam tilted
                  25 degree caudally;
            - or taken by directing X-ray beam 60 deg from head to mid pelvis,
                  is best radiographic view to demonstrate posterior displacement;

- Outlet View: (cephalad projection)
      - cephalad projection, also called the outlet or tangential view,
            shows the anterior ring superimposed on the posterior ring.
      - evaluates for vertical shift of pelvis (migration of hemipelvis);
      - proximal or distal displacements of anterior or posterior
            portion of ring are best appreciated on this view;
      - sacrum appears in its longest dimension, w/ neural foramina evident.
      - technique:
            - x-ray beam is perpendicular to plane of sacrum.
            - pt is positioned as in AP view of pelvis w/ beam tilted
                  35 deg cephalad;



Original Text by Clifford R. Wheeless, III, MD.