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Pelvic X-ray
From WikEM
Contents
Measurements
- pubic symphysis: up to 5mm in width, up to 2mm offset, no overlap
- SI joints: 2-4 mm in width
Checklist
- obturator foramina for symmetry-clue for rotation of film
- diastasis of pubic symphysis and both SI joints
- assymetry of illiac wings (rotation or deformity)
- sacral foramina-especially the superior cortical margins
- transverse processes of L5
- integrity of all cortical lines, especially around acetabulum.
Views
- Outlet views-sacral fractures, SI joint abnormalities
- Inlet view-displacement of ant. Fragments into pelvis..
- (posterior abnormalities usually need CT )
