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pelvis · Axiolateral (Inferosuperior)

Hip Cross-Table Lateral (Danelius-Miller)

Patient supine, unaffected leg raised and supported out of the way.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Raise and support unaffected leg (hip and knee flexed).

  2. 02

    Place IR in crease above iliac crest, parallel to femoral neck.

  3. 03

    Horizontal CR perpendicular to femoral neck and IR from medial side.

  4. 04

    Use grid aligned to beam.

  5. 05

    Expose.

Anatomical & patient position

Patient: Patient supine, unaffected leg raised and supported out of the way.

Part: IR vertical against affected side, parallel to femoral neck; affected leg internally rotated 15 deg if possible.

Central ray & centring point

Horizontal, perpendicular to femoral neck and IR, entering medial thigh.

Exposure factors

kVp

80-90 kVp

mAs

20-40 mAs

SID

100 cm

IR size

24 x 30 cm landscape

Grid

Yes (stationary grid)

Respiration

Suspended

Clinical indications

  • Trauma - suspected neck of femur fracture
  • Post-op hip with limited mobility

Contraindications & precautions

  • Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible
  • Bilateral hip injury (cannot lift unaffected leg)

Structures shown & evaluation criteria

  • Acetabulum, femoral head, neck and trochanter in lateral profile
  • Soft tissue of unaffected thigh not superimposed

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.