Hip X-Ray Cross-Table Lateral (Trauma)

Pelvis Trauma projection — horizontal beam VAR
Objective

Lateral visualisation of the femoral head and neck without mobilising the limb. Essential for diagnosing femoral neck fractures and measuring the cervicodiaphyseal angle in non-mobilisable patients. Always combined with AP pelvis.

Quality criteria

Femoral head in lateral view.
Femoral neck free from superimposition.
Greater trochanter visible laterally.
Cervicodiaphyseal angle measurable.
No rotation of the femoral head.

Common errors

Contralateral limb not abducted — obscures the femoral neck.
Incorrect beam angulation — false perspective of the neck.
Detector not vertical — geometric distortion.
No grid — insufficient diagnostic quality.

Paziente supino. Arto CONTROLATERALE abdotto a 90° e flesso al ginocchio per liberare il campo. Recettore verticale in cassetta a…

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Positioning, centring, DR/CR parameters and practical notes

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