![]() For trauma: “Cross Table Lateral” or “Horizontal Beam Lateral” has these views.There are multiple ways to perform the “lateral view”.A standard “hip series” consists of the AP view of the pelvis and a lateral view of the affected extremity.2 visits: Bring patient back for repeat filmsĪn approach to the traumatic adult hip x-ray.2 occasions: Always compare with old x-rays if available.2 sides: If unsure regarding a potential pathologic finding, compare to another side.2 joints: Image above and below the injury.2 abnormalities: If you see one abnormality, look for another.MRI hip protocols can be done in as little as 5-15 minutes.īefore we begin: Make sure to employ the rule of 2’s Consider MRI for patients with significant hip pain and negative x-rays. 2% of occult hip fractures will be missed by CT.Compared with CT, pelvic radiographs have a sensitivity of 64% to 78% for the identification of pelvic fractures in blunt trauma.Hip fractures have a very high one-year mortality.Hip and thigh pain are common complaints in the ED. ![]() Why the hip matters and the radiology rule of 2’s The Hip Identify clinical scenarios in which an additional view might improve pathology diagnosis.Interpret traumatic hip x-rays using a standard approach.When applicable, it will provide pertinent measurements specific to management, and offer a framework for when to get an additional view, if appropriate. This is EMRad, a series aimed at providing “just in time” approaches to commonly ordered radiology studies in the emergency department.
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