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    The basic principles about the hip X-ray examination.

    Radiology Expert
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    Normal Anatomy

    The proximal femur is formed by the proximal femoral shaft, greater/lesser trochanter, femoral neck and femoral head. The hip joint is a ball (= femoral head) and socket (acetabulum) joint. The acetabulum is formed by three fused ossal structures: the illium, ischium and pubis (complete bony fusion is achieved at the age of 20-25 years).
    The artery in the round ligament (ligamentum teres) supplies the femoral head with blood, but the primary blood suppliers are the medial/lateral femoral circumflex arteries originating in the deep femoral artery (a. femoralis profunda – AFP) (fig. 6).


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    Literature: sources and author

    Text & illustrations

    drs. A. van der Plas, MSK radiologist Maastricht UMC+

    • B.J. Manaster et al. The Requisites – Musculoskeletal Imaging. 2007
    • N. Raby et al. Accident & Emergency Radiology – A Survival Guide. 2005.
    • K.L. Bontrager, J.P. Lampignano. Textbook of Radiographic Positioning and Related Anatomy. 2014 (8th edition)
    • Seung-Jae Lim, MD, Yoon-Soo Park, MD. Plain Radiography of the Hip: A Review of Radiographic Techniques and Image Features. Hip&Pelvis 2015.
    • L. Cerezal et al. Anatomy, Biomechanics, Imaging and Management of Ligamentum Teres Injuries. Radiographics 2010


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