System for reading hip Xrays

• Verify patient and laterality

• If you’re in conference

• Say what views you are seeing

• Skeletal maturity

• The most correct answer for what is going on

• Go back over the image in a systematic way

• Look at the acetabulum

• Then hip joint

• Review Shenton’s line, picture below

  
  

Shenton’s line

• From proximal to distal outline cortices and medullary space looking for abnormalities

• Femoral head

• Femoral neck

• Trochanteric region

• Subtrochanteric region

• Distal femur

• Review visible soft tissue from top to bottom, cranial to caudal

Here is a video that helps explain some of the concepts: Reading Hip Xrays

References:

https://radiopaedia.org/cases/normal-pelvis-x-ray-ap