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
