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pelvis · Mediolateral (Modified Cleaves)

Hip Frog-Leg Lateral (Lauenstein)

Patient supine, affected knee flexed and thigh abducted.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Lay patient supine; centre affected hip.

  2. 02

    Flex knee and hip ~90 deg.

  3. 03

    Place sole of foot against inner opposite knee.

  4. 04

    Abduct thigh 40-45 deg; support with pad.

  5. 05

    CR to femoral neck.

  6. 06

    Expose.

Anatomical & patient position

Patient: Patient supine, affected knee flexed and thigh abducted.

Part: Sole of foot against opposite leg; femur abducted 40-45 deg from vertical.

Central ray & centring point

Perpendicular to femoral neck (midway ASIS and symphysis, at greater trochanter level).

Exposure factors

kVp

75-80 kVp

mAs

10-15 mAs

SID

100 cm

IR size

24 x 30 cm landscape

Grid

Yes

Respiration

Suspended

Clinical indications

  • Slipped capital femoral epiphysis (SCFE)
  • Perthes disease
  • Non-traumatic hip pain

Contraindications & precautions

  • Suspected hip fracture or dislocation - use cross-table lateral (Danelius-Miller)
  • Pregnancy (relative) - confirm LMP / 10-day rule, justify exposure and shield where possible

Structures shown & evaluation criteria

  • Femoral head and neck laterally
  • Greater trochanter superimposed over neck

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

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