Pelvis X ray teaching

  • introduce self
  • check student's identity and level of experience
  • ensure patient (if applicable) is safe in department
  • set learning objectives
    • structured system for looking at pelvic X rays
  • Script for presenting X-ray - patient details, projection, date
  • Pelvic ring, obturator foramen
    • break in one place often accompanied by break in 2nd place
  • Acetabulum
    • Use iliopectineal line + roof of acetabulum
  • Proximal femur - Shenton's line
  • Joint spaces: sacroiliac joints, pubis symphysis
  • Line of Klein (children)
    • line projected from superior edge of femoral neck should intersect lateral superior femoral epiphysis
    • asymmetry can indicate Slipped upper femoral epiphysis
  • Soft tissue (bowel, skin, subcut)
  • summarise
  • elicit questions
  • signpost to further learning material