The Hip - book

Reduction of Femoral Shaft Frx

 – See:        – Proximal Frx        – Distal Frx        – Rotational Alignment   – Deforming Forces:      – muscular forces deform the femur after fracture;      – abductor muscles:           – abducts proximal femur following subtrochanteric & high proximal shaft fractures;      – psoas:           – proximal 1/3 frx of shaft are also … Read more

Radiolucent Lines: Loose THR

– Discussion:     – progressive enlargment radiolucent line size on serial radiographs;     – radiolucencies between cement & femoral cortex in immediate postop period may be produced by cancellous bone that was not removed;           – however, it is impossible to tell whether cancellous bone was not curreted or … Read more

Radiology of the Hip

  – AP view:     – patient is supine with the foot internally rotated 15 deg to obtain best views of the femoral neck;     – central beam is directed toward the femoral head;     – X-ray tube should be positioned 100 cm from focal plane of film cassette to yield an … Read more

Radiology of the Musculoskeletal System

 – Cervical Spine  – Pelvic Radiology  – MRI Discussion  – Ossification of Soft Tissue and Periosteum  – Pediatric Radiology  – Radioisotope Scanning Magnetic Resonance Imaging of the Musculoskeletal System–Symposium: Physical Principles of Magnetic Resonance Imaging. Longitudinal growth and growth-plate activity in the lower extremity. Imaging of the hip joint. Computed tomography versus magnetic resonance imaging.

Radiology of Cemented Femoral Components

– See:       – Types of Loosening:       – Exam for THR Loosening: – Grading of Cement Technique: (Barrack, et al. (1992) and Mulroy, et al. (1995))     – Grade A: meduallary canal completely filled w/ cement (white out).     – Grade B: a slight radiolucency exists at the … Read more

Radiographs for HTO

– See: PreOp Planning: – Discussion: – a candidate for HTO should have relatively normal lateral and patellofemoral compartments; – degenerative changes confined to medial compartment should be apparent in x-rays, although minor arthritic changes in lateral compartment or patellofemoral joint are not absolute contraindications – HTO is contraindicated w/ lateral compartment or patellofemoral symptoms … Read more

Radiographic Templating of Femoral Neck Length:

– See:     – Technique of Femoral Neck Resection     – Femoral Component Offset – Discussion:     – some pts have relative coxa vara and a very short distance between the lesser trochanter and the pelvis;     – others have a relative coxa valga and a large distance between the lesser … Read more