PELVIS WITH BOTH HIP JOINTS AP X-RAY SCAN
Also Known As
Lab Test
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About The Test
What the scan examines
- Entire pelvic ring (ilium, ischium, pubis)
- Both femoral heads and acetabula (hip sockets)
- Symphysis pubis and sacroiliac joints
Average scan duration and radiation dose
- Time on table: 5–10 minutes
- Effective dose: ≈ 0.6 mSv (equal to ~7 weeks of natural background radiation)
Why choose Cadabams Diagnostics
- Same-day appointment slots until 8 PM
- Radiologists sub-specialised in musculoskeletal imaging
- Digital copies & WhatsApp report service within 1–2 hours
What is a Pelvis with Both Hip Joints AP X-Ray?
Definition and basic mechanism
An Anterior-Posterior (AP) view X-ray passes a controlled beam from front to back, capturing the bones of the pelvis and hips on a digital detector.
Difference between AP and other views
View | Purpose | Additional Info |
---|---|---|
AP | General survey; shows symmetry | First-line view |
Lateral | Assesses femoral head position | Often added if fracture suspected |
Oblique (Judet) | Evaluates acetabular walls | Used pre-surgery |
How the image is produced
- You lie or stand against the digital detector plate.
- A 0.02-second X-ray pulse exposes the region.
- Software renders a high-resolution picture on our PACS system in seconds.
Types of Pelvis & Hip X-Ray Views
- AP only: Quick, cost-effective screening
- Lateral or frog-leg views: Added for femoral neck or slipped capital epiphysis checks
- Standing (weight-bearing) AP: Highlights joint-space narrowing or subtle instability
- Cost comparison:
- AP alone: ₹600–₹800
- 3-view study: ₹1,100–₹1,400
List of Parameters
- Pelvic bone symmetry (any tilt or rotation)
- Hip joint space width (narrowing = arthritis)
- Femoral head alignment inside the socket
- Signs of fracture, dislocation, or bone lesions
Why This Test
- Trauma assessment after road accidents or sports injuries
- Pre-surgical planning for hip replacements or fracture fixation
- Monitoring arthritis or avascular necrosis progression over time
When to Take Test
- Sharp hip pain after a fall or accident
- Difficulty bearing weight on one or both legs
- Chronic groin or lower-back pain lasting >2 weeks
- Post-injury evaluation for athletes and elderly fall patients
- Suspicion of hip dysplasia in children above 2 years
Benefits
Benefits of Taking the Test
- Non-invasive and pain-free
- High-resolution images reduce the need for repeat scans
- Cost-effective—about one-fifth the price of a basic hip MRI
Illnesses Diagnosed with This X-Ray
- Pelvic fractures (pubic rami, iliac wing)
- Hip osteoarthritis (joint-space narrowing, osteophytes)
- Developmental dysplasia of the hip (DDH) in young children
- **Avascular necrosis (AVN)**—early flattening of femoral head
Preparing for test
- Wear loose, metal-free clothing (tracksuit or cotton salwar works best).
- Remove belts, zippers, jewellery, mobile, wallet.
- No fasting needed—eat and hydrate normally.
- Pregnancy declaration at reception.
Pre-requisites
- Valid doctor referral (hard copy or digital)
- Previous imaging comparison films (CD or printed) if done at another centre
Best Time to Take the Scan
- Morning slots (7 AM–11 AM) for faster queues and same-day GP follow-ups.
- Post-injury within 24–48 hours to capture fresh fractures before healing callus forms.
Eligibility
- Adults and children ≥2 years (infants use specialist paediatric protocols)
- Weight-bearing capacity required only for standing views; non-weight-bearing table option always available
Procedure for Taking the Scan
- Check-in at front desk—ID and referral verification.
- Change into gown if your clothing has metal.
- Positioning:
- Supine: Lie flat, legs internally rotated slightly for best femoral view.
- Standing (optional): Feet shoulder-width apart, equal weight on both legs.
- Technologist gives “Hold your breath—don’t move.”
- Two quick exposures—total 5–10 minutes.
Caution Before Taking the Test
- Notify technologist immediately if pregnant or if you have a hip implant that may affect positioning.
- Remove pacemaker clips, insulin pumps, or large tattoos with metallic ink if possible.
Test Results
Results and Interpretations
Finding / Observation | Description | General Interpretation / Significance |
---|---|---|
Symmetric pelvic ring | No fracture lines or displacements | Normal study |
Narrowed joint space <2 mm medially | Osteophytes noted | Hip osteoarthritis |
Cortical break at superior pubic ramus | Step-off of 3 mm | Fracture—orthopaedic consult |
Femoral head sclerosis & flattening | Crescent sign visible | Avascular necrosis |
Risks & Limitations
- Radiation exposure is low but cumulative—always declared to the technologist.
- Pregnancy: Inform staff if you are or could be pregnant; alternative imaging may be considered.
- Image clarity: Overlying bowel gas or obesity can obscure subtle fractures; additional views may be requested.
FAQs
Is the scan painful?
No—only positioning is required.
How much radiation will I receive?
Less than a trans-continental flight (≈0.6 mSv).
Can I bring a family member into the room?
Yes, but they must wear a lead apron unless pregnant.
Do I need to undress completely?
Only the waist-down if your clothing has metal; we provide disposable shorts.
How soon can I resume normal activities?
Immediately—no recovery time needed.
Is the scan covered by insurance?
Most cashless and reimbursement policies cover X-rays when prescribed by a doctor.