E5036. Radiographic Review of Normal Musculoskeletal Pelvic Anatomy With Correlative Review of Associated Pathologies
Authors
Nolan Hayden;
Henry Ford Hospital
Brendan Franz;
Henry Ford Hospital
Efan Jawad;
No Affiliation
Angelle King;
Tulane University School of Medicine
Zaid Mahdi;
Henry Ford Hospital
Mark Diamond;
Henry Ford Hospital
Chad Klochko;
Henry Ford Hospital
Background
Radiographs of the pelvis and hip are routinely obtained in radiology and serve as a tool to triage and diagnose patients. Numerous techniques may be used to assess for anatomical alignment and rule out subtle underlying pathologies. It is imperative for radiologists to recognize these signs during interpretation to better guide treatment.
Educational Goals / Teaching Points
The goal of this exhibit is to review the normal musculoskeletal pelvic and hip anatomy, as well as a general approach to interpreting pelvic/hip radiographic views including AP, lateral, judet, inlet, and outlet views. The exhibit will overview key pathologies that disrupt the normal described anatomy, including numerous fractures, avulsion injuries, metastasis, osseous shifting from failure of hardware, AVN, and sacroiliac joint widening, as well as sacroiliac erosions.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The exhibit will provide an overview of pelvic and hip radiograph anatomy and radiological signs for assessment of alignment. Then the exhibit will use cases to review key pathologies on radiographs including fractures, avulsion injuries and other pathologies. Selected CT and MRI may be used to further detail these pathologies.
Conclusion
Radiographs of the pelvis and hips are routinely used to triage patients and are dictated by both musculoskeletal and general radiologists alike. It is imperative to understand and recognize various radiological signs for alignment on each view. Precise interpretation of these films is essential for early recognition and diagnosis to guide appropriate treatment.
