Portfolio for Hip Osteoarthritis WARNING: RADIOGRAPHIC STUDENTS ONLY
ABOUT ME No challenge is too great for my unstoppable determination! Hello, I’m Nik Muhammad Haikal or just call me Ekal. I am Radiographic student year 3. I still learning at UniSZA. During my studies, i got a lot of experiences as a Radiography student.
TOPIC RADIOGRAPHIC VIEW GAMIFICATION PACEMAN REFLECTIVE ESSAY
TOPIC
HIP OSTEOARTHRITIS Hip osteoarthritis, also known as degenerative joint disease of the hip, is a condition characterized by the progressive breakdown of the articular cartilage in the hip joint. This leads to pain, stiffness, and functional impairment.
Hip Articular Cartilage Degeneration The primary feature of hip osteoarthritis is the gradual breakdown of the articular cartilage that covers the ends of the bones in the hip joint. This cartilage provides a smooth surface for joint movement.
Hip Synovial Inflammation In response to the changes in the joint, the synovial lining (synovium) may become inflamed. This leads to the production of inflammatory cytokines and increased synovial fluid production. DECREASED JOINT SPACED EXPOSED BONE WORN CARTILAGE Hip Joint Space Narrowing As the cartilage breaks down and osteophytes form, the space within the hip joint narrows. This reduces the joint's capacity to move smoothly.
This X-ray of an arthritic hip shows severe loss of joint space In the context of hip osteoarthritis, an AP view X-ray is commonly used to assess the condition of the hip joint and to help rule out other potential pathologies. During an AP view X-ray of the hip, especially when looking for hip osteoarthritis X-ray beam is directed from the front of the body to the back, passing through the hip joint This view allows to evaluate the joint. Osteoarthritis often leads to a reduction in the space between the hip joint surfaces due to cartilage degeneration. AP HIP
It's important to note that both the AP and lateral views are valuable tools in the diagnosis and evaluation of hip osteoarthritis, and they are often used together to provide a comprehensive understanding of the condition frog lateral radiograph of the right hip before giving intra-articular injection showing minimal joint space narrowing suggestive of mild osteoarthritis. RADIOGRAPHIC VIEW A mediolateral view X-ray of the hip is another crucial imaging technique used in the evaluation of hip osteoarthritis. It provides a side-on view of the hip joint, complementing the information obtained from the anteroposterior (AP) view. Similar to the AP view, osteoarthritis can lead to a reduction in the space between the hip joint surfaces. In a mediolateral view, the patient is positioned on their side, and the Xray beam is directed from the side, allowing for a view of the hip joint from the side angle. This view provides additional information about the structure and alignment of the hip joint. MEDIOLATERAL HIP
PACEMAN for AP Hip ositioning For positioning, no rotation because the ischial spine is aligned with the pelvic brim, and the sacrum, coccyx, and symphysis pubis are in proper alignment, while the obturator foramen remains open. Radiographic evidence, joint space narrowing shows osteoarthritis occurs at hip joint. No improvement is needed. lignment In this image we can only determine the alignment for cassette with image, femoral head positioned in the middle line of the image. There are no misalignment in this image because the side image is symmetric for superior, inferior and lateral side.
PACEMAN for AP Hip olimation The good collimation, superior border, collimation need to include superior ASIS. For inferior border must include proximal third of the femur. For lateral side of the image they need to include at least obturator foramina and half of the sacrum and coccyx also the skin margins. This image not adequate collimation because the normal acceptance is about ± 2 cm. Central ray at femoral head xposure Normal range exposure used 70-80 kVp and 8-15 mAs. Contrast is adequate because the bony cortical outline for thick femoral head and thin lesser trochanter is clear and the density of this image is adequate because the bony trabecular pattern for thick femoral head and thin lesser trochanter is clear and nice in the image.
PACEMAN for AP Hip arker There are no anatomical marker detect in the image, so we cannot determined the side of the patient that have osteoarthritis. esthetic The Image is not align with the lateral border of film. The film used is 24 X 30 cm and the film orientation is lengthwise ame The name or ID patient, date and hospital are not available.
Conclusion In conclusion, I reject this Ap Hip x-ray image because they are no anatomical marker that show Right and Left side of the Hip. Central ray of this image is also not adequate because the good centre is about 2.5 cm distal of the ASIS. The collimation is not adequate because this image collimation is not include the superior 2.5 cm superior ASIS and not include the inferior proximal third of femur.
MEDIOLATEPACEMAN There are no Positioningerror evidence by lesser trochanter is in pro le medially. Femoral neck is superimposed over the greater trochanter. The knee andhip flex at 60 to 70 degrees with the table. Femoral neck is partiallyforeshortened. Proximal greater trochanter is demonstrated at a transverse level halfway between the femoral head and the lesser trochanter.
ERAL HIP Cassette and Femoral Neck Alignment : From this image, we can determine that the cassette is aligned with the femoral neck in the middle of the image. Additionally, there are no signs of misalignment as the side image appears symmetrical in the superior, inferior, and lateral sides. The good collimation for mediolateral hip, superior border, collimation need to include superior to the iliac crest. For inferior border need to include inferior to the proximal third of the femur For lateral side of the image they need to include at least obturator foramina and half of the sacrum and coccyx also the skin margins. This image slightly adequate collimation because the normal acceptance is about ± 2 cm. Central ray at femoral neck Optimal Parameters for Radiographic Imaging: To obtain an image with clear and adequate contrast and density, it's recommended to use a normal range exposure of 70-80 kVp and 8-15 mAs. This will ensure that the bony cortical outline for the thick femoral head and thin lesser trochanter is distinct and the bony trabecular pattern is clearly visible. There are no anatomical marker detect in the image, so we cannot determined the side of the patient that have osteoarthritis. The Image is not align with the lateral border of film. The film used is 24 X 30 cm and the film orientation is lengthwise. The orientation of the film should be crosswise The name or ID patient, date and hospital are not available. In conclusion, I reject this Mediolateral Hip x-ray image because they are no anatomical marker that show Right and Left side of the Hip. Central ray of this image is also not adequate because the good centre is at midway between the anterior superior iliac spine and the pubic symphysis. The orientation of the film that used was not adequate because it should use it in the crosswise
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