PELVIS WITH BOTH HIP JOINTS AP X-RAY SCAN

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PELVIS WITH BOTH HIP JOINTS  AP X-RAY SCAN Image

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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

  1. You lie or stand against the digital detector plate.
  2. A 0.02-second X-ray pulse exposes the region.
  3. 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

  1. Check-in at front desk—ID and referral verification.
  2. Change into gown if your clothing has metal.
  3. Positioning:
  • Supine: Lie flat, legs internally rotated slightly for best femoral view.
  • Standing (optional): Feet shoulder-width apart, equal weight on both legs.
  1. Technologist gives “Hold your breath—don’t move.”
  2. 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 / ObservationDescription General Interpretation / Significance
Symmetric pelvic ringNo fracture lines or displacementsNormal study
Narrowed joint space <2 mm mediallyOsteophytes notedHip osteoarthritis
Cortical break at superior pubic ramusStep-off of 3 mmFracture—orthopaedic consult
Femoral head sclerosis & flatteningCrescent sign visibleAvascular 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.

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