![]() We used Cohen's kappa test to calculate agreement between the assessment of both views and the solitary FL view.Īgreement between the assessment of the solitary FL view and the combination of the AP and FL view was very high with a kappa value of 0.989. Radiologists were blinded to the AP radiograph while assessing the solitary FL radiograph. Cases of trauma, neuromuscular disorders or a history of known hip disease were excluded. Hip radiographs of 524 children (aged 2-15 years) referred for acute hip pain were retrospectively assessed by two independent radiologists. We investigated the diagnostic accuracy of obtaining a solitary FL view as compared to a combination of the AP and FL view. This combination of views provides a high diagnostic yield, but also doubles radiation exposure. , 2021.For hip complaints in the paediatric population, it is common practice to acquire both anteroposterior (AP) and frog-leg lateral (FL) radiographs. "Guidance on using shielding on patients for diagnostic radiology applications Joint report". "ASRT Statement on Fetal and Gonadal Shielding". "ASMIRT Position Statement Gonad Shielding". 13 – NCRP Recommendations For Ending Routine Gonadal Shielding During Abdominal And Pelvic Radiography (2021)". "Discontinuing Gonadal and Fetal Shielding in X-Ray". Read it at Google Books - Find it at Amazon Radiographics (full text) - Pubmed citation Adult chronic hip pain: radiographic evaluation. doi:10.2106/JBJS.H.00756 - Free text at pubmed - Pubmed citation A systematic approach to the plain radiographic evaluation of the young adult hip. 6- Clohisy JC, Carlisle JC, Beaulé PE et-al.Gonad shielding in paediatric pelvic radiography: disadvantages prevail over benefit. Painful paediatric hip: frog-leg lateral view only!. (2019) Journal of medical imaging and radiation sciences. Keeping Children Still in Medical Imaging Examinations- Immobilisation or Restraint: A Literature Review. (2014) Journal of Medical Radiation Sciences. If the parent is accompanying the child by holding them in position, whilst the parent puts on a lead gown, it is the radiographer's responsibility to ensure the baby does not roll off the x-ray table ![]() This will require clear instructions for the parents to follow so that they do not allow rotation of the child's pelvis or motion artifact from kicking This is to avoid the child rotating their pelvis to look at their parent Ideally, if a parent/carer holding is required, the parent holds the child from the foot-end in order to be in the child's direct line of sight. Preparing the room beforehand (setting up the detector, exposure and preparing lead gowns) is extremely beneficial for pelvis imaging, as young children will often begin to cry the moment they are placed supine. Greater trochanters of the proximal femur are in profile The entirety of the bony pelvis is imaged from the superior of the iliac crest to the proximal shaft of the femur Grid: highly variable due to the view being a specialized pediatric projection Inferior to the proximal third of the femurĭetector size: 24 x 30 cm or will vary depending on the patient's size Centering point: midway between the anterior superior iliac spine and the pubic symphysis ![]()
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